Dawning Point Learning Center

8VAC20-780-330-B

“Based on observation, the facility failed to ensure there was resilient surfacing that complies with minimum safety standards in the fall zone underneath and surrounding the play equipment, as required. Evidence: 1) the resilient surfacing measured behind the swings was approximately 9 feet, and the fence is approximately 13 feet 6 inches from the center of the swing. The height of the swing beam is approximately 7 feet high which requires a fall zone with resilient surfacing of 14 feet (measured from the swing itself) in both the front and back of the swings. The "pea gravel" looked like river rocks and is not an approved material on the compressed loose fill synthetic materials depth chart. 2) There is less than 2" of resilient surfacing under and around the composite play equipment. 3) The bicycle play equipment (bikes on track) need 6 feet of resilient surfacing on all sides 4) There is not any resilient surfacing under and around the slide on the small playground.”

8VAC20-780-270-A

“Based on observation, the facility failed to ensure that all areas outside are maintained in a safe condition. Evidence: 1) One side of the sidewalk has an approximate 10-12' drop off. Two children were observed tripping and falling as they walked off the sidewalk onto the playground area. Tricycles, scooters and riding cars were also observed nearly going off of the edge. 2) The playhouse has a cracked roof, which is a pinching hazard 3) There is a broken play car with sharp plastic exposed 4) There is a broken tile in the bathroom which is a tripping hazard 5) There is a broken purple car with cracks and sharp plastic exposed 6) There is deteriorating wood on the picnic benches/tables, and wooden equipment 7) There are broken tires, that are cracked and are pinching hazards, on the wood truck 8) There are multiple pieces of wood along the fence with exposed nails 9) There is exposed metal wire and three metal fence pole ends at the base of the tree near the sidewalk that are sharp and rusted 10) There is a broken glass door leading to the four's classroom from the playground 11) There are multiple tree roots that are exposed causing a tripping hazard 12) There is a crack in the basketball hoop stand causing a pinching hazard 13) There is broken wood on the fence in the small playground and areas with rusty old nails/screws exposed, poking through the fence 14) The fence by the small playground is a head entrapment hazard that is approximately 4" wide and 9" off of the ground”

8VAC20-780-330-B

“Based on observation, the facility failed to ensure there was resilient surfacing that complies with minimum safety standards in the fall zone underneath and surrounding the play equipment, as required. Evidence: 1) the resilient surfacing measured behind the swings was approximately 9 feet, and the fence is approximately 13 feet 6 inches from the center of the swing. The height of the swing beam is approximately 7 feet high which requires a fall zone with resilient surfacing of 14 feet (measured from the swing itself) in both the front and back of the swings. The "pea gravel" looked like river rocks and is not an approved material on the compressed loose fill synthetic materials depth chart. 2) There is less than 2" of resilient surfacing under and around the composite play equipment. 3) The bicycle play equipment (bikes on track) need 6 feet of resilient surfacing on all sides 4) There is not any resilient surfacing under and around the slide on the small playground.”

8VAC20-780-270-A

“Based on observation, the facility failed to ensure that all areas outside are maintained in a safe condition. Evidence: 1) One side of the sidewalk has an approximate 10-12' drop off. Two children were observed tripping and falling as they walked off the sidewalk onto the playground area. Tricycles, scooters and riding cars were also observed nearly going off of the edge. 2) The playhouse has a cracked roof, which is a pinching hazard 3) There is a broken play car with sharp plastic exposed 4) There is a broken tile in the bathroom which is a tripping hazard 5) There is a broken purple car with cracks and sharp plastic exposed 6) There is deteriorating wood on the picnic benches/tables, and wooden equipment 7) There are broken tires, that are cracked and are pinching hazards, on the wood truck 8) There are multiple pieces of wood along the fence with exposed nails 9) There is exposed metal wire and three metal fence pole ends at the base of the tree near the sidewalk that are sharp and rusted 10) There is a broken glass door leading to the four's classroom from the playground 11) There are multiple tree roots that are exposed causing a tripping hazard 12) There is a crack in the basketball hoop stand causing a pinching hazard 13) There is broken wood on the fence in the small playground and areas with rusty old nails/screws exposed, poking through the fence 14) The fence by the small playground is a head entrapment hazard that is approximately 4" wide and 9" off of the ground”

8VAC20-780-70

“Based on review of three staff records, not all records contained all required information. Evidence: the record for staff #3 (date of hire: 5/8/23) did not contain documentation that two or more references were checked before employment.”

8VAC20-780-560-J

“Based on observation, and an interview with staff, not all tables were sanitized, as required, after meals. Evidence: staff used disinfectant wipes to sanitize the tables after lunch in the 3?s classroom. "Sanitized" means to spray the disinfectant solution on the surface and allow it to air dry for a minimum of two minutes.”

8VAC20-780-330-B

“Based on observation, there was not resilient surfacing in the fall zone under and around the swings as required. Evidence: there was approximately nine feet of resilient surfacing behind the swings. The height of the swing beam was approximately 6 feet high which requires a fall zone with resilient surfacing of 12 feet (measured from the swing itself) in both the front and back of the swings.”

8VAC20-780-70

“Based on review of five staff records, not all records contained all required information. Evidence: the record for staff #1, who stated they drove children in the van to today's field trip, did not contain documentation of a driver's license or current certification in first aid and CPR.”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: A can of air freshener that stated "keep out of reach of children" and "contents under pressure" was observed in the school age classroom sitting on a window sill. There was a cannister of disinfectant wipes sitting on an open counter in the infant/toddler classroom.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure all areas and equipment of the center were maintained in a safe condition. Evidence: in the school age classroom there is 1) a bulletin board that is not securely hanging on the wall; 2) a rug with curled corners that presents a tripping hazard and 3) broken, cracked floor tiles”

8VAC20-780-240-B

“Based on review of five staff records, the facility did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: the record for staff #2 (date of hire: 12/28/2022) did not contain documentation of completed orientation training.”

8VAC20-780-340-F

“Based on observation, it was determined that the facility did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: when the school age children returned from their field trip, they were observed entering the building and entering their classroom while two staff were parking vans and one staff was standing holding the building door open. Approximately 24 children, from five to nine years of age, entered the classroom and were out of sight and sound supervision of staff for less than five minutes. One staff then entered the classroom and left again for approximately one minute.”

8VAC20-770-60-C-2

“Based on review of five staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: the record for staff #2 (date of hire: 12/28/22) did not have documentation of a Central Registry search request or follow up conducted.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: 1) There was no toilet paper in the two's bathroom accessible to the children and no paper towels in the two's bathroom/sink area. 2) There was no toilet paper in the school age bathroom accessible to the children and no paper towels in the school age bathroom/sink area.”

8VAC20-780-340-G

“Based on observation, it was determined that the facility did not ensure that children 10 years of age and older are always within actual sight and sound supervision of staff as required. Evidence: child #1 was observed alone in the school age classroom from approximately 9:30-11:00am. No staff could see or hear the child for the entire duration of time as staff was walking the floor with the inspector, cooking lunch, answering the door and answering the phone.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all preschool teachers could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-470-A

“Based on observation, and an interview with staff, requirements were not met for a permanent swimming pool located on the premises of the center. Evidence: the padlock to the gate between the outdoor swimming pool and the playground was not locked. Children were observed using the playground.”

8VAC20-780-350-B-3

“Based on observation, the facility failed to maintain the ratio of one staff for every eight children, two years of age. Evidence: in the preschool classroom, 17 children were observed with two staff. The youngest child in the room was two years old (child #2 date of birth: 3/21/2020.)”

8VAC20-770-60-B

“Based on review of five staff records, it was determined that not all staff had a sworn statement completed prior to their first day of employment. Evidence: the record for staff #2 (date of hire: 12/28/22) had a sworn statement that did not indicate whether or not they had lived out of the state of Virginia in the past five years.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that no Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment for staff who indicated they have lived outside of Virginia in the past five years and/or follow up as required. Evidence: the record for staff #4 (Date of hire: 10/6/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state child abuse and neglect search request.”

8VAC20-780-510-E

“Based on review of five medications and authorizations, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #6 and child #9 did not contain written authorization from the child's parent for long term medication observed on site.”

8VAC20-780-570-A

“Based on observation, the facility failed to ensure that when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence: three out of the six children sitting in the feeding table, and one infant seated in a high chair did not have their safety belt securely fastened. One child was observed attempting to stand up in the feeding chair.”

8VAC20-780-560-M

“Based on observation, the facility failed to ensure that no child is allowed to drink while walking around. Evidence: The Licensing inspector observed a child in the infant/toddler class walking around drinking a bottle.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that no Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment for staff who indicated they have lived outside of Virginia in the past five years and/or follow up as required. Evidence: the record for staff #5 (Date of hire: 10/6/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state child abuse and neglect search request.”

8VAC20-780-510-P

“Based on review of eight medications and authorizations, the facility did not ensure when an authorization for medication expires, the parent is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: the medication authorization form for child #5 expired 7/2021 and the medication authorization form for child #7 expired on 1/13/2023. The medication has not been returned to the parents nor have the medication authorization forms been renewed.”

8VAC20-780-70

“Based on review of five staff records, not all records contained all required information. Evidence: the record for staff #3 (date of hire: 12/28/2022) did not have complete documentation that two or more references were checked before employment.”

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not maintain a written record of daily attendance that documents the arrival and departure of children in care as it occurs. Evidence: 13 children were observed in the infant/toddler classroom, however only 11 children were included on the attendance sheet.”

8VAC20-780-240-B

“Based on review of five staff records, the center did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: the record for staff #3 (date of hire: 12/28/2022) did not contain documentation of completed orientation training.”

8VAC20-780-500-A

“Based on observation, not all handwashing procedures were followed, as required. Evidence: children's hands were not washed with soap and water after eating lunch in the infant/toddler classroom. One infant's hands were not washed with soap and water before being fed a bottle.”

8VAC20-780-550-E

“Based on review of documentation, and an interview with staff, shelter in place procedures were not practiced a minimum of twice per year as required. Evidence: There were no documented shelter in -place drills conducted in 2022.”

8VAC20-780-330-B

“Based on an inspection of the playground, it was determined that the resilient surfacing does not comply with minimum safety standards. Evidence: the mulch under and around play equipment with a height of approximately 4-5 feet high was not resilient. The depth of the wood chips under and around the composite play structure was approximately one - three inches in depth. There are 4 tricycles on a track observed on the concrete sidewalk, without a resilient fall zone.”

8VAC20-780-580-C

“Based on observation and staff interview, the facility failed to ensure that during transportation of children Virginia state statutes about safety belts and child restraints are followed as required. Evidence, there was only one booster seat observed for the three vans, and staff stated that they do not have any additional booster seats. According to the school age class roster there are approximately 16 children under the age of 8, who require a booster seat, that are transported to area elementary schools on the facility’s vans.”

8VAC20-780-510-E

“Based on review of five medications and authorizations, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #6 and child #9 did not contain written authorization from the child's parent for long term medication observed on site.”

8VAC20-780-570-A

“Based on observation, the facility failed to ensure that when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence: three out of the six children sitting in the feeding table, and one infant seated in a high chair did not have their safety belt securely fastened. One child was observed attempting to stand up in the feeding chair.”

8VAC20-780-560-M

“Based on observation, the facility failed to ensure that no child is allowed to drink while walking around. Evidence: The Licensing inspector observed a child in the infant/toddler class walking around drinking a bottle.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that no Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment for staff who indicated they have lived outside of Virginia in the past five years and/or follow up as required. Evidence: the record for staff #5 (Date of hire: 10/6/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state child abuse and neglect search request.”

8VAC20-780-510-P

“Based on review of eight medications and authorizations, the facility did not ensure when an authorization for medication expires, the parent is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: the medication authorization form for child #5 expired 7/2021 and the medication authorization form for child #7 expired on 1/13/2023. The medication has not been returned to the parents nor have the medication authorization forms been renewed.”

8VAC20-780-70

“Based on review of five staff records, not all records contained all required information. Evidence: the record for staff #3 (date of hire: 12/28/2022) did not have complete documentation that two or more references were checked before employment.”

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not maintain a written record of daily attendance that documents the arrival and departure of children in care as it occurs. Evidence: 13 children were observed in the infant/toddler classroom, however only 11 children were included on the attendance sheet.”

8VAC20-780-240-B

“Based on review of five staff records, the center did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: the record for staff #3 (date of hire: 12/28/2022) did not contain documentation of completed orientation training.”

8VAC20-780-500-A

“Based on observation, not all handwashing procedures were followed, as required. Evidence: children's hands were not washed with soap and water after eating lunch in the infant/toddler classroom. One infant's hands were not washed with soap and water before being fed a bottle.”

8VAC20-780-550-E

“Based on review of documentation, and an interview with staff, shelter in place procedures were not practiced a minimum of twice per year as required. Evidence: There were no documented shelter in -place drills conducted in 2022.”

8VAC20-780-330-B

“Based on an inspection of the playground, it was determined that the resilient surfacing does not comply with minimum safety standards. Evidence: the mulch under and around play equipment with a height of approximately 4-5 feet high was not resilient. The depth of the wood chips under and around the composite play structure was approximately one - three inches in depth. There are 4 tricycles on a track observed on the concrete sidewalk, without a resilient fall zone.”

8VAC20-780-580-C

“Based on observation and staff interview, the facility failed to ensure that during transportation of children Virginia state statutes about safety belts and child restraints are followed as required. Evidence, there was only one booster seat observed for the three vans, and staff stated that they do not have any additional booster seats. According to the school age class roster there are approximately 16 children under the age of 8, who require a booster seat, that are transported to area elementary schools on the facility’s vans.”

8VAC20-780-550-F

“Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 3/4/2021.”

8VAC20-780-550-E

“Based on review of documentation, not all shelter-in-place drills were practiced a minimum of twice per year as required. Evidence: the last documented shelter-in-place drill was conducted on: 6/24/2021.”

8VAC20-780-510-E

“Based on review of ten medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: the record for child #5, child #6, and child #7 did not contain written authorization from the physician or parent for long term medication observed on site.”

8VAC20-780-500-B

“Based on observation, and staff interviews, the facility failed to ensure that when a child's clothing becomes wet or soiled, the child shall be cleaned and changed immediately. Evidence: a child in the two's classroom was observed with wet pants at approximately 12:00 noon. Staff stated that the child's pants became wet when using a slide outside on the playground. Staff stated that the two's class came inside from using the playground at approximately 11:00 am. At approximately 12:15pm, the LI told the staff to change the child's clothes before putting them down for naptime.”

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that all handwashing procedures were followed as required. Evidence: Staff didn?t wash their hands before feeding an infant or wash the infant’s hands.”

8VAC20-780-370-1

“Based on observation, not all infants were placed in their crib on their back. Evidence: The LI observed staff place an infant to sleep on their stomach. Staff stated that is how they always lay the infant down in their crib.”

8VAC20-780-340-A

“Based on observation, the facility did not ensure the care, protection and guidance of children in care. Evidence: 1) An infant was observed sleeping in a crib with their head on top of a thick blanket and two additional blankets sitting in the crib. 2) Two blankets were observed hanging on the side of a crib with a sleeping infant. 3) A third infant was observed sleeping with a heavy blanket covering them. Soft bedding under and around infants is a suffocation hazard and increases the risk of sudden unexplained infant death.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: there was no toilet paper in the two’s bathroom and paper towels were not accessible to children in the two's bathroom/sink area”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant classroom, a canister of disinfecting wipes was sitting on a counter. In the two's classroom, bottle of sanitizing solution was observed hanging on the window.”

8VAC20-780-40-G

“Based on review of four child records, the facility failed to have documentation of proof of the child's identity and age within 7 days of enrollment. Evidence: the record for child #2 (date of first attendance: 8/22/2022) and child #3 (date of first attendance: 1/3/2022) did not have documentation of proof of identity and age (proof of birth.)”

8VAC20-770-60-C-2

“Based on review of four staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment or follow up conducted on time. Evidence: The record for staff #2 (Date of hire: 11/17/2021), staff #3 (Date of hire: 5/5/2022), and staff #4 (Date of hire: 5/27/2022), did not have documentation of a Central Registry search report and/or follow up request.”

8VAC20-770-60-B

“Based on review of four staff records, it was determined that not all staff had a sworn statement completed prior to their first day of employment. Evidence: the record for staff #1 (date of hire: 8/26/22) had a sworn statement that was not dated indicating it was completed prior to employment. The record for staff #3 (date of hire: 5/5/2022) did not contain a sworn statement.”

22.1-289.035-B-4

“Based on review of four staff records, it was determined that not all Out of State Sex Offender Registry Search requests and Criminal History Name Checks were completed, as required, prior to employment for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #1, (Date of hire: 8/26/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state sex offender search or criminal history name check search prior to employment. Staff #1 did not have an OBI fingerprint determination letter in their record.”

22.1-289.035-B-2

“Based on review of four staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #1 (date of hire: 8/26/2022), did not have an OBI determination letter.”

8VAC20-780-130-A

“Based on a review of four child records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: 8/22/2022) did not have documentation of immunizations.”

8VAC20-780-550-F

“Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 3/4/2021.”

8VAC20-780-550-E

“Based on review of documentation, not all shelter-in-place drills were practiced a minimum of twice per year as required. Evidence: the last documented shelter-in-place drill was conducted on: 6/24/2021.”

8VAC20-780-510-E

“Based on review of ten medications and authorizations, it was determined that the facility failed to follow their medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: the record for child #5, child #6, and child #7 did not contain written authorization from the physician or parent for long term medication observed on site.”

8VAC20-780-500-B

“Based on observation, and staff interviews, the facility failed to ensure that when a child's clothing becomes wet or soiled, the child shall be cleaned and changed immediately. Evidence: a child in the two's classroom was observed with wet pants at approximately 12:00 noon. Staff stated that the child's pants became wet when using a slide outside on the playground. Staff stated that the two's class came inside from using the playground at approximately 11:00 am. At approximately 12:15pm, the LI told the staff to change the child's clothes before putting them down for naptime.”

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that all handwashing procedures were followed as required. Evidence: Staff didn?t wash their hands before feeding an infant or wash the infant’s hands.”

8VAC20-780-370-1

“Based on observation, not all infants were placed in their crib on their back. Evidence: The LI observed staff place an infant to sleep on their stomach. Staff stated that is how they always lay the infant down in their crib.”

8VAC20-780-340-A

“Based on observation, the facility did not ensure the care, protection and guidance of children in care. Evidence: 1) An infant was observed sleeping in a crib with their head on top of a thick blanket and two additional blankets sitting in the crib. 2) Two blankets were observed hanging on the side of a crib with a sleeping infant. 3) A third infant was observed sleeping with a heavy blanket covering them. Soft bedding under and around infants is a suffocation hazard and increases the risk of sudden unexplained infant death.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: there was no toilet paper in the two’s bathroom and paper towels were not accessible to children in the two's bathroom/sink area”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant classroom, a canister of disinfecting wipes was sitting on a counter. In the two's classroom, bottle of sanitizing solution was observed hanging on the window.”

8VAC20-780-40-G

“Based on review of four child records, the facility failed to have documentation of proof of the child's identity and age within 7 days of enrollment. Evidence: the record for child #2 (date of first attendance: 8/22/2022) and child #3 (date of first attendance: 1/3/2022) did not have documentation of proof of identity and age (proof of birth.)”

8VAC20-770-60-C-2

“Based on review of four staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment or follow up conducted on time. Evidence: The record for staff #2 (Date of hire: 11/17/2021), staff #3 (Date of hire: 5/5/2022), and staff #4 (Date of hire: 5/27/2022), did not have documentation of a Central Registry search report and/or follow up request.”

8VAC20-770-60-B

“Based on review of four staff records, it was determined that not all staff had a sworn statement completed prior to their first day of employment. Evidence: the record for staff #1 (date of hire: 8/26/22) had a sworn statement that was not dated indicating it was completed prior to employment. The record for staff #3 (date of hire: 5/5/2022) did not contain a sworn statement.”

22.1-289.035-B-4

“Based on review of four staff records, it was determined that not all Out of State Sex Offender Registry Search requests and Criminal History Name Checks were completed, as required, prior to employment for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #1, (Date of hire: 8/26/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state sex offender search or criminal history name check search prior to employment. Staff #1 did not have an OBI fingerprint determination letter in their record.”

22.1-289.035-B-2

“Based on review of four staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #1 (date of hire: 8/26/2022), did not have an OBI determination letter.”

8VAC20-780-130-A

“Based on a review of four child records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: 8/22/2022) did not have documentation of immunizations.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #3, (date of hire: 2/9/2022) who indicated they lived out of state in the past five years, did not contain documentation of an Out Of State Sex Offender Registry check prior to employment.”

8VAC20-780-500-B

“Based on observation, it was determined that not all diapers were disposed of in a leakproof/plastic lined storage system that is 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: staff placed a soiled diaper on top of the diaper disposal system while dressing the child and cleaning the changing pad. Staff then disposed of the diaper outside, pushing the door open with their hand.”

8VAC20-780-270-A

“Based on observation, and an interview with staff, the facility failed to ensure that all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1) there is a chain link fence surrounding a tree on the playground that is broken and has loose chains with exposed ends that are sharp 2) there were numerous pieces of trash on the playground 3) there was a broken wagon on the playground 4) the wood fence surrounding the playground has cracks, broken pieces of wood, and deteriorating wood in places 5) the gate in the wood fence has exposed nails, has separated from the fence post and is not secure 6) the play vehicle on the playground has chipped and peeling paint and splintered deteriorating wood”

8VAC20-780-150-B

“Based on review of three child records, it was determined that not all records contained acceptable forms of documentation of physical examinations and dates of immunizations. Evidence: the records for child #1, #2 and #3 did not have documentation of immunizations signed by a physician, his designee, or an official of a local health department. The record for child #3 did not have documentation of a physical exam signed by a physician, his designee, or an official of a local health department.”

8VAC20-770-60-C-2

“Based on review of five staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: the record for staff #2 (Date of hire: 11/19/2021) did not have documentation of a Central Registry search report on file.”

8VAC20-780-160-A-1

“Based on review of five staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for all staff prior to employment. Evidence: the record for staff #1 (date of hire: 10/22/22) had a TB test/screening dated: 10/25/22. The record for staff #2 (date of hire: 11/19/22) had a TB test/screening dated: 11/21/22.”

8VAC20-780-500-A

“Based on observation, it was determined that hand washing procedures weren't followed as required. Evidence: 1) an infants hands were not washed with soap and water after a diaper change. 2) a teacher in the 2's class failed to wash hands after contact with bodily fluids when helping a child use a tissue to blow their nose.”

8VAC20-780-340-A

“Based on observation, the facility did not ensure the care, protection and guidance of children in care. Evidence: five cribs being used by infants had sheets that were not tight fitting and allowed material to gather on the surface of the mattress presenting a suffocation or strangulation hazard. One infant, (11 months old) was observed sleeping on their stomach with a blanket over their head. When the LI asked staff to remove the blanket staff stated that the child likes to sleep that way.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: 1) there was no toilet paper in one of the the bathrooms in the 4's classroom 2) the toilet paper was not accessible to the children in the bathroom in the 2's classroom 3) there were no paper towels in the bathroom in the 2's classroom”

8VAC20-780-280-B

“Based on observation, not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: there was a bottle of bleach water solution in an unlocked cabinet in the school age and four's classrooms.”

8VAC20-780-60-A

“Based on review of three child records, it was determined that not all records contained all required information. Evidence: the record for child #1 did not contain the name or phone number for a physician or the names, addresses and phone numbers for two emergency contacts”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #3, (date of hire: 2/9/2022) who indicated they lived out of state in the past five years, did not contain documentation of an Out Of State Sex Offender Registry check prior to employment.”

8VAC20-780-500-B

“Based on observation, it was determined that not all diapers were disposed of in a leakproof/plastic lined storage system that is 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: staff placed a soiled diaper on top of the diaper disposal system while dressing the child and cleaning the changing pad. Staff then disposed of the diaper outside, pushing the door open with their hand.”

8VAC20-780-270-A

“Based on observation, and an interview with staff, the facility failed to ensure that all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1) there is a chain link fence surrounding a tree on the playground that is broken and has loose chains with exposed ends that are sharp 2) there were numerous pieces of trash on the playground 3) there was a broken wagon on the playground 4) the wood fence surrounding the playground has cracks, broken pieces of wood, and deteriorating wood in places 5) the gate in the wood fence has exposed nails, has separated from the fence post and is not secure 6) the play vehicle on the playground has chipped and peeling paint and splintered deteriorating wood”

8VAC20-780-150-B

“Based on review of three child records, it was determined that not all records contained acceptable forms of documentation of physical examinations and dates of immunizations. Evidence: the records for child #1, #2 and #3 did not have documentation of immunizations signed by a physician, his designee, or an official of a local health department. The record for child #3 did not have documentation of a physical exam signed by a physician, his designee, or an official of a local health department.”

8VAC20-770-60-C-2

“Based on review of five staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: the record for staff #2 (Date of hire: 11/19/2021) did not have documentation of a Central Registry search report on file.”

8VAC20-780-160-A-1

“Based on review of five staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for all staff prior to employment. Evidence: the record for staff #1 (date of hire: 10/22/22) had a TB test/screening dated: 10/25/22. The record for staff #2 (date of hire: 11/19/22) had a TB test/screening dated: 11/21/22.”

8VAC20-780-500-A

“Based on observation, it was determined that hand washing procedures weren't followed as required. Evidence: 1) an infants hands were not washed with soap and water after a diaper change. 2) a teacher in the 2's class failed to wash hands after contact with bodily fluids when helping a child use a tissue to blow their nose.”

8VAC20-780-340-A

“Based on observation, the facility did not ensure the care, protection and guidance of children in care. Evidence: five cribs being used by infants had sheets that were not tight fitting and allowed material to gather on the surface of the mattress presenting a suffocation or strangulation hazard. One infant, (11 months old) was observed sleeping on their stomach with a blanket over their head. When the LI asked staff to remove the blanket staff stated that the child likes to sleep that way.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: 1) there was no toilet paper in one of the the bathrooms in the 4's classroom 2) the toilet paper was not accessible to the children in the bathroom in the 2's classroom 3) there were no paper towels in the bathroom in the 2's classroom”

8VAC20-780-280-B

“Based on observation, not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: there was a bottle of bleach water solution in an unlocked cabinet in the school age and four's classrooms.”

8VAC20-780-60-A

“Based on review of three child records, it was determined that not all records contained all required information. Evidence: the record for child #1 did not contain the name or phone number for a physician or the names, addresses and phone numbers for two emergency contacts”

22VAC40-185-410-6 Complaint related: No

“Based on multiple interviews, and a review of documentation, it was determined that staff used a forbidden action - verbal remarks demeaning to a child. Evidence: On 9/8/2021, between approximately 9:00 am - 12:00 noon, 1) staff #1 told toddlers to "shut up" multiple times when they were sitting in the feeding table fussing while waiting for snack; 2) staff #1 stated they didn't like to be near child #1 and called them "ugly", "dobby", "weird" and elf boy"; 3) staff #2 called child #1 "disgusting"”