Divine Kare Learning Center

8VAC20-780-350-C

“Repeat Based on observation and interview, the center did not maintain the required staff to child children ratio when children are in ongoing mixed age groups. The staff to child ratio is applicable to the youngest child in the group and shall apply to the entire group. Evidence: 1. At the time of the inspector’s arrival, five children (nine months to two years of age) were being supervised by Staff #2. Staff #2 was the only staff member present in the classroom. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio is one staff member for every four children present. 2. The director stated that the two-year child had been placed in the infant room to nap and that no additional staff had been added.”

8VAC20-780-430-L

“Based on observation, the center did not ensure infant walker were not used. Evidence: 1. An infant walker was observed in use in the infant classroom. 2. Staff #2 stated the infant walker was used on occasion.”

8VAC20-780-570-E

“Repeat Based on observation, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child’s name. Evidence: Two bottles being refrigerated were not labeled with the name of the child or date. Staff stated she knew who the bottles belonged and acknowledged the bottles were not labeled.”

8VAC20-780-500-B

“Based on observation, the center did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #2 was observed changing the diaper of a child A. After changing the diaper, staff #2 washed her hands and the child’s hand and then placed child B onto the diaper table and started to change the child’s diaper. Staff #2 did not clean and sanitize the diaper mat after each diaper change.”

8VAC20-780-140-A

“Based on review of five children’s records and interview, the center did not obtain documentation of a physical examination before for one child before the child’s attendance or within 30 days after the child’s first day of attendance. Evidence: The record of child #4, enrolled 03/13/2023, did not contain documentation of a physical exceeding 30 days from the date of enrollment.”

8VAC20-780-350-C

“Based on observation and interview, the center did not maintain the required staff to child children ratio when children are in ongoing mixed age groups. The staff to child ratio is applicable to the youngest child in the group and shall apply to the entire group. Evidence: 1. At the time of the inspector’s arrival, 13 children (21 months to three years of age) were being supervised by Staff #1 and staff #2. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio is one staff member for every five children present. 2. The director stated that the two-year child had been placed in the infant room to nap and that no additional staff had been added.”

8VAC20-790-600-F

“Based on staff record review, the provider failed to assure that staff working directly with children shall complete annually the department’s health and safety update. Evidence: The record for S2, employed 07/27/2020 did not contain documentation of the annual health and safety update since 04/17/2021. The record for S5, employed 01/29/2020 did not contain documentation of the annual health and safety update between 05/26/2021 and 05/15/2023.”

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that two of five shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S2 were dated 07/11/2019 and 07/21/2023. The TB screenings for S5 were dated 11/19/2019 and 01/14/2022.”

8VAC20-780-70

“Based on observation, the provider failed to ensure prepared infant formula was labeled and dated for each child. Evidence: Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children’s names and date.”

8VAC20-780-550-P

“Based on review of written record of children’s serious and minor injuries, the provider failed to ensure the record includes required information. Evidence: Injury reports dated 06/06/2022, 06/27/2022, and 07/13/2023 did not document the time when parents were notified of the injuries. Injury reports dated 04/20/2023 and 07/13/2023 for three children did not document staff and parent signature or two staff signatures.”

8VAC20-780-510-B

“Based on review of child injury reports and interview, the provider administered nonprescription medication without written permission from parents. Evidence: A child injury reports dated 06/06/2023 documented staff administering Neosporin, an antibiotic ointment, for a minor injury sustained by a child in care without written permission of parents. Program Director acknowledged the center did not have parental permission to administer the ointment.”

8VAC20-780-440-L

“Based on observation, the provider failed to ensure that pillows shall not be used by children under two years of age. Evidence: Licensing inspector observed a yellow neck pillow in the crib with an infant under the age of 2 years.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Infant Room: The crib designated to be used in a center evacuation is missing a wheel; multiple crib mattresses had torn plastic protective covers. Busy Bees Room: Carpet seam fraying in front of sink. Playground: Wooden fence panel in sand box play area has exposed nails. Hallway utility closet: Light switch shorting out/overhead light flickering.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing accessible by children. Evidence: Cleaning supplies were observed on a counter in the Turtles and under the sink in the Busy Bee classrooms. The hallway cleaning closet in the center was unlocked and accessible to children contained soap, fabric freshener, and hand sanitizer with warning labels to keep out of reach of children. Cleaning supplies were observed under the sink in the children’s bathroom located outside to the kitchen area.”

8VAC20-780-500-B

“Based on observation, the provider failed to ensure a diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Licensing inspector observed staff member in the infant room changing the diaper of a child. The staff member cleaned the diapering surface with a cloth towel that had just been used to wipe the feeding table. The diapering surface was not observed to be sanitized.”

8VAC20-780-570-E

“Based on observation, the provider failed to ensure prepared infant formula was labeled and dated for each child. Evidence: Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children’s names and date.”

8VAC20-770-40-D-6

“Based on record review, the provider failed to ensure that a staff record contained documentation of fingerprint results within required timeframes. Evidence: The record for S1, employed 04/12/2023 documented fingerprint results dated 05/09/2023 after the date of employment. The record for S4, employed 04/04/2023 documented fingerprint results dated 11/16/2021 (more than 90 days prior to employment).”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S3, employed 04/17/2023 did not contain findings of a central registry search within 30 days. The results are dated 06/15/2023.”

8VAC20-780-40-J

“Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Program Director reported that the injury prevention procedures have not been updated.”

8VAC20-780-500-A

“Based on observation, the provider failed to ensure that children’s hands shall be washed with soap and running water after toileting. Evidence: Licensing inspector observed staff member in the infant room diapering a child. The staff member failed to wash the child’s hands after diapering.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that three of seven records contained required information. Evidence: The record for C4, enrolled 07/14/2021 did not document individuals authorized to pick the child up. The record for C7 did not contain a second emergency contact for the child if the child’s parents could not be located. Licensing inspector requested to review the record for C6. The center staff were unable to locate a file for C6.”

8VAC20-790-600-F

“Based on staff record review, the provider failed to assure that staff working directly with children shall complete annually the department’s health and safety update. Evidence: The record for S2, employed 07/27/2020 did not contain documentation of the annual health and safety update since 04/17/2021. The record for S5, employed 01/29/2020 did not contain documentation of the annual health and safety update between 05/26/2021 and 05/15/2023.”

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that two of five shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S2 were dated 07/11/2019 and 07/21/2023. The TB screenings for S5 were dated 11/19/2019 and 01/14/2022.”

8VAC20-780-70

“Based on observation, the provider failed to ensure prepared infant formula was labeled and dated for each child. Evidence: Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children’s names and date.”

8VAC20-780-550-P

“Based on review of written record of children’s serious and minor injuries, the provider failed to ensure the record includes required information. Evidence: Injury reports dated 06/06/2022, 06/27/2022, and 07/13/2023 did not document the time when parents were notified of the injuries. Injury reports dated 04/20/2023 and 07/13/2023 for three children did not document staff and parent signature or two staff signatures.”

8VAC20-780-510-B

“Based on review of child injury reports and interview, the provider administered nonprescription medication without written permission from parents. Evidence: A child injury reports dated 06/06/2023 documented staff administering Neosporin, an antibiotic ointment, for a minor injury sustained by a child in care without written permission of parents. Program Director acknowledged the center did not have parental permission to administer the ointment.”

8VAC20-780-440-L

“Based on observation, the provider failed to ensure that pillows shall not be used by children under two years of age. Evidence: Licensing inspector observed a yellow neck pillow in the crib with an infant under the age of 2 years.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Infant Room: The crib designated to be used in a center evacuation is missing a wheel; multiple crib mattresses had torn plastic protective covers. Busy Bees Room: Carpet seam fraying in front of sink. Playground: Wooden fence panel in sand box play area has exposed nails. Hallway utility closet: Light switch shorting out/overhead light flickering.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing accessible by children. Evidence: Cleaning supplies were observed on a counter in the Turtles and under the sink in the Busy Bee classrooms. The hallway cleaning closet in the center was unlocked and accessible to children contained soap, fabric freshener, and hand sanitizer with warning labels to keep out of reach of children. Cleaning supplies were observed under the sink in the children’s bathroom located outside to the kitchen area.”

8VAC20-780-500-B

“Based on observation, the provider failed to ensure a diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Licensing inspector observed staff member in the infant room changing the diaper of a child. The staff member cleaned the diapering surface with a cloth towel that had just been used to wipe the feeding table. The diapering surface was not observed to be sanitized.”

8VAC20-780-570-E

“Based on observation, the provider failed to ensure prepared infant formula was labeled and dated for each child. Evidence: Individual infant bottles observed in the infant room refrigerator were not clearly labeled with the children’s names and date.”

8VAC20-770-40-D-6

“Based on record review, the provider failed to ensure that a staff record contained documentation of fingerprint results within required timeframes. Evidence: The record for S1, employed 04/12/2023 documented fingerprint results dated 05/09/2023 after the date of employment. The record for S4, employed 04/04/2023 documented fingerprint results dated 11/16/2021 (more than 90 days prior to employment).”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S3, employed 04/17/2023 did not contain findings of a central registry search within 30 days. The results are dated 06/15/2023.”

8VAC20-780-40-J

“Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Program Director reported that the injury prevention procedures have not been updated.”

8VAC20-780-500-A

“Based on observation, the provider failed to ensure that children’s hands shall be washed with soap and running water after toileting. Evidence: Licensing inspector observed staff member in the infant room diapering a child. The staff member failed to wash the child’s hands after diapering.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that three of seven records contained required information. Evidence: The record for C4, enrolled 07/14/2021 did not document individuals authorized to pick the child up. The record for C7 did not contain a second emergency contact for the child if the child’s parents could not be located. Licensing inspector requested to review the record for C6. The center staff were unable to locate a file for C6.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials (ASTM). Evidence: 1. Licensing inspector observed one climbing structure in the playground that had less than the required six inches of resilient surfacing in the fall zone. 2. The playground floor is covered with a mixed surfacing of grass yard fabric and rubber mulch. Mixed resilient surfacing materials without testing and documentation from the manufacturer that supports the combined surface’s resiliency does not comply with minimum safety standards as described in the ASTM standard F1292-99.”

8VAC20-780-70

“Based on record review, the provider did not ensure staff records are kept for one of three staff. Evidence: The staff record for S2, employed 04/12/2023 did not document an emergency contact and information about any health problems that may interfere with fulfilling the job responsibilities.”

8VAC20-780-570-A

“Based on observation, the provider failed to ensure that children placed in an infant seat or high chair, the protective belts shall be fastened securely. Evidence: Two children were observed seated in the feeding table did not have protective belts fastened.”

8VAC20-780-550-D

“Based on emergency evacuation drill records review, the provider failed to implement monthly practice evacuation drills. Evidence: Drills were not documented to have occurred in January, February, March, and April 2023.”

8VAC20-780-350-B-1

“Based on observation and interview, provider failed to maintain staff-to-child ratios as required by 8VAC2-780-350.B.1 and B.2. Evidence: The infant room and the Busy Bee classrooms were observed to be out of child-to-staff ratio. The staff-to-child ratio in the infant classroom was 1 staff to 6 infants (8 months to 12 months). The required ratio for infants is 1 staff for every 4 infants. The staff-to-child ratio in the Busy Bee classroom was 1 staff to 7 children (16 months to 3 years old). The required ratio, based on the age of the youngest child in the group, is 1 staff to every 5 children. Staff in both rooms acknowledged being out of ratio.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas outside be maintained in a safe, and operable condition. The sandbox in the playground had several inches of standing water in the tarp covering the sandbox.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials (ASTM). Evidence: 1. Licensing inspector observed one climbing structure in the playground that had less than the required six inches of resilient surfacing in the fall zone. 2. The playground floor is covered with a mixed surfacing of grass yard fabric and rubber mulch. Mixed resilient surfacing materials without testing and documentation from the manufacturer that supports the combined surface’s resiliency does not comply with minimum safety standards as described in the ASTM standard F1292-99.”

8VAC20-780-70

“Based on record review, the provider did not ensure staff records are kept for one of three staff. Evidence: The staff record for S2, employed 04/12/2023 did not document an emergency contact and information about any health problems that may interfere with fulfilling the job responsibilities.”

8VAC20-780-570-A

“Based on observation, the provider failed to ensure that children placed in an infant seat or high chair, the protective belts shall be fastened securely. Evidence: Two children were observed seated in the feeding table did not have protective belts fastened.”

8VAC20-780-550-D

“Based on emergency evacuation drill records review, the provider failed to implement monthly practice evacuation drills. Evidence: Drills were not documented to have occurred in January, February, March, and April 2023.”

8VAC20-780-350-B-1

“Based on observation and interview, provider failed to maintain staff-to-child ratios as required by 8VAC2-780-350.B.1 and B.2. Evidence: The infant room and the Busy Bee classrooms were observed to be out of child-to-staff ratio. The staff-to-child ratio in the infant classroom was 1 staff to 6 infants (8 months to 12 months). The required ratio for infants is 1 staff for every 4 infants. The staff-to-child ratio in the Busy Bee classroom was 1 staff to 7 children (16 months to 3 years old). The required ratio, based on the age of the youngest child in the group, is 1 staff to every 5 children. Staff in both rooms acknowledged being out of ratio.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas outside be maintained in a safe, and operable condition. The sandbox in the playground had several inches of standing water in the tarp covering the sandbox.”

8VAC20-780-530-A

“Based on record review, the provider did not ensure that at least one staff in each classroom or area where children are present have a current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: The record for S6, employed 03/19/2020 did not document a current first aid and CPR certificate. The certification expired 05/21/2022 and S6 was observed alone in a classroom with children on 02/27/2023.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Licensing inspector observed the medication box located in the provider’s office was not locked and contained 4 medications.”

8VAC20-780-350-B-1

“Based on observation, provider failed to maintain staff-to-child ratios as required by 8VAC2-780-350.B.1 and B.2. Evidence: Licensing inspectors observed during the initial observation of the infant and the Busy Bee classrooms to be out of child-to-staff ratio. The staff-to-child ratio in the infant classroom was 1 staff to 5 infants (8 months to 12 months). The required ratio for infants is 1 staff for every 4 infants. The staff-to-child ratio in the Busy Bee classroom was 1 staff to 8 children (16 months to 3 years old). The required ratio, based on the age of the youngest child in the group, is 1 staff to every 5 children. Staff in both rooms acknowledged being out of ratio.”

8VAC20-780-340-F

“Based on observation, the provider did not ensure children under 10 years of age were always within actual sight and sound supervision. Evidence: The inspectors observed children in the Busy Bee room (ages 16 months to age 3) seated on the floor in the hallway out sight of the teacher while the teacher was diapering and assisting children in the bathroom and entering the classroom to get diapering supplies.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector observed six sliding boards in the playground that had less than the required six inches of resilient surfacing. Samples taken measured 0 to ? inch resilient surfacing on top of concrete.”

8VAC20-780-320-B

“Based on observation, the provider failed to assure that the running water in the boy’s and girl’s bathroom sink did not exceed 120 degrees Fahrenheit. Evidence: The water temperature in the bathroom sink used by the children check by a thermometer registered 127 degrees Fahrenheit in the boy’s bathroom and 124.2 degrees in the girl’s bathroom. The owner stated they recently had to replace the hot water heater and was not aware of the water temperature.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing accessible by children. Evidence: Cleaning supplies were observed on a counter in the Busy Bee classroom and in the bathroom used by the Busy Bee children.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Chipped and peeling paint on the walls and woodwork was observed throughout the entire center. Infant Room: Large area of cracked wallboard and peeling paint behind two infant cribs; missing cover on exit sign above the exit door with exposed wiring; water pipe wall access under sink was not covered; diaper pad had unidentifiable debris and child hair on the cover; and the exterior exit door wooden sill is rotting. Turtles Room: sagging ceiling tile; three overhead lights burned out; electrical plate not secured on the wall exposing wiring; cold air return layered with dirt and dust; metal carpet strip loose by the hot water tank closet creating a trip hazard. Busy Bees Room: chair legs rusted on children’s chairs and several broken seat bottoms, food build up on the top of the covered trash can; uncovered electrical outlet; no foot operated trash can for disposing of diapers; and changing table pad torn. Kitchen freezer: dead insects in freezer compartment Playground: particleboard installed on the fence within reach of children splintering due to weather; seats in metal playhouse are broken and splintered; wooden fence around play area have exposed nails and splintering boards; and plastic Little Tike house had multiple breaks in the plastic creating sharp edges.”

8VAC20-780-260-A

“Based on observation, the center failed to provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The fire inspection available during the inspection was dated 09/21/2021. The annual inspection should have been completed by 09/21/2022 and has not been completed.”

8VAC20-780-70

“Based on record review, the provider did not ensure six of six staff records contained all the required documentation. Evidence: A minimum of 16 hours of training appropriate to the age of the children in care is required annually. The record for S1, employed 01/29/2020 documented 5.5 hours of training. The record for S3, employed 11/06/2019 documented 10 hours of training. The record for S6, employed 03/19/2020 documented 3 hours of annual training. The record for S2, employed 02/07/2022, did not document: orientation and training as required by 8VAC20-780-240 concerning sudden infant death syndrome, safe sleep, and prevention of shaken baby syndrome; and information about any health problems that may interfere with fulfilling the job responsibilities. The record for S4, employed 08/11/2022 did not document a second employment reference and emergency contacts. The record for S5, employed 10/21/2022 did not document: two employment references; information about any health problems that may interfere with fulfilling the job responsibilities; emergency contacts; and orientation within 7 days of hire (no date documented on orientation form).”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that four of five records contained required documentation. Evidence: Records for C1, enrolled 10/25/2021, C2, enrolled 01/11/2021, and C5, enrolled 09/30/2019 did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b; semi-annual written information on the child’s development, behavior, adjustment, and needs required by 8VAC20-780-420-E.3 and semi-annual scheduled opportunities for parents to provide feedback on their children and the center’s programs. Record for C3, enrolled 10/04/2022 did not document the addresses of two emergency contacts.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that two of six staff records contained information required by 8VAC20-780-160.A. Evidence: The record for S4, employed 08/11/2022 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 09/20/2021 was more than 30 days old. The record for S5, employed 10/21/2022 did not document a TB screening being submitted at the time of employment and prior to coming into contact with children. The screening was completed 11/02/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S4, employed 08/11/2022 documented a sworn statement dated 11/14/2022.”

8VAC20-770-40-D-6

“Based on record review, the provider failed to ensure that a staff record contained documentation of fingerprint results within required timeframes. Evidence: The record for S2, employed 02/07/2022 documented fingerprint results dated 09/09/2021 (more than 90 days prior to employment).”

8VAC20-780-550-D

“Based on emergency evacuation drill records review, the provider failed to implement monthly practice evacuation drills. Evidence: Drills were not documented to have occurred in April, May, June, July, August, October, November 2022, and January 2023.”

8VAC20-780-570-A

“Based on observation, the provider failed to assure children placed in an infant feeding table were placed in protective belts and fastened securely. Evidence: Four children were observed seated in the feeding table and the table did not have protective belts for use.”

8VAC20-780-550-I

“Based on observation, the provider failed to assure that emergency phone numbers shall be posted in a visible place at each telephone. Evidence: No emergency phone numbers were posted in the infant room that has a telephone.”

8VAC20-780-40-H

“Based on documentation review, provider failed to provide documentation of in force liability insurance for the center. Evidence: The documentation provided for review documented that the center liability insurance expired 09/09/2022.”

8VAC20-780-530-A

“Based on record review, the provider did not ensure that at least one staff in each classroom or area where children are present have a current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: The record for S6, employed 03/19/2020 did not document a current first aid and CPR certificate. The certification expired 05/21/2022 and S6 was observed alone in a classroom with children on 02/27/2023.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Licensing inspector observed the medication box located in the provider’s office was not locked and contained 4 medications.”

8VAC20-780-350-B-1

“Based on observation, provider failed to maintain staff-to-child ratios as required by 8VAC2-780-350.B.1 and B.2. Evidence: Licensing inspectors observed during the initial observation of the infant and the Busy Bee classrooms to be out of child-to-staff ratio. The staff-to-child ratio in the infant classroom was 1 staff to 5 infants (8 months to 12 months). The required ratio for infants is 1 staff for every 4 infants. The staff-to-child ratio in the Busy Bee classroom was 1 staff to 8 children (16 months to 3 years old). The required ratio, based on the age of the youngest child in the group, is 1 staff to every 5 children. Staff in both rooms acknowledged being out of ratio.”

8VAC20-780-340-F

“Based on observation, the provider did not ensure children under 10 years of age were always within actual sight and sound supervision. Evidence: The inspectors observed children in the Busy Bee room (ages 16 months to age 3) seated on the floor in the hallway out sight of the teacher while the teacher was diapering and assisting children in the bathroom and entering the classroom to get diapering supplies.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector observed six sliding boards in the playground that had less than the required six inches of resilient surfacing. Samples taken measured 0 to ? inch resilient surfacing on top of concrete.”

8VAC20-780-320-B

“Based on observation, the provider failed to assure that the running water in the boy’s and girl’s bathroom sink did not exceed 120 degrees Fahrenheit. Evidence: The water temperature in the bathroom sink used by the children check by a thermometer registered 127 degrees Fahrenheit in the boy’s bathroom and 124.2 degrees in the girl’s bathroom. The owner stated they recently had to replace the hot water heater and was not aware of the water temperature.”

8VAC20-780-280-B

“Based on observation, the provider failed to ensure hazardous substances such as cleaning materials in a locked place preventing accessible by children. Evidence: Cleaning supplies were observed on a counter in the Busy Bee classroom and in the bathroom used by the Busy Bee children.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: Chipped and peeling paint on the walls and woodwork was observed throughout the entire center. Infant Room: Large area of cracked wallboard and peeling paint behind two infant cribs; missing cover on exit sign above the exit door with exposed wiring; water pipe wall access under sink was not covered; diaper pad had unidentifiable debris and child hair on the cover; and the exterior exit door wooden sill is rotting. Turtles Room: sagging ceiling tile; three overhead lights burned out; electrical plate not secured on the wall exposing wiring; cold air return layered with dirt and dust; metal carpet strip loose by the hot water tank closet creating a trip hazard. Busy Bees Room: chair legs rusted on children’s chairs and several broken seat bottoms, food build up on the top of the covered trash can; uncovered electrical outlet; no foot operated trash can for disposing of diapers; and changing table pad torn. Kitchen freezer: dead insects in freezer compartment Playground: particleboard installed on the fence within reach of children splintering due to weather; seats in metal playhouse are broken and splintered; wooden fence around play area have exposed nails and splintering boards; and plastic Little Tike house had multiple breaks in the plastic creating sharp edges.”

8VAC20-780-260-A

“Based on observation, the center failed to provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The fire inspection available during the inspection was dated 09/21/2021. The annual inspection should have been completed by 09/21/2022 and has not been completed.”

8VAC20-780-70

“Based on record review, the provider did not ensure six of six staff records contained all the required documentation. Evidence: A minimum of 16 hours of training appropriate to the age of the children in care is required annually. The record for S1, employed 01/29/2020 documented 5.5 hours of training. The record for S3, employed 11/06/2019 documented 10 hours of training. The record for S6, employed 03/19/2020 documented 3 hours of annual training. The record for S2, employed 02/07/2022, did not document: orientation and training as required by 8VAC20-780-240 concerning sudden infant death syndrome, safe sleep, and prevention of shaken baby syndrome; and information about any health problems that may interfere with fulfilling the job responsibilities. The record for S4, employed 08/11/2022 did not document a second employment reference and emergency contacts. The record for S5, employed 10/21/2022 did not document: two employment references; information about any health problems that may interfere with fulfilling the job responsibilities; emergency contacts; and orientation within 7 days of hire (no date documented on orientation form).”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that four of five records contained required documentation. Evidence: Records for C1, enrolled 10/25/2021, C2, enrolled 01/11/2021, and C5, enrolled 09/30/2019 did not contain documentation of confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-E.3.b; semi-annual written information on the child’s development, behavior, adjustment, and needs required by 8VAC20-780-420-E.3 and semi-annual scheduled opportunities for parents to provide feedback on their children and the center’s programs. Record for C3, enrolled 10/04/2022 did not document the addresses of two emergency contacts.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure that two of six staff records contained information required by 8VAC20-780-160.A. Evidence: The record for S4, employed 08/11/2022 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 09/20/2021 was more than 30 days old. The record for S5, employed 10/21/2022 did not document a TB screening being submitted at the time of employment and prior to coming into contact with children. The screening was completed 11/02/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S4, employed 08/11/2022 documented a sworn statement dated 11/14/2022.”

8VAC20-770-40-D-6

“Based on record review, the provider failed to ensure that a staff record contained documentation of fingerprint results within required timeframes. Evidence: The record for S2, employed 02/07/2022 documented fingerprint results dated 09/09/2021 (more than 90 days prior to employment).”

8VAC20-780-550-D

“Based on emergency evacuation drill records review, the provider failed to implement monthly practice evacuation drills. Evidence: Drills were not documented to have occurred in April, May, June, July, August, October, November 2022, and January 2023.”

8VAC20-780-570-A

“Based on observation, the provider failed to assure children placed in an infant feeding table were placed in protective belts and fastened securely. Evidence: Four children were observed seated in the feeding table and the table did not have protective belts for use.”

8VAC20-780-550-I

“Based on observation, the provider failed to assure that emergency phone numbers shall be posted in a visible place at each telephone. Evidence: No emergency phone numbers were posted in the infant room that has a telephone.”

8VAC20-780-40-H

“Based on documentation review, provider failed to provide documentation of in force liability insurance for the center. Evidence: The documentation provided for review documented that the center liability insurance expired 09/09/2022.”