Exceptional Learning Center

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1 had no documentation of completed training and had been employed for 11 days.”

22.1-289.035-B-3

“***Repeat Violation and Systemic Deficiency*** The center must request a search of the central registry prior to the employee's first day of employment. Staff #2, employed for over two months, did not have a central registry search requested.”

8VAC20-790-600-F

“***Repeat Violation and Systemic Deficiency*** Staff shall complete the departments health and safety update course annually. 1. Staff #1 did not have documentation of completing the annual health and safety update course for 2025. 2. Member #1 did not have documentation of completing the annual health and safety update course for 2025 which was overdue by 10 months.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In room #2, one bottle of rubbing alcohol and two containers of Lysol spray were located in a cabinet unlocked.”

22.1-289.036-A

“The center is required to have board members undergo a background check every five years. Board Member #1 did not have documentation of an updated central registry search which was overdue by 52 days.”

8VAC20-780-60-A

“***Repeat Violation and Systemic Deficiency*** Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1.Child #2, enrolled for more than a year; Child #4, enrolled for more than a month; and Child #5, enrolled for more than a month, did not have one of the two designated people to call in an emergency if a parent cannot be reached. 2. Child #2, enrolled for more than a year and Child #3 enrolled for more than 18 months did not have parent confirmation that the required information in the child's record is up to date.”

8VAC20-780-70

“***Repeat Violation and Systemic Deficiency*** Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2, employed for over two months, did not have documentation of at least two references.”

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance record on the day of inspection did not have one child signed in.”

8VAC20-780-270-A

“***Repeat Violation and Systemic Deficiency*** The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. In room #1, a hole in the wall was exposing drywall and chipped paint. 2. In room #2, a hold in the wall was exposing drywall and chipped paint, a piece of the vinyl flooring was torn, creating a tripping hazard. 3. In the hallway, one step stool used at the water fountain had a broken leg.”

8VAC20-780-270-A

“***Repeat Violation*** The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In room #1, a hole in the wall was exposing drywall and chipped paint.”

8VAC20-780-245-L

“***Repeat Violation*** There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. There were no staff members on duty who had obtained instruction in performing daily health observation within the last three years.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. 1. Staff #2 had documentation of 3 hours of annual training. 2. Staff #3 did not have documentation of annual training.”

8VAC20-780-70

“***Repeat Violation*** Staff records shall be kept for each staff person and contain all of the required information. The record for staff #1, who worked at the center for 9 days, did not have documentation of two or more references as to character and reputation as well as competency.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Child #1 and child #5 were in attendance and were younger than the age range of the license.”

8VAC20-780-160-A

“***Repeat Violation*** Each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming into contact with children. The record for staff #1 did not have documentation of a TB screening. Staff #1 worked for 9 days and terminated employment without documentation of a TB screening.”

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 #1, who was employed for nine days, did not have a central registry search requested.”

22.1-289.011-F

“***Repeat Violation*** The license and any other documents required by the Superintendent shall be posted on the licensed premises. The most recent inspection findings were not posted on the licensed premises.”

8VAC20-780-540-A

“A first aid kit shall be wherever children are in care. There was no first aid kit on the vehicle used to pick up children from one local public school the day of the inspection.”

8VAC20-780-340-C

“***Repeat Violation*** During the stated hours of operation, there always shall be one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. 1. At 2:45 PM, staff #3 was the only staff in attendance at the center supervising eight children ranging in age from 2 years, 4 months to school age. 2. Staff #3 did not have documentation to demonstrate qualifications of a program leader or program director. 3. Staff #4 who is the program director arrived at 3:01 PM.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. 1. The required evacuation drills for January, February, May, June, July, August, and September 2025 were not documented. 2. The required lockdown drill was not documented.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #1 did not have a sworn statement on file.”

8VAC20-780-600-F

“***Repeat Violation*** Staff shall complete the department’s health and safety update course annually. 1. Staff #2 completed the course 145 days past the required renewal date. 2. Staff #3 did not have documentation of the completed course for 2024 or 2025.”

8VAC20-780-270-A

“***Repeat Violation*** The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In room #1, a hole in the wall was exposing drywall and chipped paint.”

8VAC20-780-245-L

“***Repeat Violation*** There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. There were no staff members on duty who had obtained instruction in performing daily health observation within the last three years.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. 1. Staff #2 had documentation of 3 hours of annual training. 2. Staff #3 did not have documentation of annual training.”

8VAC20-780-70

“***Repeat Violation*** Staff records shall be kept for each staff person and contain all of the required information. The record for staff #1, who worked at the center for 9 days, did not have documentation of two or more references as to character and reputation as well as competency.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Child #1 and child #5 were in attendance and were younger than the age range of the license.”

8VAC20-780-160-A

“***Repeat Violation*** Each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming into contact with children. The record for staff #1 did not have documentation of a TB screening. Staff #1 worked for 9 days and terminated employment without documentation of a TB screening.”

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 #1, who was employed for nine days, did not have a central registry search requested.”

22.1-289.011-F

“***Repeat Violation*** The license and any other documents required by the Superintendent shall be posted on the licensed premises. The most recent inspection findings were not posted on the licensed premises.”

8VAC20-780-540-A

“A first aid kit shall be wherever children are in care. There was no first aid kit on the vehicle used to pick up children from one local public school the day of the inspection.”

8VAC20-780-340-C

“***Repeat Violation*** During the stated hours of operation, there always shall be one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. 1. At 2:45 PM, staff #3 was the only staff in attendance at the center supervising eight children ranging in age from 2 years, 4 months to school age. 2. Staff #3 did not have documentation to demonstrate qualifications of a program leader or program director. 3. Staff #4 who is the program director arrived at 3:01 PM.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. 1. The required evacuation drills for January, February, May, June, July, August, and September 2025 were not documented. 2. The required lockdown drill was not documented.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #1 did not have a sworn statement on file.”

8VAC20-780-600-F

“***Repeat Violation*** Staff shall complete the department’s health and safety update course annually. 1. Staff #2 completed the course 145 days past the required renewal date. 2. Staff #3 did not have documentation of the completed course for 2024 or 2025.”

8VAC20-770-70-A

“***Repeat Violation*** Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. The record for staff #3, who has been actively working at the center for 28 days, did not have completed references.”

8VAC20-780-150-B

“Immunization records are required to be signed by a physician, his designee, or an official of the local health department. The immunization record for child #1 and child #2 was not signed.”

8VAC20-780-60-A

“***Repeat Violation*** Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1. The record for child #1, child #4, and child #5 did not have the first date of attendance. 2. The record for child #2, did not have viewing proof of the child’s identity and age. 3. The record for child #3, did not have one of the two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. There were no staff at the center on the day of the inspection with current daily health observation training.”

8VAC20-780-500-B

“***Repeat Violation*** Disposable diapers shall be 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. In bathroom #1, the step on trash can was not working. In bathroom #2, used for diapering, there was an short, uncovered trashcan.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. 1. In room #1, three outlets did not have protective covers. 2. In room #2, two outlets did not have protective covers. 3. Room #1 and room #2 had children ranging in age from 2 years to 6 years. The outlets were in reach of children in care.”

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. Staff #3, who had been employed for 28 days, did not have a central registry search requested.”

8VAC20-780-160-A

“***Repeat Violation*** Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The record for staff #3 did not have documentation of a TB screening / test and is overdue by 28 days.”

8VAC20-780-600-F

“Staff shall complete the departments health and safety update course annually. Staff #2 did not have documentation of completing the annual health and safety update course for 2024.”

8VAC20-770-70-A

“***Repeat Violation*** Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. The record for staff #3, who has been actively working at the center for 28 days, did not have completed references.”

8VAC20-780-150-B

“Immunization records are required to be signed by a physician, his designee, or an official of the local health department. The immunization record for child #1 and child #2 was not signed.”

8VAC20-780-60-A

“***Repeat Violation*** Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1. The record for child #1, child #4, and child #5 did not have the first date of attendance. 2. The record for child #2, did not have viewing proof of the child’s identity and age. 3. The record for child #3, did not have one of the two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. There were no staff at the center on the day of the inspection with current daily health observation training.”

8VAC20-780-500-B

“***Repeat Violation*** Disposable diapers shall be 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. In bathroom #1, the step on trash can was not working. In bathroom #2, used for diapering, there was an short, uncovered trashcan.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. 1. In room #1, three outlets did not have protective covers. 2. In room #2, two outlets did not have protective covers. 3. Room #1 and room #2 had children ranging in age from 2 years to 6 years. The outlets were in reach of children in care.”

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. Staff #3, who had been employed for 28 days, did not have a central registry search requested.”

8VAC20-780-160-A

“***Repeat Violation*** Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The record for staff #3 did not have documentation of a TB screening / test and is overdue by 28 days.”

8VAC20-780-600-F

“Staff shall complete the departments health and safety update course annually. Staff #2 did not have documentation of completing the annual health and safety update course for 2024.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted on the licensed premises. The most recent inspection findings were not posted on the licensed premises.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. The record for staff #1 did not have documentation of the VDOE online orientation course. Staff #1 has been employed for 122 days and is working with children.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all of the required information. The record for staff #1, who has been working at the center for the 122 days, was missing documentation of two or more references as to character and reputation as well as competency, documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

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. Staff #1, who had been employed for 122 days, did not have a central registry search requested. Staff #1 was working alone with children.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming into contact with children. The record for staff #1 had documentation of a TB screening completed 57 days prior to hire.”

8VAC20-780-60-A

“**REPEAT VIOLATION** Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for child #3, enrolled for 52 days, did not have documentation of the following components: name, address, and phone number of one of two designated people to call in an emergency if a parent cannot be reached; the sex of child; and names of persons authorized to pick up child.”

8VAC20-780-340-C

“During the stated hours of operation, there always shall be one staff member who meets the qualifications of a program leader or program director. At approximately 2:00 PM, staff #1 and staff #3 were the only staff in attendance at the center. Staff #1 and staff #3 were supervising 14 children. Staff #1 and staff #3 did not have documentation to demonstrate qualifications of a program leader or program director.”

8VAC20-780-350-C

“**REPEAT VIOLATION** When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. The required ratio for children 2 years of age is one staff per eight children. 1. Staff #3 was observed exiting and entering room #1 at different times between 2:42 PM and 2:47 PM, leaving staff #1 alone and supervising 16 children. 2. Staff #3 was alone and supervising 13 children ages 2 years old to school age between 2:58 PM to 3:01 PM. 3. Staff #1 exits center to help child off bus at 3:03 PM, leaving staff #3 alone and supervising 14 children two years old to school age. 4. Staff #1 takes one child to the bathroom at 3:05 PM, leaving staff #3 alone and supervising 13 children ages two years old to school age. 5. Staff #1 takes two children to bathroom #2 for diaper changes at 3:13 PM, leaving staff #3 alone and supervising 12 children ages two years old to school age. 6. Staff #1 exits room #1 at 3:23 PM to wash her hands, leaving staff #3 alone and supervising 14 children ages two years old to school age.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff shall wash hands with soap and running water before and after a diaper change. Staff # 1 changed a child’s diaper in bathroom #2 and did not wash the child's hands with soap and water. Staff #1 did not wash hands before or after changing a child’s diaper.”

8VAC20-780-500-B

“Disposable diapers shall be 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. A foot operated storage system used for disposing diapers was not located at the center. Staff was observed disposing diapers in trash can without lid.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. In room #1, window tint from the exit door was peeling away from the surface of door and windows. Children were observed pulling, rubbing, and licking the edges of the tint that had peeled away from the window. An outlet was crushed inward, exposing the inside of the outlet and cracked plastic from the outlet cover. A board covering a section of the wall, was pulling away from the inner edges posing a risk for pinching skin. 2. In bathroom #1, a hole in the wall exposing drywall. 3. In bathroom #2, a rusted broken toilet paper holder.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. The record for staff #1 did not include documentation of CPR certification to include an in-person competency demonstration. Staff #1 has been employed for 122 days.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted on the licensed premises. The most recent inspection findings were not posted on the licensed premises.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. The record for staff #1 did not have documentation of the VDOE online orientation course. Staff #1 has been employed for 122 days and is working with children.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all of the required information. The record for staff #1, who has been working at the center for the 122 days, was missing documentation of two or more references as to character and reputation as well as competency, documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

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. Staff #1, who had been employed for 122 days, did not have a central registry search requested. Staff #1 was working alone with children.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming into contact with children. The record for staff #1 had documentation of a TB screening completed 57 days prior to hire.”

8VAC20-780-60-A

“**REPEAT VIOLATION** Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for child #3, enrolled for 52 days, did not have documentation of the following components: name, address, and phone number of one of two designated people to call in an emergency if a parent cannot be reached; the sex of child; and names of persons authorized to pick up child.”

8VAC20-780-340-C

“During the stated hours of operation, there always shall be one staff member who meets the qualifications of a program leader or program director. At approximately 2:00 PM, staff #1 and staff #3 were the only staff in attendance at the center. Staff #1 and staff #3 were supervising 14 children. Staff #1 and staff #3 did not have documentation to demonstrate qualifications of a program leader or program director.”

8VAC20-780-350-C

“**REPEAT VIOLATION** When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. The required ratio for children 2 years of age is one staff per eight children. 1. Staff #3 was observed exiting and entering room #1 at different times between 2:42 PM and 2:47 PM, leaving staff #1 alone and supervising 16 children. 2. Staff #3 was alone and supervising 13 children ages 2 years old to school age between 2:58 PM to 3:01 PM. 3. Staff #1 exits center to help child off bus at 3:03 PM, leaving staff #3 alone and supervising 14 children two years old to school age. 4. Staff #1 takes one child to the bathroom at 3:05 PM, leaving staff #3 alone and supervising 13 children ages two years old to school age. 5. Staff #1 takes two children to bathroom #2 for diaper changes at 3:13 PM, leaving staff #3 alone and supervising 12 children ages two years old to school age. 6. Staff #1 exits room #1 at 3:23 PM to wash her hands, leaving staff #3 alone and supervising 14 children ages two years old to school age.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff shall wash hands with soap and running water before and after a diaper change. Staff # 1 changed a child’s diaper in bathroom #2 and did not wash the child's hands with soap and water. Staff #1 did not wash hands before or after changing a child’s diaper.”

8VAC20-780-500-B

“Disposable diapers shall be 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. A foot operated storage system used for disposing diapers was not located at the center. Staff was observed disposing diapers in trash can without lid.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. In room #1, window tint from the exit door was peeling away from the surface of door and windows. Children were observed pulling, rubbing, and licking the edges of the tint that had peeled away from the window. An outlet was crushed inward, exposing the inside of the outlet and cracked plastic from the outlet cover. A board covering a section of the wall, was pulling away from the inner edges posing a risk for pinching skin. 2. In bathroom #1, a hole in the wall exposing drywall. 3. In bathroom #2, a rusted broken toilet paper holder.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. The record for staff #1 did not include documentation of CPR certification to include an in-person competency demonstration. Staff #1 has been employed for 122 days.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure one staff record contained documentation of out of state child abuse and neglect search. Evidence: 1. The record of staff #3 (employed: 3/27/24) did not have documentation of an out of state child abuse and neglect search request. 2. The Sworn Statement or Affirmation for staff #3 indicated that the staff member has lived in New York within the past five years. 3. A member of management verified that the record check had not been submitted within the required time frame.”

8VAC20-780-160-C

“Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: The records for staff #1 and staff #2 did not contain updated TB screening results. A member of management stated that the TB screenings had not been updated.”

8VAC20-780-40-D

“Based on observation the center did not ensure the license was posted in a place conspicuous to the public. Evidence: The license was not posted at the center.”

8VAC20-780-60-A

“Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: The record for child #1 (enrolled: 7/11/23) did not contain the name, address, and phone number for each custodial parent. The record did not contain the work phone number and place of employment for each custodial parent. The record for child #2 (enrolled 3/11/24) indicated that the child had an egg and peanut allergy. The document did not contain the child’s name on the written care plan. The records for child #3 (enrolled: 3/14/22), child #4 (enrolled: 3/14/22), and child #5 (enrolled: 9/10/21) did not have documentation of annual updates.”

8VAC20-780-240-B

“Based on record review and interview, the facility did not ensure that staff received all required training 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 (employed: 3/27/24) did not contain documentation of orientation training.”

8VAC20-780-245-L

“Based on record review, the center did not ensure there was always at least one staff member on duty who has obtained, within the last three years, instruction in performing the daily health observation of children. Evidence: There was no documentation that at least one staff member on duty had obtained the daily health observation within the last three years.”

8VAC20-780-350-C

“Based on observation, the facility did not ensure compliance with ratios of staff to children as required. Evidence: In room #1, there were two staff to 20 children. Two of the 20 children in attendance in room #1 were two years of age, age was verified in children’s records. The center did not maintain the ratio of one staff for every eight children.”

8VAC20-780-540-C

“Based on observation and interview, the first aid kit did contain the minimum required supplies. Evidence: 1. The first aid kit did not include two triangular bandages. 2. The director stated that the two triangular bandages were not in the first aid kit.”

8VAC20-780-550-D

“Based on interview, it was determined that the licensee did not ensure that a monthly practice evacuation drill was documented. Evidence: Staff #1 stated that there was no written documentation of the 2023 emergency evacuation drills.”

8VAC20-780-550-E

“Based on interview, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly. Evidence: Staff #1 stated that there was no written documentation of the 2023 shelter in place practice drills.”

8VAC20-780-550-F

“Based on interview, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly. Evidence: Staff #1 reported that there was no written documentation of a lockdown drill for 2023.”

8VAC20-780-560-J

“Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: In room #5 children finished eating their meals and transitioned to the other activities. Staff #1 used disinfecting wipes to sanitize the tables used after feeding.”

8VAC20-780-245-A

“Based on record review and interview, two staff members did not complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for staff #1 (employed: 5/27/21) contained four hours of annual training. The record for staff #2 (employed: 9/29/21) contained four hours of annual training.”

8VAC20-790-600-F

“Based on a review of three staff records and interviews, the vendor did not ensure that staff who work directly with children completed the department's health and safety update course annually. Evidence: The records for staff #1 (employed: 5/27/21) and staff #2 (employed: 9/29/21) did not contain documentation of the most recent annual health and safety update training. During interview, a member of management acknowledged staff #1 and staff #2 did not have documentation of required annual training.”

22.1-289.035-B-4

“Based on record review and interview, the center did not ensure one staff record contained documentation of out of state child abuse and neglect search. Evidence: 1. The record of staff #3 (employed: 3/27/24) did not have documentation of an out of state child abuse and neglect search request. 2. The Sworn Statement or Affirmation for staff #3 indicated that the staff member has lived in New York within the past five years. 3. A member of management verified that the record check had not been submitted within the required time frame.”

8VAC20-780-160-C

“Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: The records for staff #1 and staff #2 did not contain updated TB screening results. A member of management stated that the TB screenings had not been updated.”

8VAC20-780-40-D

“Based on observation the center did not ensure the license was posted in a place conspicuous to the public. Evidence: The license was not posted at the center.”

8VAC20-780-60-A

“Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: The record for child #1 (enrolled: 7/11/23) did not contain the name, address, and phone number for each custodial parent. The record did not contain the work phone number and place of employment for each custodial parent. The record for child #2 (enrolled 3/11/24) indicated that the child had an egg and peanut allergy. The document did not contain the child’s name on the written care plan. The records for child #3 (enrolled: 3/14/22), child #4 (enrolled: 3/14/22), and child #5 (enrolled: 9/10/21) did not have documentation of annual updates.”

8VAC20-780-240-B

“Based on record review and interview, the facility did not ensure that staff received all required training 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 (employed: 3/27/24) did not contain documentation of orientation training.”

8VAC20-780-245-L

“Based on record review, the center did not ensure there was always at least one staff member on duty who has obtained, within the last three years, instruction in performing the daily health observation of children. Evidence: There was no documentation that at least one staff member on duty had obtained the daily health observation within the last three years.”

8VAC20-780-350-C

“Based on observation, the facility did not ensure compliance with ratios of staff to children as required. Evidence: In room #1, there were two staff to 20 children. Two of the 20 children in attendance in room #1 were two years of age, age was verified in children’s records. The center did not maintain the ratio of one staff for every eight children.”

8VAC20-780-540-C

“Based on observation and interview, the first aid kit did contain the minimum required supplies. Evidence: 1. The first aid kit did not include two triangular bandages. 2. The director stated that the two triangular bandages were not in the first aid kit.”

8VAC20-780-550-D

“Based on interview, it was determined that the licensee did not ensure that a monthly practice evacuation drill was documented. Evidence: Staff #1 stated that there was no written documentation of the 2023 emergency evacuation drills.”

8VAC20-780-550-E

“Based on interview, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly. Evidence: Staff #1 stated that there was no written documentation of the 2023 shelter in place practice drills.”

8VAC20-780-550-F

“Based on interview, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly. Evidence: Staff #1 reported that there was no written documentation of a lockdown drill for 2023.”

8VAC20-780-560-J

“Based on observation, the center did not ensure that the surface of tables were sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: In room #5 children finished eating their meals and transitioned to the other activities. Staff #1 used disinfecting wipes to sanitize the tables used after feeding.”

8VAC20-780-245-A

“Based on record review and interview, two staff members did not complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for staff #1 (employed: 5/27/21) contained four hours of annual training. The record for staff #2 (employed: 9/29/21) contained four hours of annual training.”

8VAC20-790-600-F

“Based on a review of three staff records and interviews, the vendor did not ensure that staff who work directly with children completed the department's health and safety update course annually. Evidence: The records for staff #1 (employed: 5/27/21) and staff #2 (employed: 9/29/21) did not contain documentation of the most recent annual health and safety update training. During interview, a member of management acknowledged staff #1 and staff #2 did not have documentation of required annual training.”