Faith of Life Daycare Center

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care. Staff #1, #3, and #5 did not have a current certification in first aid.”

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. Staff #1, #3 and #5 did not have a current certification in cardiopulmonary resuscitation (CPR).”

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. . The trash can in the diapering area of the infant room did not have a lid or cover on the receptacle.”

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 #1, enrolled for over 10 months, was missing the following required components: the name, address and phone number for 1 designated person to call in an emergency. The record for child #2, enrolled for over 10 months, was missing the following required components: the name, address and phone number for 1 designated person to call in an emergency. The record for child #3, enrolled for over 8 months, was missing the following required components: the name, address and phone number of 1 designated person to call in an emergency, work phone numbers for both parents. The record for child #4 and #5, enrolled for over 10 months, was missing the following required components: work phone numbers for both parents.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the 4-year-old and school age classroom, cleaning solution and bleach water were in an unlocked cabinet, out of reach of children.”

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. There was an upper cabinet with a broken, unsecured cabinet door observed during the inspection posing a safety hazard to children. There was a lower cabinet missing a door with an exposed metal bracket observed during the inspection posing a safety hazard to children.”

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present shall have current certification in first aid. Staff #1 was alone with a group of 8 children and did not have a current certification in first aid.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have current certification in CPR. Staff #1 was alone with a group of 8 children and did not have a current certification in CPR.”

8VAC20-780-340-D

“**Repeat Violation** The center is required to ensure at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children. Staff #4, who did not meet lead teacher qualifications, was in a classroom with Staff #3 (assistant), who did not meet lead teacher qualifications, supervising infants and toddlers for the duration of the inspection. Staff #1, who did not meet lead teacher qualifications, was alone with a group of preschool children for the duration of the inspection.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care. Staff #1, #3, and #5 did not have a current certification in first aid.”

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. Staff #1, #3 and #5 did not have a current certification in cardiopulmonary resuscitation (CPR).”

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. . The trash can in the diapering area of the infant room did not have a lid or cover on the receptacle.”

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 #1, enrolled for over 10 months, was missing the following required components: the name, address and phone number for 1 designated person to call in an emergency. The record for child #2, enrolled for over 10 months, was missing the following required components: the name, address and phone number for 1 designated person to call in an emergency. The record for child #3, enrolled for over 8 months, was missing the following required components: the name, address and phone number of 1 designated person to call in an emergency, work phone numbers for both parents. The record for child #4 and #5, enrolled for over 10 months, was missing the following required components: work phone numbers for both parents.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the 4-year-old and school age classroom, cleaning solution and bleach water were in an unlocked cabinet, out of reach of children.”

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. There was an upper cabinet with a broken, unsecured cabinet door observed during the inspection posing a safety hazard to children. There was a lower cabinet missing a door with an exposed metal bracket observed during the inspection posing a safety hazard to children.”

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present shall have current certification in first aid. Staff #1 was alone with a group of 8 children and did not have a current certification in first aid.”

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have current certification in CPR. Staff #1 was alone with a group of 8 children and did not have a current certification in CPR.”

8VAC20-780-340-D

“**Repeat Violation** The center is required to ensure at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children. Staff #4, who did not meet lead teacher qualifications, was in a classroom with Staff #3 (assistant), who did not meet lead teacher qualifications, supervising infants and toddlers for the duration of the inspection. Staff #1, who did not meet lead teacher qualifications, was alone with a group of preschool children for the duration of the inspection.”

8VAC20-780-370-5

“Staff shall provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes. Child #1 remained in an infant carrier car seat from approximately 9:40am until 10:25am.”

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per four children. Staff #2, Staff #3 and staff #5 were observed supervising 18 children (youngest child 4 months) in one room from approximately 9:40am to 9:55am.”

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. There was an upper cabinet with a broken, unsecured cabinet door observed during the inspection posing a safety hazard to children.”

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 #1, enrolled for over 4 months, was missing the following required components: parent home address, parent phone number and parent work phone number. The record for child #2, enrolled for over 4 months, was missing the following required components: parent phone number, parent place of employment, and parent work phone number. The record for child #3, enrolled for over 7 months, was missing the following required components: the name, address and phone number for 1 parent, work phone number and addresses for two designated people to call in an emergency. The record for child #5, enrolled for over 5 months, was missing the following required components: home address, work phone number and name/address/phone number of 1 parent.”

8VAC20-780-140-A

“**Repeat Violation** Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #5, who had been attending the center for over 5 months. The physical examinations for child #1 and child #2 were received over 30 days their first day of attendance.”

22.1-289.036-A

“The center is required to have employees undergo a background check every five years. The most recent fingerprint background check for staff #4 was overdue by over 9 months.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record for child #2 was received over 30 days after the child’s first date of attendance.”

8VAC20-780-370-5

“Staff shall provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes. Child #1 remained in an infant carrier car seat from approximately 9:40am until 10:25am.”

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per four children. Staff #2, Staff #3 and staff #5 were observed supervising 18 children (youngest child 4 months) in one room from approximately 9:40am to 9:55am.”

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. There was an upper cabinet with a broken, unsecured cabinet door observed during the inspection posing a safety hazard to children.”

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 #1, enrolled for over 4 months, was missing the following required components: parent home address, parent phone number and parent work phone number. The record for child #2, enrolled for over 4 months, was missing the following required components: parent phone number, parent place of employment, and parent work phone number. The record for child #3, enrolled for over 7 months, was missing the following required components: the name, address and phone number for 1 parent, work phone number and addresses for two designated people to call in an emergency. The record for child #5, enrolled for over 5 months, was missing the following required components: home address, work phone number and name/address/phone number of 1 parent.”

8VAC20-780-140-A

“**Repeat Violation** Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #5, who had been attending the center for over 5 months. The physical examinations for child #1 and child #2 were received over 30 days their first day of attendance.”

22.1-289.036-A

“The center is required to have employees undergo a background check every five years. The most recent fingerprint background check for staff #4 was overdue by over 9 months.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record for child #2 was received over 30 days after the child’s first date of attendance.”

8VAC20-790-600-D-2

“Staff are required to maintain a current certification in first aid appropriate to the ages of children in care. The record for staff #3, who has been employed and working with children for 5 months, did not contain documentation of a current first aid certification.”

8VAC20-790-600-D-1

“Staff are required to maintain a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The record for staff #3, who has been employed and working with children for 5 months, did not contain documentation of a current CPR certification.”

22.1-289.011-F Complaint related: No

“The license shall be posted in a conspicuous place on the licensed premises. The center did not have the current license posted during the inspection on 9/3/2024 and 9/6/2024.”

22.1-289.035-A Complaint related: No

“**Repeat Violation** The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was due over a month ago. The most recent central registry check for staff #5 was due over a month ago.”

22.1-289.035-B-2 Complaint related: No

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #3 had documentation of a national criminal background check completed 5 days after their first day of employment.”

8VAC20-780-130-E Complaint related: No

“Documentation of additional immunizations is required once every six months for children under the age of two years. The immunization record for Child #1 was dated over 7 months ago.”

8VAC20-780-150-B Complaint related: No

“Physical examination and immunization records shall be signed and dated by a physician, his designee, or an official of the local health department. The physical examination and immunization records for child #1 were not signed.”

8VAC20-780-160-A Complaint related: No

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The screening for Staff #2 was completed 6 days after hire.”

8VAC20-780-70 Complaint related: Yes

“**Complaint Related** The following staff records shall be kept for each staff person: 1) Documentation that two or more references as to character and reputation as well as competency were checked before employment; 2) Information about any health problems that may interfere with fulfilling the job responsibilities; and 3) Name, address, and telephone number of a person to be notified in an emergency. Staff #2, who has been actively working at the center for the past 2 weeks, had incomplete reference verifications in their record. Staff #1, who has been actively working at the center for over 18 months, reported having a health condition that could interfere with fulfilling their job responsibilities; however, this information was not documented in the staff record. Staff #3, who has been actively working at the center for 5 months, did not have the name, address or phone number of a person to be notified in an emergency documented in their record.”

8VAC20-780-245-A Complaint related: No

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #4 obtained 3 of the 16 required hours in 2023-2024. Staff #5 obtained 10.5 of the 16 required hours in 2023-2024.”

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

“**Repeat Violation** The center is required to ensure at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children. Staff #3, who did not meet lead teacher qualifications, was in a classroom with Staff #1 (assistant) supervising infants and toddlers for the duration of the inspection on 9/3/2024. Staff #4, who did not meet lead teacher qualifications, was alone with a group of preschool children for the duration of the inspection on 9/3/2024.”

8VAC20-780-350-B-1 Complaint related: No

“**Repeat Violation** The required ratio for children ages birth up to 16 months is one staff per four children. Staff #2 and staff #5 were observed supervising 13 children (youngest child under 12 months).”

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

“The required ratio for children ages 2 years is one staff per eight children. Staff #6 was observed supervising 11 children (youngest child age 2) when staff #4 left the room for approximately 2 minutes.”

8VAC20-780-350-B-2 Complaint related: No

“The required ratio for children ages 16 months up to 24 months is one staff per five children. Staff #4 and staff #8 were observed supervising 12 children (youngest child age 23 months).”

8VAC20-790-600-D-2

“Staff are required to maintain a current certification in first aid appropriate to the ages of children in care. The record for staff #3, who has been employed and working with children for 5 months, did not contain documentation of a current first aid certification.”

8VAC20-790-600-D-1

“Staff are required to maintain a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The record for staff #3, who has been employed and working with children for 5 months, did not contain documentation of a current CPR certification.”

22.1-289.011-F Complaint related: No

“The license shall be posted in a conspicuous place on the licensed premises. The center did not have the current license posted during the inspection on 9/3/2024 and 9/6/2024.”

22.1-289.035-A Complaint related: No

“**Repeat Violation** The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was due over a month ago. The most recent central registry check for staff #5 was due over a month ago.”

22.1-289.035-B-2 Complaint related: No

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #3 had documentation of a national criminal background check completed 5 days after their first day of employment.”

8VAC20-780-130-E Complaint related: No

“Documentation of additional immunizations is required once every six months for children under the age of two years. The immunization record for Child #1 was dated over 7 months ago.”

8VAC20-780-150-B Complaint related: No

“Physical examination and immunization records shall be signed and dated by a physician, his designee, or an official of the local health department. The physical examination and immunization records for child #1 were not signed.”

8VAC20-780-160-A Complaint related: No

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The screening for Staff #2 was completed 6 days after hire.”

8VAC20-780-70 Complaint related: Yes

“**Complaint Related** The following staff records shall be kept for each staff person: 1) Documentation that two or more references as to character and reputation as well as competency were checked before employment; 2) Information about any health problems that may interfere with fulfilling the job responsibilities; and 3) Name, address, and telephone number of a person to be notified in an emergency. Staff #2, who has been actively working at the center for the past 2 weeks, had incomplete reference verifications in their record. Staff #1, who has been actively working at the center for over 18 months, reported having a health condition that could interfere with fulfilling their job responsibilities; however, this information was not documented in the staff record. Staff #3, who has been actively working at the center for 5 months, did not have the name, address or phone number of a person to be notified in an emergency documented in their record.”

8VAC20-780-245-A Complaint related: No

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #4 obtained 3 of the 16 required hours in 2023-2024. Staff #5 obtained 10.5 of the 16 required hours in 2023-2024.”

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

“**Repeat Violation** The center is required to ensure at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children. Staff #3, who did not meet lead teacher qualifications, was in a classroom with Staff #1 (assistant) supervising infants and toddlers for the duration of the inspection on 9/3/2024. Staff #4, who did not meet lead teacher qualifications, was alone with a group of preschool children for the duration of the inspection on 9/3/2024.”

8VAC20-780-350-B-1 Complaint related: No

“**Repeat Violation** The required ratio for children ages birth up to 16 months is one staff per four children. Staff #2 and staff #5 were observed supervising 13 children (youngest child under 12 months).”

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

“The required ratio for children ages 2 years is one staff per eight children. Staff #6 was observed supervising 11 children (youngest child age 2) when staff #4 left the room for approximately 2 minutes.”

8VAC20-780-350-B-2 Complaint related: No

“The required ratio for children ages 16 months up to 24 months is one staff per five children. Staff #4 and staff #8 were observed supervising 12 children (youngest child age 23 months).”

22.1-289.035-A

“The center is required to obtain background checks every five years. The most recent central registry check ( CPS ) for Staff 1 was dated 2/27/2017 and the most recent national fingerprint check was dated 10/04/2018. The most recent national fingerprint check for Staff 2 was dated 6/20/2019.”

8VAC20-780-140-A

“Each child shall have documentation of a physical examination within 30 days after the first day of attendance. Child 5 (date of enrollment 5/24/2024) dd not have documentation of a physical.”

8VAC20-780-270-A

“The center is responsible for areas and equipment, inside and outside, to be maintained in a clean, safe, and operable condition. The counter by the diapering table in the infant room is broken. The blue table in the infant room is wobbly and needs to be tightened or removed.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which contains required information. Child 2 and Child 5 did not have the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached. Child 5 did not have the name, home address, and home phone number of each parent who has custody.”

22.1-289.035-A

“The center is required to obtain background checks every five years. The most recent central registry check ( CPS ) for Staff 1 was dated 2/27/2017 and the most recent national fingerprint check was dated 10/04/2018. The most recent national fingerprint check for Staff 2 was dated 6/20/2019.”

8VAC20-780-140-A

“Each child shall have documentation of a physical examination within 30 days after the first day of attendance. Child 5 (date of enrollment 5/24/2024) dd not have documentation of a physical.”

8VAC20-780-270-A

“The center is responsible for areas and equipment, inside and outside, to be maintained in a clean, safe, and operable condition. The counter by the diapering table in the infant room is broken. The blue table in the infant room is wobbly and needs to be tightened or removed.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which contains required information. Child 2 and Child 5 did not have the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached. Child 5 did not have the name, home address, and home phone number of each parent who has custody.”

8VAC20-790-600-B

“Based on review of six staff records and staff interview, the facility failed to have each staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 4 (date of employment 7/5/2019) did not have documentation of completed 10 hour VA Pre-service course on file.”

8VAC20-780-340-D

“Based on review of six staff records, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: Six staff records were reviewed; there was no documentation to support that staff meet lead teacher qualifications.”

8VAC20-780-270-A

“Based on observation, the facility failed to ensure areas and equipment of the center inside were maintained in a clean, safe and operable condition. In the bathroom, two toilets were not operable and were covered by garbage bags.”

8VAC20-780-60-A

“Based on review of five children's records, the facility failed to have required information in each child's file. Evidence: Child 4 did not have documentation of the name, address, and phone number of two designated people to contact in an emergency if a parent cannot be reached. Child 4 and Child 5 only had name, address, and employment for one parent.”

8VAC20-780-160-C

“Based on review of six staff records, the facility failed to ensure staff members obtained and submitted documentation of a tuberculosis (TB) screening at least every two years from the date of the initial screening. Evidence: Staff 4 had a TB test dated 6/25/2019; a repeat TB test or screening was not on file.”

8VAC20-780-140-A

“Repeat violation. Based on review of five children's records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 2 (date of enrollment 1/19/2022) and Child 4 (date of enrollment 7/13/2023) did not have documentation of a physical in the file.”

8VAC20-770-60-C-2

“Repeat violation. Based on review of six staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 8/25/2023) did not have a completed search of the central registry on file.”

8VAC20-780-330-B

“Based on observation, the facility failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The playground equipment is over bare grass; there is no resilient surfacing around the playground composites. Preschool staff stated the playground equipment is used by the children.”

8VAC20-790-600-B

“Based on review of six staff records and staff interview, the facility failed to have each staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 4 (date of employment 7/5/2019) did not have documentation of completed 10 hour VA Pre-service course on file.”

8VAC20-780-340-D

“Based on review of six staff records, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: Six staff records were reviewed; there was no documentation to support that staff meet lead teacher qualifications.”

8VAC20-780-270-A

“Based on observation, the facility failed to ensure areas and equipment of the center inside were maintained in a clean, safe and operable condition. In the bathroom, two toilets were not operable and were covered by garbage bags.”

8VAC20-780-60-A

“Based on review of five children's records, the facility failed to have required information in each child's file. Evidence: Child 4 did not have documentation of the name, address, and phone number of two designated people to contact in an emergency if a parent cannot be reached. Child 4 and Child 5 only had name, address, and employment for one parent.”

8VAC20-780-160-C

“Based on review of six staff records, the facility failed to ensure staff members obtained and submitted documentation of a tuberculosis (TB) screening at least every two years from the date of the initial screening. Evidence: Staff 4 had a TB test dated 6/25/2019; a repeat TB test or screening was not on file.”

8VAC20-780-140-A

“Repeat violation. Based on review of five children's records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 2 (date of enrollment 1/19/2022) and Child 4 (date of enrollment 7/13/2023) did not have documentation of a physical in the file.”

8VAC20-770-60-C-2

“Repeat violation. Based on review of six staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 8/25/2023) did not have a completed search of the central registry on file.”

8VAC20-780-330-B

“Based on observation, the facility failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The playground equipment is over bare grass; there is no resilient surfacing around the playground composites. Preschool staff stated the playground equipment is used by the children.”

8VAC20-780-160-A

“Based on review of three staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test at the time of employment and prior to coming in contact with children. Evidence: Staff 2 (date of employment 5/1/2023) did not have documentation of a TB test on file.”

8VAC20-780-140-A

“Based on review of five children's records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 1 (date of enrollment 1/20/2023) and Child 5 (date of enrollment 1/28/2021) did not have documentation of a physical in the file.”

8VAC20-780-350-C

“Based on observation, the facility failed to maintain the required ratio of the youngest child in the group when the children are in mixed age groups. The required ratio for is one staff for every 4 children ages birth to 16 months. Evidence: Three staff were alone with 14 children ages 5 months to 5 years from approximately 2:30 p.m. to 3:00 p.m.”

8VAC20-780-70

“Based on review of three staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of employment 5/1/2023) did not have documentation of two references on file.”

8VAC20-780-240-B

“Based on review of three staff records, the facility failed to have documentation of orientation for staff prior to working alone with children. Evidence: Staff 1 (date of employment 5/09/2023) and Staff 3 (date of employment 5/08/2023) did not have documentation of orientation on file.”

8VAC20-780-160-A

“Based on review of three staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test at the time of employment and prior to coming in contact with children. Evidence: Staff 2 (date of employment 5/1/2023) did not have documentation of a TB test on file.”

8VAC20-780-140-A

“Based on review of five children's records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 1 (date of enrollment 1/20/2023) and Child 5 (date of enrollment 1/28/2021) did not have documentation of a physical in the file.”

8VAC20-780-350-C

“Based on observation, the facility failed to maintain the required ratio of the youngest child in the group when the children are in mixed age groups. The required ratio for is one staff for every 4 children ages birth to 16 months. Evidence: Three staff were alone with 14 children ages 5 months to 5 years from approximately 2:30 p.m. to 3:00 p.m.”

8VAC20-780-70

“Based on review of three staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of employment 5/1/2023) did not have documentation of two references on file.”

8VAC20-780-240-B

“Based on review of three staff records, the facility failed to have documentation of orientation for staff prior to working alone with children. Evidence: Staff 1 (date of employment 5/09/2023) and Staff 3 (date of employment 5/08/2023) did not have documentation of orientation on file.”

8VAC20-780-350-C

“Based on observation, the facility failed to maintain the required ratio of the youngest child in the group when the children are in mixed age groups. The required ratio for is one staff for every 4 children ages birth to 16 months. Evidence: Staff E and Staff F were alone with 12 children ages 5 months to 2 years from when the inspector arrived at 11:40 a.m. to 1:00 p.m. when a third staff arrived.”

8VAC20-780-350-B-3

“Based on observation, the facility failed to maintain the required ratio of one staff for every 8 children aged 2 years. Evidence: Staff C was alone with 9 children ages 2 years and 3 years.”

8VAC20-780-280-G

“Based on observation and interview, the facility failed to clearly label the contents of of substitute containers that contain hazardous substances. Evidence: a spray bottle in the infant room cabinet was not labeled; the staff identified the contents as bleach water.”

8VAC20-780-140-A

“Based on review of five children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 2 (date of enrollment 9/23/2022) did not have documentation of a physical in the file.”

8VAC20-770-60-C-2

“Based on review of four staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff D (date of employment 5/10/2022) did not have a completed search of the central registry on file. There was no documentation of having followed up on the CPS check when it was not returned within 30 days.”

22.1-289.035-B-2

“Based on review of four staff files, the facility did not ensure that the required fingerprint check was completed within the last 90 days prior to the date of employment. Evidence: The fingerprint check for Staff A (date of re-hire 10/15/2022) was dated 9/28/2018. Staff A had been on leave from the facility for more than one year, requiring a new fingerprint check.”

8VAC20-780-560-F-4

“Based on observation of lunch in the infant and toddler room, the facility failed to offer children under the age of three years foods that are not considered a choking hazard. Evidence: Hot dogs cut into rounds were served in the infant and toddler classroom to children 12 months to 2 years.”

8VAC20-780-350-C

“Based on observation, the facility failed to maintain the required ratio of the youngest child in the group when the children are in mixed age groups. The required ratio for is one staff for every 4 children ages birth to 16 months. Evidence: Staff E and Staff F were alone with 12 children ages 5 months to 2 years from when the inspector arrived at 11:40 a.m. to 1:00 p.m. when a third staff arrived.”

8VAC20-780-350-B-3

“Based on observation, the facility failed to maintain the required ratio of one staff for every 8 children aged 2 years. Evidence: Staff C was alone with 9 children ages 2 years and 3 years.”

8VAC20-780-280-G

“Based on observation and interview, the facility failed to clearly label the contents of of substitute containers that contain hazardous substances. Evidence: a spray bottle in the infant room cabinet was not labeled; the staff identified the contents as bleach water.”

8VAC20-780-140-A

“Based on review of five children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 2 (date of enrollment 9/23/2022) did not have documentation of a physical in the file.”

8VAC20-770-60-C-2

“Based on review of four staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff D (date of employment 5/10/2022) did not have a completed search of the central registry on file. There was no documentation of having followed up on the CPS check when it was not returned within 30 days.”

22.1-289.035-B-2

“Based on review of four staff files, the facility did not ensure that the required fingerprint check was completed within the last 90 days prior to the date of employment. Evidence: The fingerprint check for Staff A (date of re-hire 10/15/2022) was dated 9/28/2018. Staff A had been on leave from the facility for more than one year, requiring a new fingerprint check.”

8VAC20-780-560-F-4

“Based on observation of lunch in the infant and toddler room, the facility failed to offer children under the age of three years foods that are not considered a choking hazard. Evidence: Hot dogs cut into rounds were served in the infant and toddler classroom to children 12 months to 2 years.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of one staff for every 5 children ages 16 months up to 24 months. Evidence: Staff A was alone with 12 children ages 17 months to 12 years during the licensing inspection from 3:00 p.m. to 5:00 p.m.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain all areas and equipment of the center, inside and outside, in a safe and operable decision. Evidence: in the infant and toddler room, there was a light fixture missing with exposed wires hanging from the ceiling. In the preschool and school age room, the soffit was cracked and coming apart from the ceiling. Outside, the wooden fence around the air conditioning heat pump was broken, leaving the unit accessible to children.”

8VAC20-780-350-B-4

“Based on observation, the facility failed to maintain the ratio of 1 staff person for every 10 children ages 3 years old up to school age eligibility. On 6/21/2022, Staff B was alone with 15 children ages 3 years old to 9 years old.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of one staff for every 5 children ages 16 months up to 24 months. Evidence: Staff A was alone with 12 children ages 17 months to 12 years during the licensing inspection from 3:00 p.m. to 5:00 p.m.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain all areas and equipment of the center, inside and outside, in a safe and operable decision. Evidence: in the infant and toddler room, there was a light fixture missing with exposed wires hanging from the ceiling. In the preschool and school age room, the soffit was cracked and coming apart from the ceiling. Outside, the wooden fence around the air conditioning heat pump was broken, leaving the unit accessible to children.”

8VAC20-780-350-B-4

“Based on observation, the facility failed to maintain the ratio of 1 staff person for every 10 children ages 3 years old up to school age eligibility. On 6/21/2022, Staff B was alone with 15 children ages 3 years old to 9 years old.”

8VAC20-780-350-C

“Based on observation and staff interview, the facility failed to maintain the required staff to children ratio applicable to the youngest child in the group. Evidence: on 12/21/2021, Staff A was alone with eight children ranging in age from 7 months to 2 years old. Children ages birth through 16 months require 1 staff person for every four children. Staff C stated she had to assist with the video inspection and could not be in the room to maintain ratio.”

8VAC20-780-350-C

“Based on observation and staff interview, the facility failed to maintain the required staff to children ratio applicable to the youngest child in the group. Evidence: on 12/21/2021, Staff A was alone with eight children ranging in age from 7 months to 2 years old. Children ages birth through 16 months require 1 staff person for every four children. Staff C stated she had to assist with the video inspection and could not be in the room to maintain ratio.”