First Baptist Church of Clarendon Child Development Center

8VAC20-780-70

“Based on review, the facility did not ensure that staff records were maintained with the required minimum information. Evidence: reviewed 2 staff records and found that: 1) Staff 2, employed since 3/1/24, did not have documentation of emergency contact information or 2 reference checks 2) Staff 1, employed since 12/11/23, did not have documentation of a second reference check”

8VAC20-780-80-A

“Based on review and observation, the facility did not ensure that they maintained a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: reviewed the attendance sheets and observed the following rooms: 1) Lucky Ducklings room attendance had 10 children documented as "arrived", but 17 children were in the classroom. 2) Nature Explorers attendance had 13 children documented as "arrived", but 18 children were in the classroom. 3) Room A had 6 children documented as "arrived", but 7 children were in the classroom. 4) Wildflowers room attendance had 8 children, but 12 children were in the classroom.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: observed in the Lady Bugs room a window screen at the rear of the classroom that had a large slash approximately 7-10 inches wide.”

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) observed Zevo insect killer accessible to children in an unlocked cabinet in the Natures Explorers classroom 2) observed hand sanitizer accessible to children in Puma classroom 3) observed hand sanitizer and hand lotion both marked keep out of reach of children in the Wildflowers room. 4) observed Lysol spray in an unlocked lower cabinet in the Spring Blossoms classroom.”

8VAC20-780-280-H

“Based on observation, the facility did not ensure that cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children. Evidence: observed in the Caterpillars room, a staff purse that contained prescription medication, and in all preschool classrooms, staff purses stored accessible to children on either hooks, or in unlocked cabinets.”

8VAC20-780-160-A

“Based on review, the facility did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: reviewed 2 staff records and found that Staff 2 has been employed since 3/1/24 and did not have documentation of a TB screening.”

8VAC20-780-500-B

“Based on observation, the facility did not ensure that disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: the Caterpillars classroom had a lock on the diaper disposal canister that had to be unlatched by hand, in order for staff to use the foot pedal to open the canister.”

8VAC20-780-510-L

“Based on observation, the facility did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Observed Child 11's albuterol in an unlocked cabinet in the Wildflowers room. 2) Observed cough suppressant medication accessible to children in an unlocked drawer in the Wildflowers room. 3) Observed airborne immune support in an unlocked cabinet in the Nature Explorers classroom.”

8VAC20-780-520-B

“Based on observation, the facility did not ensure that when sunscreen is used, it is labeled with the child's name. Evidence: observed sunscreen that was not labeled with the child's name in the Wildflowers classroom.”

8VAC20-780-520-D

“Based on observation, the facility did not ensure that if insect repellent is used, it is labeled with the child's name. Evidence: observed that the insect repellent in the Nature Explorers room was not labeled with the child's name.”

8VAC20-780-520-C

“Based on observation, the facility did not ensure that when diaper ointment or cream is used, it is given with parental authorization. Evidence: the facility did not ensure that they obtained parental authorization for Vaseline and generic petroleum jelly for Child #12 in the Wildflowers classroom.”

8VAC20-780-340-A

“Based on observation and staff interviews, staff did not ensure that when supervising children, they shall always ensure their care, protection, and guidance. Evidence: observed and identified through staff statements that staff in the Lucky Duck classroom did not know where a child's emergency medication was located. Staff spent approximately 7-8 minutes looking for it before telling the inspector that they did not know where it was kept.”

8VAC20-780-60-A

“Based on review, the facility did not ensure that children's records were maintained with the required information. Evidence: reviewed 10 children's records and found that: 1) Child 4 did not have documentation of 2 emergency contacts. 2) Child 1 did not have documentation of viewing the child's proof of identity, and has been in attendance since 1/2/24.”

8VAC20-780-70

“Based on review, the facility did not ensure that staff records were maintained with the required minimum information. Evidence: reviewed 2 staff records and found that: 1) Staff 2, employed since 3/1/24, did not have documentation of emergency contact information or 2 reference checks 2) Staff 1, employed since 12/11/23, did not have documentation of a second reference check”

8VAC20-780-80-A

“Based on review and observation, the facility did not ensure that they maintained a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: reviewed the attendance sheets and observed the following rooms: 1) Lucky Ducklings room attendance had 10 children documented as "arrived", but 17 children were in the classroom. 2) Nature Explorers attendance had 13 children documented as "arrived", but 18 children were in the classroom. 3) Room A had 6 children documented as "arrived", but 7 children were in the classroom. 4) Wildflowers room attendance had 8 children, but 12 children were in the classroom.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: observed in the Lady Bugs room a window screen at the rear of the classroom that had a large slash approximately 7-10 inches wide.”

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) observed Zevo insect killer accessible to children in an unlocked cabinet in the Natures Explorers classroom 2) observed hand sanitizer accessible to children in Puma classroom 3) observed hand sanitizer and hand lotion both marked keep out of reach of children in the Wildflowers room. 4) observed Lysol spray in an unlocked lower cabinet in the Spring Blossoms classroom.”

8VAC20-780-280-H

“Based on observation, the facility did not ensure that cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children. Evidence: observed in the Caterpillars room, a staff purse that contained prescription medication, and in all preschool classrooms, staff purses stored accessible to children on either hooks, or in unlocked cabinets.”

8VAC20-780-160-A

“Based on review, the facility did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: reviewed 2 staff records and found that Staff 2 has been employed since 3/1/24 and did not have documentation of a TB screening.”

8VAC20-780-500-B

“Based on observation, the facility did not ensure that disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: the Caterpillars classroom had a lock on the diaper disposal canister that had to be unlatched by hand, in order for staff to use the foot pedal to open the canister.”

8VAC20-780-510-L

“Based on observation, the facility did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Observed Child 11's albuterol in an unlocked cabinet in the Wildflowers room. 2) Observed cough suppressant medication accessible to children in an unlocked drawer in the Wildflowers room. 3) Observed airborne immune support in an unlocked cabinet in the Nature Explorers classroom.”

8VAC20-780-520-B

“Based on observation, the facility did not ensure that when sunscreen is used, it is labeled with the child's name. Evidence: observed sunscreen that was not labeled with the child's name in the Wildflowers classroom.”

8VAC20-780-520-D

“Based on observation, the facility did not ensure that if insect repellent is used, it is labeled with the child's name. Evidence: observed that the insect repellent in the Nature Explorers room was not labeled with the child's name.”

8VAC20-780-520-C

“Based on observation, the facility did not ensure that when diaper ointment or cream is used, it is given with parental authorization. Evidence: the facility did not ensure that they obtained parental authorization for Vaseline and generic petroleum jelly for Child #12 in the Wildflowers classroom.”

8VAC20-780-340-A

“Based on observation and staff interviews, staff did not ensure that when supervising children, they shall always ensure their care, protection, and guidance. Evidence: observed and identified through staff statements that staff in the Lucky Duck classroom did not know where a child's emergency medication was located. Staff spent approximately 7-8 minutes looking for it before telling the inspector that they did not know where it was kept.”

8VAC20-780-60-A

“Based on review, the facility did not ensure that children's records were maintained with the required information. Evidence: reviewed 10 children's records and found that: 1) Child 4 did not have documentation of 2 emergency contacts. 2) Child 1 did not have documentation of viewing the child's proof of identity, and has been in attendance since 1/2/24.”

8VAC20-780-400-A

“Based on interviews, staff failed to interact with one another to provide needed help, comfort and support. Evidence: 1.On the day of the incident 10/26/2023 at approximately 9:15am, there were 3 staff members (Staff #1, Staff #2 and Staff #3) in the Busy Bees classroom, and 10 children (2 years old) in attendance. 2.Staff #1 and Staff #2 engaged in an argument and began to yell at each other. Staff #3 was in the classroom and stood between the two teachers stating: "This is not the place to do this". The argument continued to escalate and the yelling continued for approximately 3 minutes. 3.Staff #4 heard the yelling from the hallway, they walked into the classroom and they pulled Staff #1 out of the classroom. Staff #4 stated: "I pulled Staff #1 out of the classroom to separate them, because they were getting louder and louder and their body language indicated that the were going to get into a physical fight. They were in each other's face." 4.Staff #4 stated: "At some point Staff #1 got away from me and entered the classroom to remove their purse, but once they entered the classroom they continued to yell at each other." 5.Staff #5 was called to assist with the incident. Staff #4 and Staff #5 proceeded to pull Staff #1 out of the classroom and asked Staff #3 to lock the classroom door. 6.When questioned about the children during the incident, Staff #3 stated: "Some of the children were aware of the incident. One child got upset, he was whining a little bit."”

8VAC20-780-400-A

“Based on interviews, staff failed to interact with one another to provide needed help, comfort and support. Evidence: 1.On the day of the incident 10/26/2023 at approximately 9:15am, there were 3 staff members (Staff #1, Staff #2 and Staff #3) in the Busy Bees classroom, and 10 children (2 years old) in attendance. 2.Staff #1 and Staff #2 engaged in an argument and began to yell at each other. Staff #3 was in the classroom and stood between the two teachers stating: "This is not the place to do this". The argument continued to escalate and the yelling continued for approximately 3 minutes. 3.Staff #4 heard the yelling from the hallway, they walked into the classroom and they pulled Staff #1 out of the classroom. Staff #4 stated: "I pulled Staff #1 out of the classroom to separate them, because they were getting louder and louder and their body language indicated that the were going to get into a physical fight. They were in each other's face." 4.Staff #4 stated: "At some point Staff #1 got away from me and entered the classroom to remove their purse, but once they entered the classroom they continued to yell at each other." 5.Staff #5 was called to assist with the incident. Staff #4 and Staff #5 proceeded to pull Staff #1 out of the classroom and asked Staff #3 to lock the classroom door. 6.When questioned about the children during the incident, Staff #3 stated: "Some of the children were aware of the incident. One child got upset, he was whining a little bit."”

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

“Based on interview and review of documentation it was determined that staff did not always ensure that children remained within sight and sound supervision. Evidence: 1. On 10/16/2023, at approximately 9:20am, Child #1 (15 months old) was placed in a crib near the front desk with Staff #1, to wait for their parents to pick them up. 2. On the day of the incident, Adult #1 reported that as they were leaving the facility, they observed Child #1 in a crib near the front desk alone and unsupervised. 3. Staff #2 and Staff #3 stated that on the day of the incident they observed Child #1 in a crib by the front desk, alone and unsupervised. Staff #2 reported that Staff #1 stepped away from the desk and walked into a classroom, leaving Child #1 unsupervised for approximately 2 minutes.”

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

“Based on interview and review of documentation it was determined that staff did not always ensure that children remained within sight and sound supervision. Evidence: 1. On 10/16/2023, at approximately 9:20am, Child #1 (15 months old) was placed in a crib near the front desk with Staff #1, to wait for their parents to pick them up. 2. On the day of the incident, Adult #1 reported that as they were leaving the facility, they observed Child #1 in a crib near the front desk alone and unsupervised. 3. Staff #2 and Staff #3 stated that on the day of the incident they observed Child #1 in a crib by the front desk, alone and unsupervised. Staff #2 reported that Staff #1 stepped away from the desk and walked into a classroom, leaving Child #1 unsupervised for approximately 2 minutes.”

8VAC20-780-500-B Complaint related: Yes

“Based on interviews, center staff did not clean and change a child's diaper immediately when it became wet. Evidence: 1. On 8/10/2023, Child #1 (2 years old) was not cleaned and changed immediately after their diaper became wet. 2. Staff #2 stated that Staff #1 checked diapers in the morning, but Child #1's diaper was dry. The diaper report sent to the parents through the center's app documented that Child #1 was checked at 9:44am and at 12:44pm, both times it was documented that the child had a dry diaper. 3. During the afternoon, Staff #1 stated that they didn't change/check diapers after naptime because they were taking the children to the playground. Staff #1 stated that when they returned from the playground, they began to check/change diapers, but they did not get to change Child #1's diaper because a parent arrived to pick up their child and they were sidetracked. 4. Once Staff #1 left the center at approximately 4:45pm, the child's diaper was not checked again which resulted in a completely saturated diaper. Child #1 did not have a diaper change from the time the child was dropped off at approximately 8:52am until approximately 5:38pm when the child was picked up from the center.”

8VAC20-780-60-A-8

“Based on record review, a written care plan was not obtained for a child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #2's record did not include an allergy care plan.”

8VAC20-780-130-E

“Based on record review, the center did not obtain additional immunizations once every six months for a child under the age of two years. Evidence: Child #2's record contains immunization documentation that was last updated on 7/13/2019. The record did not have an immunization update within 6 months of the last immunization record.”

8VAC20-780-500-B Complaint related: Yes

“Based on interviews, center staff did not clean and change a child's diaper immediately when it became wet. Evidence: 1. On 8/10/2023, Child #1 (2 years old) was not cleaned and changed immediately after their diaper became wet. 2. Staff #2 stated that Staff #1 checked diapers in the morning, but Child #1's diaper was dry. The diaper report sent to the parents through the center's app documented that Child #1 was checked at 9:44am and at 12:44pm, both times it was documented that the child had a dry diaper. 3. During the afternoon, Staff #1 stated that they didn't change/check diapers after naptime because they were taking the children to the playground. Staff #1 stated that when they returned from the playground, they began to check/change diapers, but they did not get to change Child #1's diaper because a parent arrived to pick up their child and they were sidetracked. 4. Once Staff #1 left the center at approximately 4:45pm, the child's diaper was not checked again which resulted in a completely saturated diaper. Child #1 did not have a diaper change from the time the child was dropped off at approximately 8:52am until approximately 5:38pm when the child was picked up from the center.”

8VAC20-780-60-A-8

“Based on record review, a written care plan was not obtained for a child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #2's record did not include an allergy care plan.”

8VAC20-780-130-E

“Based on record review, the center did not obtain additional immunizations once every six months for a child under the age of two years. Evidence: Child #2's record contains immunization documentation that was last updated on 7/13/2019. The record did not have an immunization update within 6 months of the last immunization record.”

8VAC20-780-60-A

“Based on record review, children's records did not include all required information. Evidence: 1.Child #1's record did not include the name, address and phone number of two required emergency contacts to be contacted in an emergency. 2.Child #4's record did not include the address of two designated persons to be contacted in an emergency.”

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

“Based on review of documentation and information obtained during interviews, the center did not ensure that the staff-to-child ratio of one staff for every four children was maintained in the infant classrooms. Evidence: 1. During interviews, the center's staff reported that during the designated rest time and when staff members took their breaks, the infant classrooms did not maintain a ratio of one staff member for every 4 children. 2. There were 12 children enrolled and 3 staff members assigned to the Caterpillar classroom. Staff #1, Staff #2 and Staff #3 were scheduled to start taking their breaks at approximately 12:30pm, 1:00pm and 1:30pm respectively. A) When Staff #1 took their break, at approximately 12:30pm, up to 12 children were left with Staff #2 and Staff #3 for 30 minutes from 12:30pm to 1:00pm. B)When Staff #2 took their break at approximately 1:00pm, Staff #3 was left with up to 12 children for approximately 30 minutes from 1:00pm to 1:30pm. C)When Staff #3 took their break at approximately 1:30pm, Staff #1 and Staff #2 were left with up to 12 children for approximately 60 minutes from 1:30pm to 2:30pm. 3. There were 9 children enrolled and 3 staff assigned to the Little Lambs classroom. Staff #4, Staff #5 and Staff #6 were scheduled to start taking their breaks at approximately 12:30pm, 1:30pmand 2:30pm respectively. A) When Staff #4 took their break, at approximately 12:30pm, up to 9 children were left in the care of Staff #5 and Staff #6 for 60 minutes from 12:30pm to 1:30pm. B) When Staff #5 took their break at approximately 1:30pm, Staff #4 and Staff #6 were left with up to 9 children for approximately 30 minutes from 1:30pm to 2:00pm. At 2:00 pm one of the 9 children attending is scheduled to leave the center making the ratio for the classroom 2 staff members for 8 children. 4. During the designated rest period, the staff-to-child ratio for infant children is one staff member for every four children, ratios do not change for children under 16 months of age.”

8VAC20-780-350-B-3

“Based on documentation review and interviews, ratios were not maintained in the Young Preschool classroom, the ratio for 2-year-old children is 1 staff for 8 children. Evidence: 1.On 5/9/2023, the Wildflower classroom was out of ratio from approximately 8:40am to 9:00am. 2.Attendance records confirmed that at approximately 8:40am there were 9 children under the supervision of one staff member (Staff #1). At approximately 8:52am, there were 10 children in the classroom with one staff member. At approximately 8:53am, there were 11 children with one staff member. At approximately, 8:55am there were 12 children with one staff member. 3. The classroom was out-of-ratio from approximately 8:40am to 9:00am when a second staff member came into the classroom.”

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

“Based on review of documentation and information obtained during interviews, the center did not ensure that the staff-to-child ratio of one staff for every four children was maintained in the infant classrooms. Evidence: 1. During interviews, the center's staff reported that during the designated rest time and when staff members took their breaks, the infant classrooms did not maintain a ratio of one staff member for every 4 children. 2. There were 12 children enrolled and 3 staff members assigned to the Caterpillar classroom. Staff #1, Staff #2 and Staff #3 were scheduled to start taking their breaks at approximately 12:30pm, 1:00pm and 1:30pm respectively. A) When Staff #1 took their break, at approximately 12:30pm, up to 12 children were left with Staff #2 and Staff #3 for 30 minutes from 12:30pm to 1:00pm. B)When Staff #2 took their break at approximately 1:00pm, Staff #3 was left with up to 12 children for approximately 30 minutes from 1:00pm to 1:30pm. C)When Staff #3 took their break at approximately 1:30pm, Staff #1 and Staff #2 were left with up to 12 children for approximately 60 minutes from 1:30pm to 2:30pm. 3. There were 9 children enrolled and 3 staff assigned to the Little Lambs classroom. Staff #4, Staff #5 and Staff #6 were scheduled to start taking their breaks at approximately 12:30pm, 1:30pmand 2:30pm respectively. A) When Staff #4 took their break, at approximately 12:30pm, up to 9 children were left in the care of Staff #5 and Staff #6 for 60 minutes from 12:30pm to 1:30pm. B) When Staff #5 took their break at approximately 1:30pm, Staff #4 and Staff #6 were left with up to 9 children for approximately 30 minutes from 1:30pm to 2:00pm. At 2:00 pm one of the 9 children attending is scheduled to leave the center making the ratio for the classroom 2 staff members for 8 children. 4. During the designated rest period, the staff-to-child ratio for infant children is one staff member for every four children, ratios do not change for children under 16 months of age.”

8VAC20-780-350-B-3

“Based on documentation review and interviews, ratios were not maintained in the Young Preschool classroom, the ratio for 2-year-old children is 1 staff for 8 children. Evidence: 1.On 5/9/2023, the Wildflower classroom was out of ratio from approximately 8:40am to 9:00am. 2.Attendance records confirmed that at approximately 8:40am there were 9 children under the supervision of one staff member (Staff #1). At approximately 8:52am, there were 10 children in the classroom with one staff member. At approximately 8:53am, there were 11 children with one staff member. At approximately, 8:55am there were 12 children with one staff member. 3. The classroom was out-of-ratio from approximately 8:40am to 9:00am when a second staff member came into the classroom.”

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

“Based on review of documentation and information obtained during interviews, the center did not ensure that the staff-to-child ratio of one staff for every four children was maintained in the infant classrooms. Evidence: 1. During interviews, the center's staff reported that during the designated rest time and when staff members took their breaks, the infant classrooms did not maintain a ratio of one staff member for every 4 children. 2. There were 12 children enrolled and 3 staff members assigned to the Caterpillar classroom. Staff #1, Staff #2 and Staff #3 were scheduled to start taking their breaks at approximately 12:30pm, 1:00pm and 1:30pm respectively. A) When Staff #1 took their break, at approximately 12:30pm, up to 12 children were left with Staff #2 and Staff #3 for 30 minutes from 12:30pm to 1:00pm. B)When Staff #2 took their break at approximately 1:00pm, Staff #3 was left with up to 12 children for approximately 30 minutes from 1:00pm to 1:30pm. C)When Staff #3 took their break at approximately 1:30pm, Staff #1 and Staff #2 were left with up to 12 children for approximately 60 minutes from 1:30pm to 2:30pm. 3. There were 9 children enrolled and 3 staff assigned to the Little Lambs classroom. Staff #4, Staff #5 and Staff #6 were scheduled to start taking their breaks at approximately 12:30pm, 1:30pmand 2:30pm respectively. A) When Staff #4 took their break, at approximately 12:30pm, up to 9 children were left in the care of Staff #5 and Staff #6 for 60 minutes from 12:30pm to 1:30pm. B) When Staff #5 took their break at approximately 1:30pm, Staff #4 and Staff #6 were left with up to 9 children for approximately 30 minutes from 1:30pm to 2:00pm. At 2:00 pm one of the 9 children attending is scheduled to leave the center making the ratio for the classroom 2 staff members for 8 children. 4. During the designated rest period, the staff-to-child ratio for infant children is one staff member for every four children, ratios do not change for children under 16 months of age.”

8VAC20-780-350-B-3

“Based on documentation review and interviews, ratios were not maintained in the Young Preschool classroom, the ratio for 2-year-old children is 1 staff for 8 children. Evidence: 1.On 5/9/2023, the Wildflower classroom was out of ratio from approximately 8:40am to 9:00am. 2.Attendance records confirmed that at approximately 8:40am there were 9 children under the supervision of one staff member (Staff #1). At approximately 8:52am, there were 10 children in the classroom with one staff member. At approximately 8:53am, there were 11 children with one staff member. At approximately, 8:55am there were 12 children with one staff member. 3. The classroom was out-of-ratio from approximately 8:40am to 9:00am when a second staff member came into the classroom.”

8VAC20-780-40-E

“Based on interviews, the licensee did not ensure that staff followed the center's own policies and procedures regarding supervision, required by the standards, and the terms of the current license issued by the department. Evidence: The center's missing or lost child policy states: A) No child should ever be left alone. B) It is all staff's responsibility to know where the children in attendance are at all times. Staff #1 did not see Child#1 leave the classroom and they did not know the whereabouts of Child#1 for approximately 3 to 5 minutes.”

8VAC20-780-340-F

“Based on interviews, a child was not within actual sight and sound supervision of staff for approximately 3 to 5 minutes. Evidence: 1. On 3/17/2023, Child #1 (4 years old) was dropped off in the Sea Turtles classroom at approximately 8:43am. Staff #1, #2 and #3 were in the classroom with 8 students when Child #1 was dropped off. At approximately 8:45am as other parents were dropping off their children, Child #1 exited the classroom alone and unsupervised. 2. Staff #1 stated that 5 children arrived to be dropped off at the same time, between approximately 8:43am and 8:45am. On the day of the incident, families were dropping off food for their St. Patrick's Day celebration, Staff #1 instructed Staff #2 to take the food that had been dropped off to the refrigerator in the kitchen. 3. Staff #3 stated that right after Staff #2 left, Staff #1 scanned the classroom and immediately realized that Child #1 was not in the classroom. Staff #1 asked Staff #3 where is Child #1?, then they immediately began to look for the child. 4. Child #1 went down the stairs from the third floor to the first floor, through a door that had been left open during drop off. Once Child #1 reached the first floor, they sat down on the steps at the bottom of the stairwell. 5. Adult #1 was exiting the center, when they saw Child #1 sitting on the steps crying, alone and unsupervised. Staff #2 was walking back from the kitchen to the Sea Turtles classroom, when they observed Adult #1 and Child #1 walking towards the reception desk. The child had been out of sight and sound supervision for approximately 3 to 5 minutes.”

8VAC20-780-40-E

“Based on interviews, the licensee did not ensure that staff followed the center's own policies and procedures regarding supervision, required by the standards, and the terms of the current license issued by the department. Evidence: The center's missing or lost child policy states: A) No child should ever be left alone. B) It is all staff's responsibility to know where the children in attendance are at all times. Staff #1 did not see Child#1 leave the classroom and they did not know the whereabouts of Child#1 for approximately 3 to 5 minutes.”

8VAC20-780-340-F

“Based on interviews, a child was not within actual sight and sound supervision of staff for approximately 3 to 5 minutes. Evidence: 1. On 3/17/2023, Child #1 (4 years old) was dropped off in the Sea Turtles classroom at approximately 8:43am. Staff #1, #2 and #3 were in the classroom with 8 students when Child #1 was dropped off. At approximately 8:45am as other parents were dropping off their children, Child #1 exited the classroom alone and unsupervised. 2. Staff #1 stated that 5 children arrived to be dropped off at the same time, between approximately 8:43am and 8:45am. On the day of the incident, families were dropping off food for their St. Patrick's Day celebration, Staff #1 instructed Staff #2 to take the food that had been dropped off to the refrigerator in the kitchen. 3. Staff #3 stated that right after Staff #2 left, Staff #1 scanned the classroom and immediately realized that Child #1 was not in the classroom. Staff #1 asked Staff #3 where is Child #1?, then they immediately began to look for the child. 4. Child #1 went down the stairs from the third floor to the first floor, through a door that had been left open during drop off. Once Child #1 reached the first floor, they sat down on the steps at the bottom of the stairwell. 5. Adult #1 was exiting the center, when they saw Child #1 sitting on the steps crying, alone and unsupervised. Staff #2 was walking back from the kitchen to the Sea Turtles classroom, when they observed Adult #1 and Child #1 walking towards the reception desk. The child had been out of sight and sound supervision for approximately 3 to 5 minutes.”

8VAC20-780-160-A

“Based on record review, the center did not obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1.Staff #4's (DOH:1/9/2023) record contains TB screening results that were completed on 1/23/2023. 2.Staff #5's (DOH:1/16/2023) record contains TB screening results that were completed on 2/1/2023.”

8VAC20-780-70

“Based on record review, staff files did not all contain required information. Evidence: Staff #5's record is missing one of two references as to their character and reputation, as well as competency required prior to the first day of employment.”

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

“Based on record review, the center did not obtain updated Tuberculosis (TB)screening/testing at least every two year from the date of the last screening/test. Evidence: Staff #2's record contains TB screening/test results that were last updated on 3/18/2019. Staff #5's record contains TB screening/test results that were last updated on 6/23/2014.”

8VAC20-770-60-C-2 Complaint related: No

“Based on record review and interview, the center did not have documentation of Central Registry results for a staff member within 30 days of employment. Evidence: Staff #4's (DOH: 8/23/2001) record does not contain central registry check results.”

8VAC20-780-240-B Complaint related: No

“Based on record review, the center does not have documentation to verify that a staff member completed orientation training. Evidence: Staff #2's record does not contain orientation documentation.”

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

“Based on observation, prepared infant formula was labeled with the child's name, but it wasn't dated. Evidence: In the Caterpillar's classroom a bottle of prepared infant formula was observed in the classroom's refrigerator labeled with a name, but it did not have a date.”

8VAC20-780-510-P Complaint related: No

“Based on review of medications, medication was not picked up by the parent within 14 days after the authorization for medication expired. Evidence: Medication for Child #6 was observed on-site, the authorization for the child's medication expired on 9/14/2022.”

8VAC20-780-350-C Complaint related: Yes

“Based on observation and interview, the center was not in compliance with the ratio requirements applicable to the youngest child in care for children under 16 months during nap time. Evidence: In the Butterfiles' classroom, at 12:55pm when the inspector arrived there were 5 children resting during nap time. The youngest child (Child #7) in the classroom is 14 months old. Ratios for children 16 months of age and older may be doubled during rest period. Infant ratios (Birth to 15 months) remain 1:4 at all times and may not double during rest period.”

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

“Based on review of documentation and interview, the center did not maintain in each room or area where children are present, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: A written list of all children's allergies, sensitivities, and dietary restrictions was not kept in each room or area where children are present”

22.1-289.035-B-2 Complaint related: Yes

“Based on record review, the center failed to obtain fingerprint results for a staff member. Evidence: Staff #2 and Staff #3 stated that fingerprint results were not obtained for Staff #4. Staff #2 confirmed that Staff #4 has been receiving a W2 statement at the end of the year and they have been on the center's payroll since 2018.”

22.1-289.035-A Complaint related: No

“Based on record review and interview, the center failed to obtain a repeat background check for an employee, every five years as required. Evidence: Staff #2's record contains a central registry check that was last updated on 6/28/2017.”

8VAC20-770-60-C-2 Complaint related: Yes

“Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for a staff member. Evidence: Staff #2 and Staff #3 stated that a central registry check was not obtained for Staff #4. Staff #2 confirmed that Staff #4 has been receiving a W2 statement at the end of the year and they have been on the center's payroll since 2018.”

8VAC20-780-340-A Complaint related: Yes

“Based on record review and interviews, the center failed to ensure children's care, protection and guidance. Evidence: Staff #3, responsible for overseeing all activities of staff and ensuring the supervision of children, failed to ensure care, protection and guidance to the children attending the center when Staff #3 allowed an individual with disqualifying background check results to work around children at the licensed child day center since 2018. (Disqualifying background check results were dated 10/10/2018).”

8VAC20-770-60-B Complaint related: Yes

“Based on record review and interview, the center failed to obtain a completed sworn statement or affirmation. Evidence: Staff #2 and Staff #3 stated that Staff #4 has not completed a sworn statement or affirmation form, required prior to employment. Staff #2 confirmed that Staff #4 has been receiving a W2 statement at the end of the year and they have been on the center's payroll since 2018.”

8VAC20-780-180-A Complaint related: Yes

“Based on interviews and record review, the center did not ensure staff demonstrated good character and reputation when staff provided inaccurate information during an investigation. Evidence: 1. Staff #3 stated on 7/8/2022 that Staff #1 was not an employee, that they did not have a file on Staff #1 because "they were working at the facility as a contractor" and, Staff #3 denied that Staff #1 had a disqualifying background check. 2. Board Officer #1 confirmed that Staff #1 is an employee of the center and that Staff #1 has a file. 3. Staff #1's record contains a disqualifying background check dated 10/10/2018. 4. Staff #2 confirmed on 7/12/2022 that Staff #1 receives a W2 form at the end of the year and that they work 40 hours per week. Staff #2 also confirmed that Staff #1 received a paycheck on 7/22/2022 and that they have been on the center's payroll since 2018. 5. The confirmation statements made by Board Officer #1 and Staff #2 provide evidence that Staff #1 is an employee now and has been an employee since 2018. 6. The confirmation statements made by Board Officer #1 and Staff #2 do not support the statement made by Staff #3 to the Department's representative. The facts and evidence support that Staff #3 did not provide accurate information regarding the employment status and background results of Staff #1 to the Department's representative.”

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

“Based on record review the center did not ensure that all staff members submitted the results of a follow-up tuberculosis (TB) screening/test at least every two years form the date of the last TB screening/test. Evidence: Staff #1's record contains a TB screening/test that was last updated on 4/5/2018.”

8VAC20-770-40-B Complaint related: Yes

“Based on interviews and record review, the center failed to ensure that no person with a disqualifying background who has not been granted a waiver according to 8VAC20-770-90 may operate or volunteer or work at a facility governed by this chapter. Evidence: 1. Staff #1's record contains disqualifying fingerprint results that indicate that the staff member is not eligible to work at the facility. 2. The center obtained the disqualifying background check on 10/10/2018. 3. Payroll record and interviews conducted provided evidence that Staff #1 is an employee now and has been an employee since 2018.”

8VAC20-770-70-A Complaint related: No

“Based on record review and interview, background check records were not kept at the location where the person is an employee. Evidence: Staff #1's file was not available for review during the inspection.”

8VAC20-780-160-C

“Based on record review, a staff member did not obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the last TB screening or testing. Evidence: Staff #2's record contains documentation of TB screening/test results that were obtained on 8/10/2016.”