Foundations Learning Academy at Midlothian

8VAC20-780-140-A

“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 a physical examination in the record of child #1, dated three months after the enrollment date. There was a physical examination in the record of child #4 that was dated two months after the enrollment date.”

8VAC20-780-240-B

“Staff are to 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, who is working with children, has not yet completed orientation training which is overdue by 14 days.”

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. A can of disinfectant with warning labels, ?Keep out of reach of children,? were unlocked in the toddler classroom, within reach of children.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 03/13/2025, Child #1 (2 years old) was not within sight and sound supervision of staff. Staff #1 was left to care for Child #1 while Staff #2 took the remainder of class to the classroom. Staff #1 went to gym bathroom without communicating or transferring supervision to another staff member. Child #1 joined a line of students from another classroom leaving the gym and made it to the front doors of the center before exiting the building. Additional staff quickly followed after Child #1. Child #1 was out of sight for approximately one minute until being retrieved by a police officer passing by. Staff were able to catch up and retrieve the child from the police officer.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 03/13/2025 Staff #1 left a child unsupervised in the gym to use the restroom. No other staff was alerted to the teacher being indisposed. The child was able to exit the gym, leave through the front doors of the center, exited through an open gate in the parking lot, and into the road before staff were able to secure the child again. The opening in the parking lot gate is approximately 50 feet from the road where the child was found by a police officer.”

8VAC20-780-550-P

“(Repeat Violation) The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the required information. An injury report dated 10/01/2024, did not include the time of the incident, the date and time that the parent was notified, and the method in which the parent was notified.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In the Early toddler classroom, an outlet cover plate was missing from an electrical outlet in the back of the classroom near the door.”

8VAC20-780-510-F

“The center will ensure that the medication authorization shall be available to staff during the entire time it is effective. A medication authorization, for a prescription medication, was observed for Child #6. The center did not have written authorization from the child’s physician and parent for a long-term medication.”

8VAC20-780-60-A

“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 (enrolled for two months) was missing the parents work number. 2. The record for child # 3 (enrolled for two months) was missing the parent’s work contact number. 3. The record for child #4 and child #5, did not contain documentation of child updates and confirmation of up-to-date information.”

8VAC20-780-240-B

“(Repeat violation) The center shall ensure that staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record for staff #1 did not have documentation that orientation training was completed.”

8VAC20-780-550-P

“(Repeat Violation) The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the required information. An injury report dated 10/01/2024, did not include the time of the incident, the date and time that the parent was notified, and the method in which the parent was notified.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In the Early toddler classroom, an outlet cover plate was missing from an electrical outlet in the back of the classroom near the door.”

8VAC20-780-510-F

“The center will ensure that the medication authorization shall be available to staff during the entire time it is effective. A medication authorization, for a prescription medication, was observed for Child #6. The center did not have written authorization from the child’s physician and parent for a long-term medication.”

8VAC20-780-60-A

“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 (enrolled for two months) was missing the parents work number. 2. The record for child # 3 (enrolled for two months) was missing the parent’s work contact number. 3. The record for child #4 and child #5, did not contain documentation of child updates and confirmation of up-to-date information.”

8VAC20-780-240-B

“(Repeat violation) The center shall ensure that staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record for staff #1 did not have documentation that orientation training was completed.”

8VAC20-780-160-A

“(Repeat Violation) Based on review of five (5) staff records, the center did not ensure that two staff members had a completed tuberculosis (TB) test within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record for staff #2, contained a tuberculosis (TB) test dated for 3/23/2024. Staff #2?s hire date was 3/12/2024. 2. The record for staff #3, contained a tuberculosis (TB) test dated for 4/1/2024. Staff #3?s hire date was 3/25/2024.”

8VAC20-780-550-P

“Based on review of injury reports, the center failed to ensure that all required information was documented. Evidence: 1. There were 3 injury reports dated for 3/26/2024 that did not have the time the parent was notified and how the parent was notified. 2. 1 of 3 injury reports did not have the date in which the parent was notified.”

8VAC20-780-280-B

“(Repeat Violation) Based on observation, the center did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In classroom #3 in an unlocked cabinet under the changing table, there was a can of Lysol Disinfectant Spray stored in the back of the cabinet.”

8VAC20-780-240-B

“(Repeat Violation) Based on record review and interview, the center did not ensure that staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for staff #2 and staff #3 contained documentation of a signed orientation training but were not dated. 2. Staff #1 confirmed that the orientation completion date was not documented.”

8VAC20-780-80-A

“Based on documentation review and staff interviews, the licensee did not ensure that 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. Evidence: 1. The attendance sheet in classroom #1 listed 10 children, 9 were observed but only 4 children were marked present on the class attendance sheet. 2. There were 3 separate classes playing in the gym. There was no attendance sheet for either of the classes who were being supervised.”

22.1-289.035-A

“Based on record review, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The record for staff #1 contained a national criminal background check dated 3/2/2018. Staff #2 should have undergone a criminal background check on or before 3/2/2023.”

8VAC20-780-160-A

“(Repeat Violation) Based on review of five (5) staff records, the center did not ensure that two staff members had a completed tuberculosis (TB) test within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record for staff #2, contained a tuberculosis (TB) test dated for 3/23/2024. Staff #2?s hire date was 3/12/2024. 2. The record for staff #3, contained a tuberculosis (TB) test dated for 4/1/2024. Staff #3?s hire date was 3/25/2024.”

8VAC20-780-550-P

“Based on review of injury reports, the center failed to ensure that all required information was documented. Evidence: 1. There were 3 injury reports dated for 3/26/2024 that did not have the time the parent was notified and how the parent was notified. 2. 1 of 3 injury reports did not have the date in which the parent was notified.”

8VAC20-780-280-B

“(Repeat Violation) Based on observation, the center did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In classroom #3 in an unlocked cabinet under the changing table, there was a can of Lysol Disinfectant Spray stored in the back of the cabinet.”

8VAC20-780-240-B

“(Repeat Violation) Based on record review and interview, the center did not ensure that staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record for staff #2 and staff #3 contained documentation of a signed orientation training but were not dated. 2. Staff #1 confirmed that the orientation completion date was not documented.”

8VAC20-780-80-A

“Based on documentation review and staff interviews, the licensee did not ensure that 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. Evidence: 1. The attendance sheet in classroom #1 listed 10 children, 9 were observed but only 4 children were marked present on the class attendance sheet. 2. There were 3 separate classes playing in the gym. There was no attendance sheet for either of the classes who were being supervised.”

22.1-289.035-A

“Based on record review, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The record for staff #1 contained a national criminal background check dated 3/2/2018. Staff #2 should have undergone a criminal background check on or before 3/2/2023.”

8VAC20-780-160-A

“(Repeat violation) Based on a review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for two (2) staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2 (date of employment: 8/14/2023) contained a TB screening dated 8/26/2023. 2. The record of staff #4 (date of employment: 4/17/2023) contained a TB screening dated 8/10/2023. 2. Administration acknowledged that the TB screening was obtained late for both staff #2 and staff #4.”

8VAC20-780-240-B

“Based on record review, the center failed to ensure staff completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record of Staff #3 (DOH 07/12/2023) did not have documentation of orientation. 2. The director stated that orientation for staff #3 has been completed but had not been documented.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that equipment of the center, inside and outside, was maintained in a safe and operable condition. Evidence: 1. In classroom #1, the changing pad at the diapering station was torn on two corners exposing the foam filling making the surface absorbent.”

8VAC20-780-510-H

“Based on a review of medications, prescription medication was not kept in the original container. Evidence: Child #1 has one prescription emergency medications kept on site in case of a potential ingestion of an allergen. The medication was not in the original container.”

8VAC20-780-510-P

“Based on record review, the center did not ensure that when an authorization for a medication expires that the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Child #2 had a medication on site and the parent's authorization for the medication expired on 9/2023.”

8VAC20-770-60-C-2

“(Repeat violation) Based on a review of staff records and interview, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired August 14, 2023, contained documentation of a central registry finding dated October 11, 2023. 2. The director acknowledged that the central registry was not completed within 30 days of employment.”

8VAC20-780-160-A

“(Repeat violation) Based on a review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for two (2) staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #2 (date of employment: 8/14/2023) contained a TB screening dated 8/26/2023. 2. The record of staff #4 (date of employment: 4/17/2023) contained a TB screening dated 8/10/2023. 2. Administration acknowledged that the TB screening was obtained late for both staff #2 and staff #4.”

8VAC20-780-240-B

“Based on record review, the center failed to ensure staff completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record of Staff #3 (DOH 07/12/2023) did not have documentation of orientation. 2. The director stated that orientation for staff #3 has been completed but had not been documented.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that equipment of the center, inside and outside, was maintained in a safe and operable condition. Evidence: 1. In classroom #1, the changing pad at the diapering station was torn on two corners exposing the foam filling making the surface absorbent.”

8VAC20-780-510-H

“Based on a review of medications, prescription medication was not kept in the original container. Evidence: Child #1 has one prescription emergency medications kept on site in case of a potential ingestion of an allergen. The medication was not in the original container.”

8VAC20-780-510-P

“Based on record review, the center did not ensure that when an authorization for a medication expires that the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Child #2 had a medication on site and the parent's authorization for the medication expired on 9/2023.”

8VAC20-770-60-C-2

“(Repeat violation) Based on a review of staff records and interview, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired August 14, 2023, contained documentation of a central registry finding dated October 11, 2023. 2. The director acknowledged that the central registry was not completed within 30 days of employment.”

8VAC20-790-600-D-2

“Based on record review, the center failed to ensure that staff obtain current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff #5?s record does not contain documentation first aid certification. 2. The director stated that first aid certification had not been obtained for staff #5.”

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure that staff have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. Staff #5?s (DOH 1/3/2023) record did not contain documentation of current certification in cardiopulmonary resuscitation (CPR). 2. The director verified that staff #5 had not completed cardiopulmonary resuscitation (CPR) training.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 2 staff as required. Evidence: 1. The record of staff #3 (DOH: 3/31/2023) did not contain the results of a central registry background check. 2. The record of staff #4 (DOH: 4/17/2023) did not contain the results of a central registry background check. 2. Administration acknowledged that the background checks were not received within the required time frame.”

8VAC20-780-550-P

“Based on record review, the vendor failed to maintain all the components of a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: Injury report #2 dated 4//2023 did not contain information regarding the date, time, and how the parent was notified. The injury report did not contain any future action to prevent recurrence of the injury.”

22.1-289.035-B-2

“Based on review of five staff records and staff interview, the center failed to ensure that one staff obtained fingerprint background check results prior to employment. Evidence: 1. Staff #2?s record contained fingerprint background check results that were dated 5/19/2023. Staff #2?s hire date was 4/17/2023.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #3 (DOE 11/21/2022) did not contain documentation of immunizations. 2. The record for child #4 (DOE 11/21/2022) contained documentation of immunizations that were dated for 12/2/2022. 3. The director verified that immunizations had not been received for child #3.”

8VAC20-780-510-P

“Based on review of three medications and staff interview it was determined that the center did not follow procedures to prevent the use of outdated medication. Evidence: A child has emergency medication on site which expired 11/2022.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the Early Head Start I classroom there was a can of Lysol Disinfect Spray in an unlocked drawer that was accessible to children. 2. In the toddler classroom under the changing table in an unlocked cabinet, there was a can of Lysol Disinfect Spray. 3. The warning label stated, "keep out of reach of children, caution, and flammable."”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that documentation of a tuberculosis (TB) screening was submitted for each staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #2 did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff #2?s date of hire was 4/17/2023. 2. The record for staff #4, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 4?s date of hire was 4/17/2023. 3. The record for staff #1 contained documentation of a tuberculosis (TB) test dated 12/21/2022. Staff #1?s date of hire was 11/30/2022. 4. The record for staff #5 contained documentation of a tuberculosis (TB) test dated 1/23/2022. Staff #5?s date of hire was 1/3/2023. 5. The director stated that staff #2 and #4 has completed a tuberculosis (TB) test but was unable to provide documentation.”

8VAC20-780-140-B

“Based on a review of 5 children's records and interview, the center did not ensure that 2 children's physical examinations were completed within the required time period. Evidence: 1. The record of child #3 (DOE:11/21/2022) did not contain documentation of a physical examination. 2. The record of child #4 (DOE: 11/21/2022) did not contain documentation of a physical examination. 3. The director acknowledged that physical was not received for child #3 and #4.”

8VAC20-790-600-D-2

“Based on record review, the center failed to ensure that staff obtain current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff #5?s record does not contain documentation first aid certification. 2. The director stated that first aid certification had not been obtained for staff #5.”

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure that staff have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. Staff #5?s (DOH 1/3/2023) record did not contain documentation of current certification in cardiopulmonary resuscitation (CPR). 2. The director verified that staff #5 had not completed cardiopulmonary resuscitation (CPR) training.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 2 staff as required. Evidence: 1. The record of staff #3 (DOH: 3/31/2023) did not contain the results of a central registry background check. 2. The record of staff #4 (DOH: 4/17/2023) did not contain the results of a central registry background check. 2. Administration acknowledged that the background checks were not received within the required time frame.”

8VAC20-780-550-P

“Based on record review, the vendor failed to maintain all the components of a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: Injury report #2 dated 4//2023 did not contain information regarding the date, time, and how the parent was notified. The injury report did not contain any future action to prevent recurrence of the injury.”

22.1-289.035-B-2

“Based on review of five staff records and staff interview, the center failed to ensure that one staff obtained fingerprint background check results prior to employment. Evidence: 1. Staff #2?s record contained fingerprint background check results that were dated 5/19/2023. Staff #2?s hire date was 4/17/2023.”

8VAC20-780-130-A

“Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #3 (DOE 11/21/2022) did not contain documentation of immunizations. 2. The record for child #4 (DOE 11/21/2022) contained documentation of immunizations that were dated for 12/2/2022. 3. The director verified that immunizations had not been received for child #3.”

8VAC20-780-510-P

“Based on review of three medications and staff interview it was determined that the center did not follow procedures to prevent the use of outdated medication. Evidence: A child has emergency medication on site which expired 11/2022.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the Early Head Start I classroom there was a can of Lysol Disinfect Spray in an unlocked drawer that was accessible to children. 2. In the toddler classroom under the changing table in an unlocked cabinet, there was a can of Lysol Disinfect Spray. 3. The warning label stated, "keep out of reach of children, caution, and flammable."”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that documentation of a tuberculosis (TB) screening was submitted for each staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #2 did not contain documentation of a completed Tuberculosis (TB) test/screening. Staff #2?s date of hire was 4/17/2023. 2. The record for staff #4, did not contain documentation of a tuberculosis (TB) test/screening. Staff # 4?s date of hire was 4/17/2023. 3. The record for staff #1 contained documentation of a tuberculosis (TB) test dated 12/21/2022. Staff #1?s date of hire was 11/30/2022. 4. The record for staff #5 contained documentation of a tuberculosis (TB) test dated 1/23/2022. Staff #5?s date of hire was 1/3/2023. 5. The director stated that staff #2 and #4 has completed a tuberculosis (TB) test but was unable to provide documentation.”

8VAC20-780-140-B

“Based on a review of 5 children's records and interview, the center did not ensure that 2 children's physical examinations were completed within the required time period. Evidence: 1. The record of child #3 (DOE:11/21/2022) did not contain documentation of a physical examination. 2. The record of child #4 (DOE: 11/21/2022) did not contain documentation of a physical examination. 3. The director acknowledged that physical was not received for child #3 and #4.”

8VAC20-780-240-B

“Based on record review, the center failed to have staff complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff # 1 (DOH: 1/30/19) and Staff # 3?s (DOH: 10/30/17) file did not contain documentation of a completed orientation training.”

8VAC20-780-260-A

“Based on record review, the center failed to document an annual fire inspection report from the appropriate fire official. Evidence: 1. The center did not have documentation of a current fire inspection. 2. Last documented fire inspection 7/14/21.”

8VAC20-780-510-P

“Based on record review, the center failed to notify the parent when an authorization for medication expired, the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Child #3?s file did not contain authorization for medication being kept at the center.”

22.1-289.035-B-2

“Based on record review and interview the center failed to ensure each staff has fingerprint background on file as required. Evidence: 1. The record for staff #4 does not contain documentation of fingerprint background check requested or results. 2. Staff #4 has a documented date of hire as 10/28/2021. 3. Staff #4 was observed on duty with the preschool class during the inspection but did not have fingerprints on file. 4. Center director confirmed that staff #4?s fingerprints were completed, but could not be located.”

8VAC20-780-160-C

“Based on record review, the center failed to document an updated (TB) Tuberculosis At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit. Evidence: 1. Staff # 5?s file did not contain a current TB screening. Last TB test was documented, 2/19/2020. 2. Staff # 3?s file did not have documented (TB) Tuberculosis results.”

8VAC20-780-240-B

“Based on record review, the center failed to have staff complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff # 1 (DOH: 1/30/19) and Staff # 3?s (DOH: 10/30/17) file did not contain documentation of a completed orientation training.”

8VAC20-780-260-A

“Based on record review, the center failed to document an annual fire inspection report from the appropriate fire official. Evidence: 1. The center did not have documentation of a current fire inspection. 2. Last documented fire inspection 7/14/21.”

8VAC20-780-510-P

“Based on record review, the center failed to notify the parent when an authorization for medication expired, the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Child #3?s file did not contain authorization for medication being kept at the center.”

22.1-289.035-B-2

“Based on record review and interview the center failed to ensure each staff has fingerprint background on file as required. Evidence: 1. The record for staff #4 does not contain documentation of fingerprint background check requested or results. 2. Staff #4 has a documented date of hire as 10/28/2021. 3. Staff #4 was observed on duty with the preschool class during the inspection but did not have fingerprints on file. 4. Center director confirmed that staff #4?s fingerprints were completed, but could not be located.”

8VAC20-780-160-C

“Based on record review, the center failed to document an updated (TB) Tuberculosis At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit. Evidence: 1. Staff # 5?s file did not contain a current TB screening. Last TB test was documented, 2/19/2020. 2. Staff # 3?s file did not have documented (TB) Tuberculosis results.”

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 record for staff #4 (date of last TB screening 05/03/19) did not have an updated TB. screening/test”

8VAC20-780-40-E

“Based on review of policies and procedures, observation and interviews, the center failed to ensure 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. Evidence: 1. In class #2 and class #4 children were napping on cots without the supervision of a staff member. 2. The centers policies state that a staff member's job description includes ?Makes sure children are supervised when using any of the toys and equipment? and ?leaving children unattended for any reason any length of time will be grounds for immediate termination".”

8VAC20-780-240-B

“Based on review of staff records, the center did not ensure all staff received required training by the end of their first day of assuming job responsibilities. Evidence: The record for staff #1 (date of hire 04/25/22) does not have documentation of required training.”

8VAC20-780-245-A

“Based on record review, the center did not ensure annually that staff have a minimum of 16 hours of training appropriate to age of children in care. Evidence: 1. The records for staff #2 (date of hire 9/20/10), staff #3 (date of hire 10/30/17) and staff #4 (date of hire 03/17/02) did not have documentation of 16 hours of annual training.”

8VAC20-780-340-F

“Based on observation and interview the center failed to ensure that children under 10 years of age always are within actual sight and sound supervision of staff. Evidence: 1. In class #2, there were seven toddlers napping alone in the classroom when the inspector entered the classroom. The inspector did not observe any staff supervising the children in class #2. 2.In class #4, there were eight two year old's napping alone in the classroom when the inspector entered the classroom. Staff A stated, ?I just ran up there for a second? when returning to class #4 after approximately one minute.”

8VAC20-780-70

“Based on record review, the center did not ensure that one of three staff records contained all of the required information. Evidence: The record of staff #1 (start date: 4/25/22) did not have the required reference checks.”

22VAC40-665-580-H

“Based on record review, the center did not obtain the department's health and safety update course for each staff member. Evidence: 1. The record for staff #3 did not contain the updated Health and Safety training for 2022 (training date 4/02/19). 2. The record for staff #4 (hire date 3/17/02) did not have annual health and safety update training.”

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 record for staff #4 (date of last TB screening 05/03/19) did not have an updated TB. screening/test”

8VAC20-780-40-E

“Based on review of policies and procedures, observation and interviews, the center failed to ensure 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. Evidence: 1. In class #2 and class #4 children were napping on cots without the supervision of a staff member. 2. The centers policies state that a staff member's job description includes ?Makes sure children are supervised when using any of the toys and equipment? and ?leaving children unattended for any reason any length of time will be grounds for immediate termination".”

8VAC20-780-240-B

“Based on review of staff records, the center did not ensure all staff received required training by the end of their first day of assuming job responsibilities. Evidence: The record for staff #1 (date of hire 04/25/22) does not have documentation of required training.”

8VAC20-780-245-A

“Based on record review, the center did not ensure annually that staff have a minimum of 16 hours of training appropriate to age of children in care. Evidence: 1. The records for staff #2 (date of hire 9/20/10), staff #3 (date of hire 10/30/17) and staff #4 (date of hire 03/17/02) did not have documentation of 16 hours of annual training.”

8VAC20-780-340-F

“Based on observation and interview the center failed to ensure that children under 10 years of age always are within actual sight and sound supervision of staff. Evidence: 1. In class #2, there were seven toddlers napping alone in the classroom when the inspector entered the classroom. The inspector did not observe any staff supervising the children in class #2. 2.In class #4, there were eight two year old's napping alone in the classroom when the inspector entered the classroom. Staff A stated, ?I just ran up there for a second? when returning to class #4 after approximately one minute.”

8VAC20-780-70

“Based on record review, the center did not ensure that one of three staff records contained all of the required information. Evidence: The record of staff #1 (start date: 4/25/22) did not have the required reference checks.”

22VAC40-665-580-H

“Based on record review, the center did not obtain the department's health and safety update course for each staff member. Evidence: 1. The record for staff #3 did not contain the updated Health and Safety training for 2022 (training date 4/02/19). 2. The record for staff #4 (hire date 3/17/02) did not have annual health and safety update training.”

22VAC40-185-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. The record for child #1 (date of enrollment 08/23/2021) did not have a physical examination.”

22VAC40-185-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. The record for child #1 (date of enrollment 08/23/2021) did not have a physical examination.”

22VAC40-185-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. The record for child #1 (date of enrollment 08/23/2021) did not have a physical examination.”