Frederick County Center

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. The center practiced shelter in place procedures once in 2025.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. Neither classroom had a list of allergies, sensitivities and dietary restrictions.”

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries which includes the required components. Two injury reports were viewed during the inspection, and they were both missing the following required component: any future action to prevent recurrence of the injury.”

8VAC20-780-550-E

“REPEAT VIOLATION The medication authorization shall be available to staff during the entire time it is effective. In Classroom 2, one child had emergency medication, but the medication authorization was not available to staff.”

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. Child #6 had two medications on site and there was no authorization form.”

8VAC20-780-510-B

“Prescription medication shall be given to a child only with written authorization from the parents. Prescription medication had been administered to Child #1 on April 4, 2025. There was no parent authorization on file.”

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6 has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-330-B

“Playground equipment with climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. The fall zones around the climber on the front playground measured to be four to five feet when each piece of equipment requires at least six feet of a fall zone. The fall zones around the small climber on the back playground measured to be 10 inches to five feet when each piece of equipment requires at least six feet of a fall zone.”

8VAC20-780-160-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #1?s TB screening that was dated four days after their first day of employment.”

8VAC20-780-240-B

“Staff are to complete orientation training the in required topics, no later than seven days of assuming job responsibilities. Staff #1, who had been working for 10 months, had not completed the orientation training in all required topics. Staff #2 completed the orientation training more than two months late. Staff #3, who had been working for three months, had not completed the orientation training in all required topics.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1, who had been on staff for 10 months, had not completed the course. Staff #5, who had been on staff for nine months, had not completed the course.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on review of records and interview, the center failed to maintain a separate record for each child which contained the required information. Evidence: 1. Child #1?s record was missing the annual update, first day of attendance and proof of birth. 2. Child #2?s record was missing an address for one of the emergency contacts. 3. Child #3?s record was missing the annual update, first day of attendance, proof of birth and the phone number for one parent’s place of employment.”

8VAC20-780-330-B

“REPEAT VIOLATION Based on measurement and observation, the center failed to ensure that when playground equipment is provided, resilient surfacing complies with the minimum safety standards and that fall zones are free of hazards . Evidence: 1. On the back playground, the mulch measured four inches by the spiral slide, five inches between the climber and slide and five inches by the purple dinosaur rider. The mulch did not meet the minimum requirement of six inches. 2. The climber in the front play area had a mulch barrier and bare ground within the fall zone on the side of the climber with stairs and on the front side of the climber with the slide there was additional equipment within the fall zone.”

8VAC20-780-400-B

“Based on review of documentation and interview, the center failed to ensure that behavioral guidance is constructive in nature, age and stage appropriate, and is intended to redirect children to appropriate behavior and resolve conflict. Evidence: 1. Documentation provided by the center stated that Staff #1 report to Staff #2 that Child #1 was having a ?negative behavior? and Staff #3 motioned that she was going to ?backhand him in the face? and stated, ?I could just smack you?. 2. Documentation provided by the center stated that Staff # 4 had witness on a different day Staff #2 pretending to hit a different child and ?she was holding his hands and he was trying to get away?”

8VAC20-780-60-A

“REPEAT VIOLATION Based on review of records and interview, the center failed to maintain a separate record for each child which contained the required information. Evidence: 1. Child #1?s record was missing the annual update, first day of attendance and proof of birth. 2. Child #2?s record was missing an address for one of the emergency contacts. 3. Child #3?s record was missing the annual update, first day of attendance, proof of birth and the phone number for one parent’s place of employment.”

8VAC20-780-330-B

“REPEAT VIOLATION Based on measurement and observation, the center failed to ensure that when playground equipment is provided, resilient surfacing complies with the minimum safety standards and that fall zones are free of hazards . Evidence: 1. On the back playground, the mulch measured four inches by the spiral slide, five inches between the climber and slide and five inches by the purple dinosaur rider. The mulch did not meet the minimum requirement of six inches. 2. The climber in the front play area had a mulch barrier and bare ground within the fall zone on the side of the climber with stairs and on the front side of the climber with the slide there was additional equipment within the fall zone.”

8VAC20-780-400-B

“Based on review of documentation and interview, the center failed to ensure that behavioral guidance is constructive in nature, age and stage appropriate, and is intended to redirect children to appropriate behavior and resolve conflict. Evidence: 1. Documentation provided by the center stated that Staff #1 report to Staff #2 that Child #1 was having a ?negative behavior? and Staff #3 motioned that she was going to ?backhand him in the face? and stated, ?I could just smack you?. 2. Documentation provided by the center stated that Staff # 4 had witness on a different day Staff #2 pretending to hit a different child and ?she was holding his hands and he was trying to get away?”

8VAC20-780-330-B

“Based on measurement and observation, the center failed to provide a six-foot fall zone on all sides of playground equipment. Evidence: 1. On the front playground, the fall zone was two feet for the green climber and three feet for the red slide.”

8VAC20-780-240-B

“Based on review of records and interview, the center failed to complete orientation training with each staff member no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff #1?s start date was 10/10/2023. There was no documentation regarding orientation on file for Staff #1. Staff #3 confirmed there was no documentation regarding orientation on file for Staff #1.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain, 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: 1. In Room 1, 2 and 3, staff could not locate an allergy list for all children’s allergies, sensitivities, and dietary restrictions.”

8VAC20-780-60-A

“Based on review of records and interview, the center failed to maintain for each child a separate record with the required information. Evidence: 1. Child #1?s record was missing an address for one emergency contact, place of employment for one parent and the first day of attendance. 2. Child #2?s record was missing name, home address and home phone number for one of the parents and the first day of attendance. 3. Child #3?s record was missing the first day of attendance. 4. Child #4?s record was missing name, home address and home phone number for one of the parents and the first day of attendance. 5. Child #5?s record was missing a work phone number and place of employment for one parent and the first day of attendance. 6. Staff #4 confirmed the information was missing from the records.”

8VAC20-780-320-B

“Based on measurement, the center failed to ensure that restroom sinks have warm running water that do not exceed 120F degrees. 1. In the girls? restroom, the water in the sink measured 122.4F degrees. 2. In the boys? restroom, the water in the sink measured 121.3F degrees.”

8VAC20-780-330-B

“Based on observation and interview, the center failed to ensure that were playground equipment is provided, resilient surfacing complies with minimum safety standards. Evidence: 1. In the front play area, one climber was observed to be on grass with no resilient surfacing. 2. Staff #1 confirmed that the climber did not have resilient surfacing.”

8VAC20-780-240-A

“Based on review of records, the center failed to ensure that the Virginia Department of Education orientation course was completed within 90 calendar days of employment. 1. Staff #3?s start date on file was 08/22/2022. There was no evidence that Staff #3 had completed the VDOE orientation course. 2. Staff #4?s start date on file was 08/22/2022. There was no evidence that Staff #4 had completed the VDOE orientation course. 3. Staff #5?s start date on file was 01/30/2023. There was no evidence that Staff #5 had completed the VDOE orientation course. 4. Staff #6?s start date on file was 10/17/2022. There was no evidence that Staff #6 had completed the VDOE orientation course. 5. Staff #7?s start date on file was 05/16/2023. There was no evidence that Staff #7 had completed the VDOE orientation course.”

8VAC20-780-410-1

“8VAC20-780-410-1: B2 Based on interview, the center failed to prohibit a forbidden action. Evidence: 1. Staff #2 reported to the Licensing Inspector that on 11/17/2022 Staff #1 grabbed Child #1 by the arm, dragged the child across the room, forced the child to stay in a beanbag chair by holding the child down by the arms. 2. Interviews with Staff #3 and #4 confirmed the reported incident as both staff witnessed the incident. Interviews with Staff #3 and #4 revealed that Child #1 was screaming, kicking and trying to get free while being held down by Staff #1.”

8VAC20-780-160-A

“Based on review of records and interview, the center failed to ensure that each staff member had a tuberculosis (TB) screening within the last 30 calendar days of employment. Evidence: 1. Staff #1?s start date on file is 9/6/2022. The TB screening on file was 4/7/2022. 2. Staff #2 confirmed that the TB screening was not completed within the last 30 calendar days of Staff #1?s date of employment.”