Global Engineers Academy

8VAC20-780-500-B

“Staff shall ensure the immediate safety of a child during diapering. Staff #3 was observed changing Child #2?s diaper on the changing table. Staff #3 stepped away from the changing table to check on another child leaving Child #2 unattended.”

8VAC20-780-360-A

“The variety of daily activities for all age groups shall be age and stage appropriate and provide opportunities for teacher-directed, self-directed, and self-chosen tasks and activities; a balance of active and quiet activities; individual and group activities; and curiosity and exploration. Throughout the duration of the inspection from 10:30am to 1:15pm, the televisions in all three classrooms were playing cartoons. All center children were observed at free play for the entirety of the inspection with no specific teacher-directed or self-directed age and stage appropriate activities.”

8VAC20-780-280-B

“REPEAT VIOLATION. Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. There was a can of shaving cream with a label, ?Keep out of reach of children? unlocked in a cabinet and a large half a gallon bottle of hand sanitizer on a shelf that was in reach of children with a warning label, ?Keep out of children.?”

8VAC20-780-210-A-1

“Staff program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and have six months of supervised programmatic experience. Staff #2, employed for 3 months, does not meet qualifications as a program leader and was working at the center during the time of the inspection.”

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 #1, who had been enrolled for four months.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. A child was observed to wash his hands, dry his hands with a paper towel and lift the lid of the garbage that is also used to dispose soiled diapers.”

8VAC20-780-500-B

“Staff shall ensure the immediate safety of a child during diapering. Staff #3 was observed changing Child #2?s diaper on the changing table. Staff #3 stepped away from the changing table to check on another child leaving Child #2 unattended.”

8VAC20-780-360-A

“The variety of daily activities for all age groups shall be age and stage appropriate and provide opportunities for teacher-directed, self-directed, and self-chosen tasks and activities; a balance of active and quiet activities; individual and group activities; and curiosity and exploration. Throughout the duration of the inspection from 10:30am to 1:15pm, the televisions in all three classrooms were playing cartoons. All center children were observed at free play for the entirety of the inspection with no specific teacher-directed or self-directed age and stage appropriate activities.”

8VAC20-780-280-B

“REPEAT VIOLATION. Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. There was a can of shaving cream with a label, ?Keep out of reach of children? unlocked in a cabinet and a large half a gallon bottle of hand sanitizer on a shelf that was in reach of children with a warning label, ?Keep out of children.?”

8VAC20-780-210-A-1

“Staff program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and have six months of supervised programmatic experience. Staff #2, employed for 3 months, does not meet qualifications as a program leader and was working at the center during the time of the inspection.”

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 #1, who had been enrolled for four months.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. A child was observed to wash his hands, dry his hands with a paper towel and lift the lid of the garbage that is also used to dispose soiled diapers.”

8VAC20-790-530-C

“Based on observation and interview, it was determined that the center did not ensure that for general record keeping, each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. This shall be maintained and made accessible to department representatives. Evidence: 1. For each group of children at the center, the teachers in each classroom confirmed that they did not have a written hard copy of record of daily attendance that documents the arrival and departure of each child in the care as it occurs. 2. Staff #1 and Staff #2 confirmed that there is no written copy for each group of children of a daily attendance that documents the arrival and departure of each child in care.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the center did not ensure that within 90 days of the date of employment that staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #4, (date of hire: 8/14/2023) did not have a CPR certification and was present at the center working with children. 2. Staff #1 confirmed Staff #4 did not have a current CPR certification and is working with children at the center.”

8VAC20-780-550-G

“Based on record review and interview, it was determined that the center did not ensure that documentation shall be maintained of emergency evacuation drills. Evidence: 1. The emergency evacuation drill log has documentation of January 2023 and March 2023 drills. February 2023, April 2023, May 2023, and June 2023 were not documented to the emergency evacuation drill log. 2. Staff #2 confirmed that the drills from this year were not all documented.”

8VAC20-780-550-G

“REPEAT VIOLATION Based on record review and interview, it is determined that the center did not ensure that documentation be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. Evidence: 1. In reviewing the emergency evacuation drill log, the center did not document any special conditions simulated, the time it took to complete the evacuation, problems encountered, if any, and weather conditions. 2. Staff #1 and Staff #2 confirmed that the drill log had missing required documentation for the emergency evacuation drill log.”

8VAC20-780-550-B

“Based on interview, it was determined that the center did not ensure that the emergency preparedness plan shall contain procedural components for the evacuation to include complete evacuation of the building. Evidence: Staff #1 and Staff #2 confirmed that when conducting monthly fire drill, the children do not evacuate the building.”

8VAC20-780-540-C

“Based on observation and interview, it was determined that the center did not have the required triangular bandages in the first aid kits. Evidence: 1. There was only one triangular bandage observed in the first aid kits. 2. Staff #1 and Staff #2 confirmed that there was only one triangular bandage in the first aid kits.”

8VAC20-780-350-C

“Based on observation and interview, it was determined that the center did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. In the preschool classroom, there was one staff member with 11 children; the youngest child in the classroom was 3 years old. The ratio for 3 year old children to staff is One staff member to Ten children. 2. Staff #3, preschool teacher, and Staff #2, assistant director, confirmed the classroom room was out of ratio.”

8VAC20-780-340-F

“Based on observation and interview, it was determined that the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. In the preschool classroom, Staff #3 left nine children in the classroom alone during naptime, in which three children were awake on their cots, to take a child to the bathroom that is located outside of the classroom. 2. Staff #1, owner, walked into the preschool classroom and confirmed that nine children were left in the classroom without adult staff supervision.”

8VAC20-780-340-A

“Based on observation and interview, it was determined that the center did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Staff #3, preschool teacher, was unaware of the number of children in their classroom. When asked how many children were present in their classroom at 11:24am, Staff #3 counted the children and turned toward the children stating, ?I have this many.? 2. There was no attendance sheet or list of children’s names in the preschool class”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined that the center did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In two of the three classrooms, there were electrical outlets that did not have protective covers. 2. Staff #2 confirmed that there were no protective covers to the electrical outlets in two of the three classrooms.”

8VAC20-780-280-B

“REPEAT VIOLATIONS Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the preschool classroom, there was a bottle labeled, bleach water, on the shelf, that was unlocked. 2. In the 2 year old classroom, there were two cans of shaving cream that have a warning label, ?Keep out of reach of children? that were unlocked and accessible to the children. 3. In the 3 year old classroom, there was a can of disinfectant on top of plastic shelf that was unlocked and in reach of children in care.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that staff records be kept for each staff person to include a telephone number of a person to be notified in an emergency which shall be kept at the center. Evidence: 1. There were no staff records at the center during the time of the inspection and there were no telephone numbers of a person for each staff to be notified in case of an emergency. 2. Staff #2, assistant director, confirmed that they had no access to the physical or the electronic records and no access to emergency contact information for each staff member at the center.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review and interview, it was determined that the center did not ensure that a separate record for each child enrolled shall contain work phone number and place of employment of each parent who has custody, address of two designated people to call in an emergency if a parent cannot be reached, and a written care plan 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. Evidence: 1. Child #1 (date of enrollment 3/28/2024) and Child #2 (Date of enrollment 3/05/2024) did not have the address for one of the two designated people to call in an emergency of a parent cannot be reached. 2. Child #1 did not have the work phone number for their mother listed. 3. Child #3 has it documented by the parent that Child #3 has a food allergy. There was no written care plan with regards to the allergy, 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.”

8VAC20-780-140-A

“Based on record review and interview, it was determined that the center did not ensure that each child have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #3, that has been in the center since 2021, did not have a physical examination in their record. 2. Staff #1 confirmed that Child #3 did not have a physical examination in their record.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation and interview, it was determined that areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. In the 3 year old classroom, there is a stained ceiling tile. 2. Each of the classrooms do not have trash cans and during the time of the inspection the garbage is placed in a large plastic garbage bag in the center of the floor in reach of children in care. This poses as a suffocation hazard.”

8VAC20-790-530-C

“Based on observation and interview, it was determined that the center did not ensure that for general record keeping, each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. This shall be maintained and made accessible to department representatives. Evidence: 1. For each group of children at the center, the teachers in each classroom confirmed that they did not have a written hard copy of record of daily attendance that documents the arrival and departure of each child in the care as it occurs. 2. Staff #1 and Staff #2 confirmed that there is no written copy for each group of children of a daily attendance that documents the arrival and departure of each child in care.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the center did not ensure that within 90 days of the date of employment that staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #4, (date of hire: 8/14/2023) did not have a CPR certification and was present at the center working with children. 2. Staff #1 confirmed Staff #4 did not have a current CPR certification and is working with children at the center.”

8VAC20-780-550-G

“Based on record review and interview, it was determined that the center did not ensure that documentation shall be maintained of emergency evacuation drills. Evidence: 1. The emergency evacuation drill log has documentation of January 2023 and March 2023 drills. February 2023, April 2023, May 2023, and June 2023 were not documented to the emergency evacuation drill log. 2. Staff #2 confirmed that the drills from this year were not all documented.”

8VAC20-780-550-G

“REPEAT VIOLATION Based on record review and interview, it is determined that the center did not ensure that documentation be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of children participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Problems encountered, if any; and 9. For emergency evacuation drills only, weather conditions. Evidence: 1. In reviewing the emergency evacuation drill log, the center did not document any special conditions simulated, the time it took to complete the evacuation, problems encountered, if any, and weather conditions. 2. Staff #1 and Staff #2 confirmed that the drill log had missing required documentation for the emergency evacuation drill log.”

8VAC20-780-550-B

“Based on interview, it was determined that the center did not ensure that the emergency preparedness plan shall contain procedural components for the evacuation to include complete evacuation of the building. Evidence: Staff #1 and Staff #2 confirmed that when conducting monthly fire drill, the children do not evacuate the building.”

8VAC20-780-540-C

“Based on observation and interview, it was determined that the center did not have the required triangular bandages in the first aid kits. Evidence: 1. There was only one triangular bandage observed in the first aid kits. 2. Staff #1 and Staff #2 confirmed that there was only one triangular bandage in the first aid kits.”

8VAC20-780-350-C

“Based on observation and interview, it was determined that the center did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. Evidence: 1. In the preschool classroom, there was one staff member with 11 children; the youngest child in the classroom was 3 years old. The ratio for 3 year old children to staff is One staff member to Ten children. 2. Staff #3, preschool teacher, and Staff #2, assistant director, confirmed the classroom room was out of ratio.”

8VAC20-780-340-F

“Based on observation and interview, it was determined that the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. In the preschool classroom, Staff #3 left nine children in the classroom alone during naptime, in which three children were awake on their cots, to take a child to the bathroom that is located outside of the classroom. 2. Staff #1, owner, walked into the preschool classroom and confirmed that nine children were left in the classroom without adult staff supervision.”

8VAC20-780-340-A

“Based on observation and interview, it was determined that the center did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Staff #3, preschool teacher, was unaware of the number of children in their classroom. When asked how many children were present in their classroom at 11:24am, Staff #3 counted the children and turned toward the children stating, ?I have this many.? 2. There was no attendance sheet or list of children’s names in the preschool class”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined that the center did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In two of the three classrooms, there were electrical outlets that did not have protective covers. 2. Staff #2 confirmed that there were no protective covers to the electrical outlets in two of the three classrooms.”

8VAC20-780-280-B

“REPEAT VIOLATIONS Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the preschool classroom, there was a bottle labeled, bleach water, on the shelf, that was unlocked. 2. In the 2 year old classroom, there were two cans of shaving cream that have a warning label, ?Keep out of reach of children? that were unlocked and accessible to the children. 3. In the 3 year old classroom, there was a can of disinfectant on top of plastic shelf that was unlocked and in reach of children in care.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that staff records be kept for each staff person to include a telephone number of a person to be notified in an emergency which shall be kept at the center. Evidence: 1. There were no staff records at the center during the time of the inspection and there were no telephone numbers of a person for each staff to be notified in case of an emergency. 2. Staff #2, assistant director, confirmed that they had no access to the physical or the electronic records and no access to emergency contact information for each staff member at the center.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review and interview, it was determined that the center did not ensure that a separate record for each child enrolled shall contain work phone number and place of employment of each parent who has custody, address of two designated people to call in an emergency if a parent cannot be reached, and a written care plan 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. Evidence: 1. Child #1 (date of enrollment 3/28/2024) and Child #2 (Date of enrollment 3/05/2024) did not have the address for one of the two designated people to call in an emergency of a parent cannot be reached. 2. Child #1 did not have the work phone number for their mother listed. 3. Child #3 has it documented by the parent that Child #3 has a food allergy. There was no written care plan with regards to the allergy, 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.”

8VAC20-780-140-A

“Based on record review and interview, it was determined that the center did not ensure that each child have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #3, that has been in the center since 2021, did not have a physical examination in their record. 2. Staff #1 confirmed that Child #3 did not have a physical examination in their record.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation and interview, it was determined that areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. In the 3 year old classroom, there is a stained ceiling tile. 2. Each of the classrooms do not have trash cans and during the time of the inspection the garbage is placed in a large plastic garbage bag in the center of the floor in reach of children in care. This poses as a suffocation hazard.”

8VAC20-790-600-B

“Based on record review and interview, it was determined that the center did not ensure that within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. Two of the five staff members in which records were reviewed did not have the Virginia Preservice Training completed. a. Staff #2 (date of hire: 12/15/22) did not have the preservice training and was present during the time of the inspection working with children. b. Staff #3 (date of hire: 10/22/22) did not have the preservice training and was present during the time of the inspection working with children. 2. Staff #1 confirmed both Staff #2 and Staff #3 did not have their Virginia Preservice Training completed within the first 90 days of employment.”

8VAC20-790-600-D-1

“8VAC20-790-600. Based on record review and interview, it was determined that the center did not ensure that within 90 days of the date of employment that staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #2, (date of hire: 12/15/22) did not have a CPR certification and was present working with children. 2. Staff #3 (date of hire 10/22/22) did not have a CPR certification and was present working with children. 3. Staff #1 confirmed Staff #2 and Staff #3 do not have a current CPR certification and are working with children at the center”

8VAC20-770-60-C-2

“Based on record review and interview, it was determined that the center failed to ensure that the Virginia central registry results are obtained by the end of the 30th day of employment. Evidence: 1. Four of the five staff records reviewed did not have results of the Virginia Central Registry in their records. a. Staff #2 (date of hire 12/15/2022) did not have results of the Virginia Central Registry in their record. b. Staff #3 (date of hire 10/22/2022) did not have results of the Virginia Central Registry in their record. c. Staff #4 (date of hire 05/14/2021) did not have results of the Virginia Central Registry in their record. d. Staff #6 (date of hire 04/17/2023) did not have results of the Virginia Central Registry in their record. 2. Staff #1 confirmed that there were no Central Registry results for Staff #2, Staff #3, Staff #4, and Staff #6 in their records.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed 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. Staff #5 (date of hire 7/10/2023) has a tuberculosis screening dated June 29, 2021 which was not completed within the last 30 calendar days of the date of employment. 2. Staff #1 confirmed that Staff #5 did not submit documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment.”

8VAC20-780-160-C

“8VAC20-780-160.C. Based on record review and interview, it was determined that the center did not ensure that 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 shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. Staff #4 (date of hire 05/14/21) had an expired tuberculosis screening dated April 15, 2021. 2. Staff #1 confirmed that Staff #4?s tuberculosis screening was expired.”

8VAC20-780-270-A

“8VAC20-780-270. A. Based on observation and interview, it was determined that areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. In the preschool room, the children’s table has three damaged area of deterioration that poses as an injury hazard to the children in care. 2. Staff #1, the owner, confirmed that the children’s table in the preschool room is damaged.”

8VAC20-780-380-A

“Based on observation and interview, it was determined that the center did not ensure that there shall be a posted daily schedule. Evidence: 1. In 2 of the 4 classrooms at the center, there were no posted daily schedules in the two classroom. 2. Staff #1 and Staff #2 both confirmed that there were no daily schedules posted for two of the classrooms.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that the diapering area shall have a nonabsorbent surface for diapering or changing. Evidence: 1. The changing pad in the children’s bathroom has tears to the waterproof lining making it an absorbent surface for diapering and changing. 2. Staff #2 confirmed the tears to the changing pad and that it is currently being used at the center.”

8VAC20-780-530-A

“Based on record review, it was determined that the center did not ensure that at least one staff in each classroom or area where children are present shall have, within 90 days of October 13, 2021: Current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. Staff #4, lead teacher, did not have a current certification in CPR and the most current certification has an expiration date listed as June 2023. 2. Staff #4 is the only teacher in the classroom with no other staff members in the classroom that are CPR certified. 3. Staff #1 confirmed that Staff #4?s CPR certification is expired dated June 2023.”

8VAC20-780-550-G

“Based on record review and interview, it was determined that the center did not ensure that documentation shall be maintained of emergency evacuation. Evidence: 1. The emergency evacuation drill log has documentation of January 2023 and March 2023 drills. February 2023, April 2023, May 2023, and June 2023 were not documented to the emergency evacuation drill log. 2. Staff #2 confirmed that the drills from this year were not all documented.”

22.1-289.011-F

“Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Evidence: 1. The most recent monitoring inspection, dated July 6, 2022, was not posted in the facility. 2. Staff #1 confirmed that the most recent inspection was not posted in the facility.”

8VAC20-790-600-B

“Based on record review and interview, it was determined that the center did not ensure that within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. Two of the five staff members in which records were reviewed did not have the Virginia Preservice Training completed. a. Staff #2 (date of hire: 12/15/22) did not have the preservice training and was present during the time of the inspection working with children. b. Staff #3 (date of hire: 10/22/22) did not have the preservice training and was present during the time of the inspection working with children. 2. Staff #1 confirmed both Staff #2 and Staff #3 did not have their Virginia Preservice Training completed within the first 90 days of employment.”

8VAC20-790-600-D-1

“8VAC20-790-600. Based on record review and interview, it was determined that the center did not ensure that within 90 days of the date of employment that staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #2, (date of hire: 12/15/22) did not have a CPR certification and was present working with children. 2. Staff #3 (date of hire 10/22/22) did not have a CPR certification and was present working with children. 3. Staff #1 confirmed Staff #2 and Staff #3 do not have a current CPR certification and are working with children at the center”

8VAC20-770-60-C-2

“Based on record review and interview, it was determined that the center failed to ensure that the Virginia central registry results are obtained by the end of the 30th day of employment. Evidence: 1. Four of the five staff records reviewed did not have results of the Virginia Central Registry in their records. a. Staff #2 (date of hire 12/15/2022) did not have results of the Virginia Central Registry in their record. b. Staff #3 (date of hire 10/22/2022) did not have results of the Virginia Central Registry in their record. c. Staff #4 (date of hire 05/14/2021) did not have results of the Virginia Central Registry in their record. d. Staff #6 (date of hire 04/17/2023) did not have results of the Virginia Central Registry in their record. 2. Staff #1 confirmed that there were no Central Registry results for Staff #2, Staff #3, Staff #4, and Staff #6 in their records.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed 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. Staff #5 (date of hire 7/10/2023) has a tuberculosis screening dated June 29, 2021 which was not completed within the last 30 calendar days of the date of employment. 2. Staff #1 confirmed that Staff #5 did not submit documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment.”

8VAC20-780-160-C

“8VAC20-780-160.C. Based on record review and interview, it was determined that the center did not ensure that 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 shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. Staff #4 (date of hire 05/14/21) had an expired tuberculosis screening dated April 15, 2021. 2. Staff #1 confirmed that Staff #4?s tuberculosis screening was expired.”

8VAC20-780-270-A

“8VAC20-780-270. A. Based on observation and interview, it was determined that areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. In the preschool room, the children’s table has three damaged area of deterioration that poses as an injury hazard to the children in care. 2. Staff #1, the owner, confirmed that the children’s table in the preschool room is damaged.”

8VAC20-780-380-A

“Based on observation and interview, it was determined that the center did not ensure that there shall be a posted daily schedule. Evidence: 1. In 2 of the 4 classrooms at the center, there were no posted daily schedules in the two classroom. 2. Staff #1 and Staff #2 both confirmed that there were no daily schedules posted for two of the classrooms.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that the diapering area shall have a nonabsorbent surface for diapering or changing. Evidence: 1. The changing pad in the children’s bathroom has tears to the waterproof lining making it an absorbent surface for diapering and changing. 2. Staff #2 confirmed the tears to the changing pad and that it is currently being used at the center.”

8VAC20-780-530-A

“Based on record review, it was determined that the center did not ensure that at least one staff in each classroom or area where children are present shall have, within 90 days of October 13, 2021: Current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Evidence: 1. Staff #4, lead teacher, did not have a current certification in CPR and the most current certification has an expiration date listed as June 2023. 2. Staff #4 is the only teacher in the classroom with no other staff members in the classroom that are CPR certified. 3. Staff #1 confirmed that Staff #4?s CPR certification is expired dated June 2023.”

8VAC20-780-550-G

“Based on record review and interview, it was determined that the center did not ensure that documentation shall be maintained of emergency evacuation. Evidence: 1. The emergency evacuation drill log has documentation of January 2023 and March 2023 drills. February 2023, April 2023, May 2023, and June 2023 were not documented to the emergency evacuation drill log. 2. Staff #2 confirmed that the drills from this year were not all documented.”

22.1-289.011-F

“Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Evidence: 1. The most recent monitoring inspection, dated July 6, 2022, was not posted in the facility. 2. Staff #1 confirmed that the most recent inspection was not posted in the facility.”

8VAC20-780-410-1 Complaint related: No

“Based on observation, it was determined that the center did not ensure that the actions or threats thereof are forbidden: roughly handling. Evidence: 1. During observations of a classroom, Staff #2 was observed to verbally prompt Child #1 by saying " Didn't I say turn around?" to sit correctly in their chair. Staff #2 forcefully grabbed Child #2's shoulders and arms to move Child #1 correctly in the chair. Staff #2 then proceeded to lift the chair while Child #1 was still sitting in it, and carry them to another area in the room. The chair was lifted about 2 feet off the ground. 2. Video footage was taken during this incident in the classroom and the Director and Assistant Director observed the forbidden actions of Staff #1.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Evidence: 1. The most recent monitoring inspection, dated February 3, 2022, was not posted in the facility. 2. Staff #1 confirmed that the most recent inspection was not posted in the facility.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that a record for each child enrolled have the work phone number of each parent who has custody. Evidence: 1. Child #3, present at the center at the time of the inspection, did not have the work phone number of each parent who has custody listed to their record. 2. Staff #1 confirmed that Child #3 did not have the work phone number listed to the record.”

8VAC20-780-350-B-3

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements when children are in ongoing mixed age groups, the youngest child in the group shall apply to the entire group. Evidence: 1. In the center 26 children were present and combined in one group. The youngest child in the group is two years old which would make the ratio, 1 staff member to 8 children. There were three staff members present with the 26 children making the center over by two children in ratio. 2. Staff #1 confirmed the staff-to-children ratio was out of compliance.”

8VAC20-780-560-L

“Based on observation and interview, it was determined that the center did not ensure that staff sit with children during meal times. Evidence: 1. During the children’s lunch time Staff #2, Staff #3, and Staff #4 did not sit with the children during meal times. 2. Staff #1, the owner of the center, confirmed that staff did not sitting with the children during meal times.”

8VAC20-780-130-A

“Based on record review and interview, it was determined that the center did not ensure that they 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. Child #5 (dated of enrollment: 06/24/2022) did not have documentation of immunization in their record. 2. Staff #1 confirmed that Child #5 did not have documentation of their immunization record.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that each child enrolled contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: 1. Child #3, present at the center, did not have the addresses listed for the two designated people to call in case of an emergency. 2. Child #5, present at the center, has one of the two required contact information for designated people to call in an emergency. 3. Staff #1 confirmed that Child #3 and Child #5?s records did not contain the required information for their emergency contacts.”

8VAC20-790-600-B

“Based on record review and interview, it was determined that the center did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. Two of the four staff members in which records were reviewed did not have the Virginia Preservice Training completed. a. Staff #2 (date of hire: 07/21/21) did not have the preservice training and was present during the time of the inspection working with children. b. Staff #3 (date of hire: 5/21/21) did not have the preservice training and was present during the time of the inspection working with children. 2. Staff #1 confirmed both Staff #2 and Staff #3 did not have their Virginia Preservice Training completed.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the center did not ensure that within 90 days of the date of employment or 90 days from subsidy vendor approval that staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #2, (date of hire: 7/21/21) did not have a CPR certification. 2. Staff #1 confirmed Staff #2 did not have a current CPR certification.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Evidence: 1. The most recent monitoring inspection, dated February 3, 2022, was not posted in the facility. 2. Staff #1 confirmed that the most recent inspection was not posted in the facility.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that a record for each child enrolled have the work phone number of each parent who has custody. Evidence: 1. Child #3, present at the center at the time of the inspection, did not have the work phone number of each parent who has custody listed to their record. 2. Staff #1 confirmed that Child #3 did not have the work phone number listed to the record.”

8VAC20-780-350-B-3

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratio and group size requirements when children are in ongoing mixed age groups, the youngest child in the group shall apply to the entire group. Evidence: 1. In the center 26 children were present and combined in one group. The youngest child in the group is two years old which would make the ratio, 1 staff member to 8 children. There were three staff members present with the 26 children making the center over by two children in ratio. 2. Staff #1 confirmed the staff-to-children ratio was out of compliance.”

8VAC20-780-560-L

“Based on observation and interview, it was determined that the center did not ensure that staff sit with children during meal times. Evidence: 1. During the children’s lunch time Staff #2, Staff #3, and Staff #4 did not sit with the children during meal times. 2. Staff #1, the owner of the center, confirmed that staff did not sitting with the children during meal times.”

8VAC20-780-130-A

“Based on record review and interview, it was determined that the center did not ensure that they 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. Child #5 (dated of enrollment: 06/24/2022) did not have documentation of immunization in their record. 2. Staff #1 confirmed that Child #5 did not have documentation of their immunization record.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that each child enrolled contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: 1. Child #3, present at the center, did not have the addresses listed for the two designated people to call in case of an emergency. 2. Child #5, present at the center, has one of the two required contact information for designated people to call in an emergency. 3. Staff #1 confirmed that Child #3 and Child #5?s records did not contain the required information for their emergency contacts.”

8VAC20-790-600-B

“Based on record review and interview, it was determined that the center did not ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Evidence: 1. Two of the four staff members in which records were reviewed did not have the Virginia Preservice Training completed. a. Staff #2 (date of hire: 07/21/21) did not have the preservice training and was present during the time of the inspection working with children. b. Staff #3 (date of hire: 5/21/21) did not have the preservice training and was present during the time of the inspection working with children. 2. Staff #1 confirmed both Staff #2 and Staff #3 did not have their Virginia Preservice Training completed.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the center did not ensure that within 90 days of the date of employment or 90 days from subsidy vendor approval that staff have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #2, (date of hire: 7/21/21) did not have a CPR certification. 2. Staff #1 confirmed Staff #2 did not have a current CPR certification.”

8VAC20-780-160-A

“Based upon review of five staff records and staff interview, the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening. Evidence: 1. The record provided for staff whose hire date staff 5 identified as "around 1/28/2022" did not include the results of a negative tuberculosis screening 2. Staff 6 verified that results of a tuberculosis screening were not on file for staff 5..”

8VAC20-780-160-A-1

“Based upon review of five staff records and staff interview, the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening at the time of employment and before coming into contact with children. Evidence: 1. The record provided for staff 1 included documentation of a positive tuberculosis screening dated 6/4/2021. Staff 1 has been on duty with the children since May 2021 and was on duty with the children during today's inspection. 2. The record provided for staff whose hire date staff 6 identified as "around 1/28/2022" did not include the results of a negative tuberculosis screening. Staff 5 was on duty with the children during today's inspection. 3. Staff 6 verified the above documentation and that staff 1 and 5 have been on duty with the children.”

8VAC20-780-160-A-2

“Based upon review of five staff records and staff interview, the facility has not ensured that documentation of a tuberculosis screening was completed within the last 30 calendar days of the date of employment. Evidence: 1. The record provided for staff 2 indicated a hire date of 1/4/2022. The tuberculosis screening on file is dated 10/13/2021. 2. Staff 6 stated that the re-hire date for staff 3 was "round about 1/15/2022". The tuberculosis screening on file is dated 4/15/2021. 3. The record provided for staff 4 indicated a hire date of 1/10/2022. The tuberculosis screening on file is dated 10/4/2021. 4. Staff 6 verified that the timing of tuberculosis screenings above were not within 30 calendar days prior to the staff dates of employment.”

8VAC20-780-60-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the name, street address and telephone number of two persons to be contacted in an emergency when a parent cannot be reached. Evidence: 1. The record provided for child 2 did not include the complete street address for one of the two emergency contact persons. 2. Staff 6 verified that the street address for one emergency contact was not in the record for child 2.”

8VAC20-780-70

“Based upon review of five staff records and staff interview, the facility has not ensured that each staff record contains all required information/documentation. Evidence: 1. The record provided for staff 3 did not include documentation of a re-hire date. 2. The record provided for staff 5 did not include the hire date. 3. None of the five staff records provided included the address of the emergency contact person. 4. Staff 6 verified the above missing documentation.”

8VAC20-780-240-A

“Based upon review of staff records and staff interview, the facility has not ensured that the Virginia Department of Education-sponsored orientation course has been completed within 90 calendar days of employment. 1. Staff 1 was hired in May 2021 and has not completed the required orientation (preservice training) course. 2. Staff 6 verified that staff 1 has not completed the required orientation (preservice training) course.”

8VAC20-780-270-A

“Based upon observation and staff interview, the facility has not ensured that outside areas are maintained to be safe. Evidence: 1. The fenced outdoor play area was covered with many small pieces (approx: 1' x 1') of blue hard plastic and numerous cigarette butts. 2. Staff 7 acknowledged the presence of the litter and stated that the staff had not cleaned off the playground.”

8VAC20-780-500-B

“Based upon observation and staff interview, the facility has not ensured that the diaper changing area is equipped with 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: 1. The diaper disposal can by the changing table in the back bathroom was not equipped with a lid. 2. Staff 7 acknowledged that there was no lid on the diaper disposal can.”

8VAC20-780-280-B

“Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The door to the janitorial closet in classroom D was not locked. There were several gallons of bleach, Ajax, hand sanitizer and rto sanitzer, all with warning labels stored on the floor of the closet. 2. Staff 7 acknowledged that the closet door was not locked. 3. The children's bathrooms are equipped with Dermasil hand soap. The soap is labeled "caution, avoid getting into eyes".”

8VAC20-780-160-A

“Based upon review of five staff records and staff interview, the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening. Evidence: 1. The record provided for staff whose hire date staff 5 identified as "around 1/28/2022" did not include the results of a negative tuberculosis screening 2. Staff 6 verified that results of a tuberculosis screening were not on file for staff 5..”

8VAC20-780-160-A-1

“Based upon review of five staff records and staff interview, the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening at the time of employment and before coming into contact with children. Evidence: 1. The record provided for staff 1 included documentation of a positive tuberculosis screening dated 6/4/2021. Staff 1 has been on duty with the children since May 2021 and was on duty with the children during today's inspection. 2. The record provided for staff whose hire date staff 6 identified as "around 1/28/2022" did not include the results of a negative tuberculosis screening. Staff 5 was on duty with the children during today's inspection. 3. Staff 6 verified the above documentation and that staff 1 and 5 have been on duty with the children.”

8VAC20-780-160-A-2

“Based upon review of five staff records and staff interview, the facility has not ensured that documentation of a tuberculosis screening was completed within the last 30 calendar days of the date of employment. Evidence: 1. The record provided for staff 2 indicated a hire date of 1/4/2022. The tuberculosis screening on file is dated 10/13/2021. 2. Staff 6 stated that the re-hire date for staff 3 was "round about 1/15/2022". The tuberculosis screening on file is dated 4/15/2021. 3. The record provided for staff 4 indicated a hire date of 1/10/2022. The tuberculosis screening on file is dated 10/4/2021. 4. Staff 6 verified that the timing of tuberculosis screenings above were not within 30 calendar days prior to the staff dates of employment.”

8VAC20-780-60-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child's record includes the name, street address and telephone number of two persons to be contacted in an emergency when a parent cannot be reached. Evidence: 1. The record provided for child 2 did not include the complete street address for one of the two emergency contact persons. 2. Staff 6 verified that the street address for one emergency contact was not in the record for child 2.”

8VAC20-780-70

“Based upon review of five staff records and staff interview, the facility has not ensured that each staff record contains all required information/documentation. Evidence: 1. The record provided for staff 3 did not include documentation of a re-hire date. 2. The record provided for staff 5 did not include the hire date. 3. None of the five staff records provided included the address of the emergency contact person. 4. Staff 6 verified the above missing documentation.”

8VAC20-780-240-A

“Based upon review of staff records and staff interview, the facility has not ensured that the Virginia Department of Education-sponsored orientation course has been completed within 90 calendar days of employment. 1. Staff 1 was hired in May 2021 and has not completed the required orientation (preservice training) course. 2. Staff 6 verified that staff 1 has not completed the required orientation (preservice training) course.”

8VAC20-780-270-A

“Based upon observation and staff interview, the facility has not ensured that outside areas are maintained to be safe. Evidence: 1. The fenced outdoor play area was covered with many small pieces (approx: 1' x 1') of blue hard plastic and numerous cigarette butts. 2. Staff 7 acknowledged the presence of the litter and stated that the staff had not cleaned off the playground.”

8VAC20-780-500-B

“Based upon observation and staff interview, the facility has not ensured that the diaper changing area is equipped with 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: 1. The diaper disposal can by the changing table in the back bathroom was not equipped with a lid. 2. Staff 7 acknowledged that there was no lid on the diaper disposal can.”

8VAC20-780-280-B

“Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The door to the janitorial closet in classroom D was not locked. There were several gallons of bleach, Ajax, hand sanitizer and rto sanitzer, all with warning labels stored on the floor of the closet. 2. Staff 7 acknowledged that the closet door was not locked. 3. The children's bathrooms are equipped with Dermasil hand soap. The soap is labeled "caution, avoid getting into eyes".”