Great Beginnings Early Learning Center

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. Children in classroom #1 were observed near one uncovered electrical outlet that was within their reach.”

22.1-289.023-A

“The Licensee shall post the Notice of Intent dated March 24, 2025, any Violation Notice(s) attached to the Notice of lntent, and the Special Order in a prominent place at each public entrance. The violation notice dated January 13, 2025, was not posted in a prominent place at each public entrance. The violation notice dated January 13, 2025, was posted behind the inspection dated May 12, 2025, and was not attached to the Notice of Intent or the Special Order.”

8VAC20-780-440-L

“Repeat Violation Pillows and filled comforters shall not be used by children under two years of age. Child #2 (age: 22 months) was observed sleeping on a pillow in classroom #1.”

8VAC20-780-400-A

“In order to promote the child's physical, intellectual, emotional, and social well-being and growth, staff shall interact with children to provide needed help, comfort and support. During nap time in classroom #1, staff #1 did not provide needed comfort and support to child #1(age: 2 years). Staff #1 was observed telling child #1 "I can't pick you up" and walked away when child #1 was crying and reaching for staff #1. Video footage on May 28, 2025, shows staff #1 pushing child #1 away directing the child from them and to their cot.”

8VAC20-780-410-5

“The following actions or threats thereof are forbidden: forcing of rest; In classroom # 2, staff #2 was observed forcing child #4 (age: 11 months) to rest by pushing the child's head down to their crib mattress, forcing the child's legs out straight from under them and patting the child's back with force. When staff #2 walked away from the crib, child #4 stood up smiling. Video footage on May 28, 2025, in classroom #1, shows staff #1 pulling child #1 (age: 2 years) down towards their cot by their right arm and rapidly pick the child up and forcefully repositioning the child on their cot.”

8VAC20-780-370-1

“When an infant is able to easily turn over from the back (supine) to the belly (prone) position and he is placed in his crib, he shall still be put on his back (supine) but allowed to adopt whatever position he prefers. In classroom #2, child #3 (age: 13 months), was observed being laid to sleep on their belly by staff #2.”

22.1-289.023-A

“The Licensee shall post the Notice of Intent dated March 24, 2025, any Violation Notice(s) attached to the Notice of lntent, and the Special Order in a prominent place at each public entrance. The violation notice dated January 13, 2025, was not posted in a prominent place at each public entrance. The violation notice dated January 13, 2025, was posted behind the inspection dated May 12, 2025, and was not attached to the Notice of Intent or the Special Order.”

8VAC20-780-440-L

“Repeat Violation Pillows and filled comforters shall not be used by children under two years of age. Child #2 (age: 22 months) was observed sleeping on a pillow in classroom #1.”

8VAC20-780-400-A

“In order to promote the child's physical, intellectual, emotional, and social well-being and growth, staff shall interact with children to provide needed help, comfort and support. During nap time in classroom #1, staff #1 did not provide needed comfort and support to child #1(age: 2 years). Staff #1 was observed telling child #1 "I can't pick you up" and walked away when child #1 was crying and reaching for staff #1. Video footage on May 28, 2025, shows staff #1 pushing child #1 away directing the child from them and to their cot.”

8VAC20-780-410-5

“The following actions or threats thereof are forbidden: forcing of rest; In classroom # 2, staff #2 was observed forcing child #4 (age: 11 months) to rest by pushing the child's head down to their crib mattress, forcing the child's legs out straight from under them and patting the child's back with force. When staff #2 walked away from the crib, child #4 stood up smiling. Video footage on May 28, 2025, in classroom #1, shows staff #1 pulling child #1 (age: 2 years) down towards their cot by their right arm and rapidly pick the child up and forcefully repositioning the child on their cot.”

8VAC20-780-370-1

“When an infant is able to easily turn over from the back (supine) to the belly (prone) position and he is placed in his crib, he shall still be put on his back (supine) but allowed to adopt whatever position he prefers. In classroom #2, child #3 (age: 13 months), was observed being laid to sleep on their belly by staff #2.”

8VAC20-780-440-L

“Pillows and filled comforters shall not be used by children under two years of age. Child #1 (age: 8 months) was observed sleeping on a boppy pillow on a classroom mat in classroom #2. The tag on the boppy pillow states "Do not use for sleeping". Staff #1 and Staff #2 stated that the child does not sleep in a crib and regularly sleeps on the boppy pillow.”

8VAC20-780-270-A

“Repeat Violation and Systemic Deficiency Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Four cots used for nap time in classroom #1 were torn and fraying.”

8VAC20-780-440-L

“Pillows and filled comforters shall not be used by children under two years of age. Child #1 (age: 8 months) was observed sleeping on a boppy pillow on a classroom mat in classroom #2. The tag on the boppy pillow states "Do not use for sleeping". Staff #1 and Staff #2 stated that the child does not sleep in a crib and regularly sleeps on the boppy pillow.”

8VAC20-780-270-A

“Repeat Violation and Systemic Deficiency Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Four cots used for nap time in classroom #1 were torn and fraying.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before eating meals and children’s hands shall be washed with soap and running water after toileting. Staff shall wash their hands with soap and running water before and after a diaper change and before preparing or serving food or beverages. In classroom #1, the children were playing with toys then sat down to eat lunch and did not wash hands. In classroom #1, staff #3 and staff #4 did not wash their hands before serving food. Video footage on 03/26/2025 of classroom #2 showed staff #1 not wash the hands of child #2 (age: 22 months) and child #3 (age: 23 months) hands after changing their diapers and returning the children to their group. Video footage on 03/26/2025 of classroom #2 showed staff #1 not wash their hands before diapering child #3.”

8VAC20-780-400-B

“Repeat Violation Behavioral guidance shall be constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. On 03/26/2025, video footage of classroom #3s transition to classroom #4, showed child #1 (age: 5 years) playing, cleaning up toys and then sitting back down when the class was to line up. Staff #2 approaches the child; the child stands up and staff #2 shoved child #1 from behind. Staff #2 grabbed child #1 by the lower left arm and pulled child #1 towards the children lining up at the classroom door. Child #1 pulled away from staff #2 and then staff #2 grabbed child #1 from behind by grabbing both the child’s upper arms and held their upper arms until the child exited the classroom. This behavioral guidance is neither constructive in nature nor age and stage appropriate.”

8VAC20-780-340-A

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. On 03/26/2025, video footage of a classroom transition showed staff #2 shove child #1 (age: 5 years) from behind, staff #2 grabbed child #1 by the left lower arm and pulled child #1 towards the children lining up at the classroom door. Child #1 pulled away from staff #2, staff #2 grabbed child #1 from behind by grabbing both the childs upper arms and held the child by their upper arms until the child exited the classroom. Staff # 2 did not ensure the care, protection and guidance of child #1.”

8VAC20-780-270-A

“Repeat Violation and Systemic Deficiency The center shall ensure that areas and equipment of the center, inside, are maintained in a safe and operable condition. In classroom #3, located on the 2nd story, an open window had a tear in the screen. Child #4 (age: 3 years) was observed lifting one leg up on to the windowsill of the open window. The opening of the window measured approximately 2ft 3in in length, approximately 2ft 3in in width and the open window was approximately 2ft 1.5in from the ground to windowsill.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #5, employed for 3 days, did not have documentation of requesting a criminal history check from one state.”

8VAC20-780-410-1

“Repeat Violation The following actions thereof are forbidden: roughly handling a child. On 03/26/2025, video footage of a classroom transition showed staff #2 shove child #1 (age: 5 years). Staff #2 roughly grabbed child #1 by the left lower arm and pulled child #1 towards the children lining up at the classroom door. Staff #2 roughly grabbed child #1 from behind by grabbing both the child’s upper arms and held the child by their upper arms until the child exited the classroom.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 01/08/2025, video footage of circle time showed child #1 (age 2) fall on a friend, staff #3 roughly picked up child #1 under the arms and put the child down in another spot. On 01/09/2025, video footage of circle time showed staff #1 roughly grab child #1 under the arms and move child #1 to the other side of the carpet. Child #2 (age 2) crawled up to staff #1s lap, staff #1 pushed child #2 off of their lap. Staff #1 grabbed child #3 (age 2) by their shirt and pulled child #3 back to a sitting position. On 01/09/2025, video footage showed staff #2 grab child #4 (age 2) by the wrist and roughly pull the child up off of the ground to a standing position and pulled the child across the room to the bathroom. On 01/13/2025, video footage of nap time showed staff #4 pick child #4 up off of the ground by their left arm and left leg and put the child back on their cot. Child #2 picked their head up off of their cot and staff #4 put child #2s blanket back on them and pushed their head down to the cot.”

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

“Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #1, who did not meet lead teacher qualifications, was alone with a group of toddler aged children at the time of inspection.”

8VAC20-780-400-B Complaint related: No

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On 01/08/2025, video footage of circle time showed child #1 (age 2) fall on a friend, staff #3 roughly picked up child #1 under the arms and put the child down in another spot. On 01/09/2025, video footage of circle time showed staff #1 roughly grab child #1 under the arms and move child #1 to the other side of the carpet. Child #2 (age 2) crawled up to staff #1s lap, staff #1 pushed child #2 off of their lap. Staff #1 grabbed child #3 (age 2) by their shirt and pulled child #3 back to a sitting position. On 01/09/2025, video footage showed staff #2 grab child #4 (age 2) by the wrist and roughly pull the child up off of the ground to a standing position and pulled the child across the room to the bathroom. On 01/13/2025, video footage of nap time showed staff #4 pick child #4 up off of the ground by their left arm and left leg and put the child back on their cot. Child #2 picked their head up off of their cot and staff #4 put child #2s blanket back on them and pushed their head down to the cot.”

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

“The following actions thereof are forbidden: roughly handling a child. On 01/08/2025, video footage of circle time showed child #1 (age 2) fall on a friend, staff #3 roughly picked up child #1 under the arms and put the child down in another spot. On 01/09/2025, video footage of circle time showed staff #1 roughly grab child #1 under the arms and move child #1 to the other side of the carpet. Child #2 (age 2) crawled up to staff #1s lap, staff #1 pushed child #2 off of their lap. Staff #1 grabbed child #3 (age 2) by their shirt and pulled child #3 back to a sitting position. On 01/09/2025, video footage showed staff #2 grab child #4 (age 2) by the wrist and roughly pull the child up off of the ground to a standing position and pulled the child across the room to the bathroom. On 01/13/2025, video footage of nap time showed staff #4 pick child #4 up off of the ground by their left arm and left leg and put the child back on their cot. Child #2 picked their head up off of their cot and staff #4 put child #2s blanket back on them and pushed their head down to the cot.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Children ages sixteen months to three years were served whole meatballs.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, outside, are maintained in a clean, safe and operable condition. There was a Cozy Coupe on the playground with a missing door that exposed sharp plastic.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Children ages sixteen months to three years were served whole meatballs.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, outside, are maintained in a clean, safe and operable condition. There was a Cozy Coupe on the playground with a missing door that exposed sharp plastic.”

22.1-289.035-B-4

“Based on record review, the child day center failed to obtain a copy of a criminal history record information check from any state in which the individual has resided in the preceding five years. Evidence: 1) Applicant #7 did not have a record of an out of state criminal history record information check from any state in which the individual has resided in the preceding five years on file. 2) Applicant #8 did not have a record of an out of state criminal history record information check from any state in which the individual has resided in the preceding five years on file.”

8VAC20-780-290-A-3

“Based on observation and interview, the center did not ensure that electrical outlets had protective covers. Evidence: 1) In the Penguins classroom, one outlet was observed without a protective cover. 2) Staff #6 acknowledged that the outlet was missing a protective cover.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside, were maintained in a clean, safe, and operable condition. Evidence: 1) In the Lambs 2 Classroom, a plastic yellow toy bin on a lower toy shelf (accessible to children) had a cracked edge exposing sharp pieces of plastic.”

22.1-289.035-B-4

“Based on record review, the child day center failed to obtain a copy of a criminal history record information check from any state in which the individual has resided in the preceding five years. Evidence: 1) Applicant #7 did not have a record of an out of state criminal history record information check from any state in which the individual has resided in the preceding five years on file. 2) Applicant #8 did not have a record of an out of state criminal history record information check from any state in which the individual has resided in the preceding five years on file.”

8VAC20-780-290-A-3

“Based on observation and interview, the center did not ensure that electrical outlets had protective covers. Evidence: 1) In the Penguins classroom, one outlet was observed without a protective cover. 2) Staff #6 acknowledged that the outlet was missing a protective cover.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside, were maintained in a clean, safe, and operable condition. Evidence: 1) In the Lambs 2 Classroom, a plastic yellow toy bin on a lower toy shelf (accessible to children) had a cracked edge exposing sharp pieces of plastic.”

8VAC20-780-340-D

“Based on observation and record review, the center failed to ensure that each grouping of children had at least one staff member who meets the qualifications of a program leader. Evidence: 1. Staff #2 was observed working alone in the Cubs classroom. Staff #2 stated that Staff #7 is the lead teacher in the Cubs classroom, but was absent. Staff #2 and Staff #7 are not lead qualified. 2. Staff# 4 was observed working alone in the Penguins classroom and is the Lead teacher of the room. Staff #4 is not lead qualified. 3. Staff #5 and Staff #12 were observed in the Lambs 2 classroom. Staff #5 is the Lead teacher of the room. Staff #5 and Staff #12 are not lead qualified. 4. Staff #11 and Staff#13 were observed working in the Lambs 1 classroom. Staff #11 is the Lead teacher of the room. Staff #11 and Staff #13 are not lead qualified.”

8VAC20-780-520-C

“Based on observation, the center failed to meet all requirements when diaper ointment was used. Evidence: A diaper ointment belonging to Child #1 was not labeled with the child’s name.”

8VAC20-780-210-A

“Based on record review, the center failed to ensure that all program leaders met the qualifications: Evidence: 1. Staff #1 stated that Staff #3, Staff #4 and Staff #5 were lead teachers. 2. Staff #3, Staff #4 and Staff #5 did not meet program leader qualifications.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, areas inside were not maintained in a safe and clean condition. Evidence: Mouse droppings were observed on the floor in the Penguins classroom.”

8VAC20-780-260-B

“Based on record review and staff interview, the center failed to obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system. Evidence: The center did not obtain approval from the health department for meeting requirements for water supply and sewage disposal system.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s and staff hands were washed with soap and running water after a diaper change. Evidence: 1. Staff #13 was observed changing Child #6?s diaper. 2. Child #6?s hands were not washed after the diaper change. 3. Staff #13 was observed using hand sanitizer after the diaper change.”

8VAC20-780-520-A

“Based on observation, the center kept over-the-counter skin products beyond the expiration date of the product. Evidence: 1. A healing ointment located in the Ducks classroom expired September 2023. 2. A diaper rash cream located in the Ducks classroom expired May 2023.”

8VAC20-780-60-A

“Based on record review, the center failed to obtain all information for children’s records. Evidence: Child #4?s record did not contain a name, address and phone number of two designated people to call in an emergency.”

8VAC20-780-340-D

“Based on observation and record review, the center failed to ensure that each grouping of children had at least one staff member who meets the qualifications of a program leader. Evidence: 1. Staff #2 was observed working alone in the Cubs classroom. Staff #2 stated that Staff #7 is the lead teacher in the Cubs classroom, but was absent. Staff #2 and Staff #7 are not lead qualified. 2. Staff# 4 was observed working alone in the Penguins classroom and is the Lead teacher of the room. Staff #4 is not lead qualified. 3. Staff #5 and Staff #12 were observed in the Lambs 2 classroom. Staff #5 is the Lead teacher of the room. Staff #5 and Staff #12 are not lead qualified. 4. Staff #11 and Staff#13 were observed working in the Lambs 1 classroom. Staff #11 is the Lead teacher of the room. Staff #11 and Staff #13 are not lead qualified.”

8VAC20-780-520-C

“Based on observation, the center failed to meet all requirements when diaper ointment was used. Evidence: A diaper ointment belonging to Child #1 was not labeled with the child’s name.”

8VAC20-780-210-A

“Based on record review, the center failed to ensure that all program leaders met the qualifications: Evidence: 1. Staff #1 stated that Staff #3, Staff #4 and Staff #5 were lead teachers. 2. Staff #3, Staff #4 and Staff #5 did not meet program leader qualifications.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, areas inside were not maintained in a safe and clean condition. Evidence: Mouse droppings were observed on the floor in the Penguins classroom.”

8VAC20-780-260-B

“Based on record review and staff interview, the center failed to obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system. Evidence: The center did not obtain approval from the health department for meeting requirements for water supply and sewage disposal system.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s and staff hands were washed with soap and running water after a diaper change. Evidence: 1. Staff #13 was observed changing Child #6?s diaper. 2. Child #6?s hands were not washed after the diaper change. 3. Staff #13 was observed using hand sanitizer after the diaper change.”

8VAC20-780-520-A

“Based on observation, the center kept over-the-counter skin products beyond the expiration date of the product. Evidence: 1. A healing ointment located in the Ducks classroom expired September 2023. 2. A diaper rash cream located in the Ducks classroom expired May 2023.”

8VAC20-780-60-A

“Based on record review, the center failed to obtain all information for children’s records. Evidence: Child #4?s record did not contain a name, address and phone number of two designated people to call in an emergency.”

8VAC20-780-340-D

“Based on observation and record review, the center failed to ensure that each grouping of children had at least one staff member who meets the qualifications of a program leader. Evidence: 1. Staff #2 was observed working alone in the Cubs classroom. Staff #2 stated that Staff #7 is the lead teacher in the Cubs classroom, but was absent. Staff #2 and Staff #7 are not lead qualified. 2. Staff# 4 was observed working alone in the Penguins classroom and is the Lead teacher of the room. Staff #4 is not lead qualified. 3. Staff #5 and Staff #12 were observed in the Lambs 2 classroom. Staff #5 is the Lead teacher of the room. Staff #5 and Staff #12 are not lead qualified. 4. Staff #11 and Staff#13 were observed working in the Lambs 1 classroom. Staff #11 is the Lead teacher of the room. Staff #11 and Staff #13 are not lead qualified.”

8VAC20-780-520-C

“Based on observation, the center failed to meet all requirements when diaper ointment was used. Evidence: A diaper ointment belonging to Child #1 was not labeled with the child’s name.”

8VAC20-780-210-A

“Based on record review, the center failed to ensure that all program leaders met the qualifications: Evidence: 1. Staff #1 stated that Staff #3, Staff #4 and Staff #5 were lead teachers. 2. Staff #3, Staff #4 and Staff #5 did not meet program leader qualifications.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, areas inside were not maintained in a safe and clean condition. Evidence: Mouse droppings were observed on the floor in the Penguins classroom.”

8VAC20-780-260-B

“Based on record review and staff interview, the center failed to obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system. Evidence: The center did not obtain approval from the health department for meeting requirements for water supply and sewage disposal system.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s and staff hands were washed with soap and running water after a diaper change. Evidence: 1. Staff #13 was observed changing Child #6?s diaper. 2. Child #6?s hands were not washed after the diaper change. 3. Staff #13 was observed using hand sanitizer after the diaper change.”

8VAC20-780-520-A

“Based on observation, the center kept over-the-counter skin products beyond the expiration date of the product. Evidence: 1. A healing ointment located in the Ducks classroom expired September 2023. 2. A diaper rash cream located in the Ducks classroom expired May 2023.”

8VAC20-780-60-A

“Based on record review, the center failed to obtain all information for children’s records. Evidence: Child #4?s record did not contain a name, address and phone number of two designated people to call in an emergency.”

8VAC20-780-270-A Complaint related: Yes

“REPEAT VIOLATION Based on observation and staff interview, areas of the center were not maintained in a safe and clean condition. Evidence: 1. Mouse droppings were observed in the following areas of the center. a. In the Penguins classroom on a toy shelf by the emergency exit door, on a green chair by the cots, and on the floor by the trash can. b. In the Ducks classroom, on two toy shelves by the windows, on three sets of cubbies, and on the floor in front of a cubby set. c. In the Cubs classroom, at the bottom of the cubbies. 2. Staff #1 stated that they saw mouse droppings in the Ducks classroom and called pest control that morning. 3. Staff #2 stated that they saw mouse droppings in a classroom approximately 2 weeks ago. 4. Staff #3 stated that they have been aware of mouse problems for approximately six months and mouse traps have been placed in classrooms. 5. Staff #4 stated that a mouse was spotted in the first floor break area approximately two months ago. 6. On August 21, 2023, a staff member was observed sweeping up mouse droppings by [name]”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a criminal history record check for a staff member, from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #1?s (start date: 10/26/2021) record indicated that they resided out of state in the preceding five years. 2. Staff #1?s record does not contain results of an out-of-state criminal history record check.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Cubs classroom, there was a bottle of adhesive remover (warning label states to keep out of reach of children) at the bottom of an unlocked storage cabinet, accessible to children.”

8VAC20-770-60-B

“Based on record review, an employee of the center was employed before the center had the person’s completed sworn statement. Evidence: At the time of inspection, Staff #2 (start date 05/01/2023) did not have a sworn disclosure statement on file.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #1?s (age: 13 months) most recent documentation of immunizations was dated 08/05/2022. 2. Child #3?s (age: 16 months) most recent documentation of immunizations was dated 04/26/2022. 3. Child #4?s (age: 23 months) most recent documentation of immunizations was dated 08/15/2022.”

8VAC20-780-350-B-4

“Based on observation, the staff-to-children ratios were not always maintained whenever children were in care. Evidence: The Cubs classroom (3-5 year olds) had a ratio of one staff member with eleven children from approximately 9:15 a.m. to approximately 10:30 a.m., leaving the classroom out of ratio.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a criminal history record check for a staff member, from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #1?s (start date: 10/26/2021) record indicated that they resided out of state in the preceding five years. 2. Staff #1?s record does not contain results of an out-of-state criminal history record check.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Cubs classroom, there was a bottle of adhesive remover (warning label states to keep out of reach of children) at the bottom of an unlocked storage cabinet, accessible to children.”

8VAC20-770-60-B

“Based on record review, an employee of the center was employed before the center had the person’s completed sworn statement. Evidence: At the time of inspection, Staff #2 (start date 05/01/2023) did not have a sworn disclosure statement on file.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #1?s (age: 13 months) most recent documentation of immunizations was dated 08/05/2022. 2. Child #3?s (age: 16 months) most recent documentation of immunizations was dated 04/26/2022. 3. Child #4?s (age: 23 months) most recent documentation of immunizations was dated 08/15/2022.”

8VAC20-780-350-B-4

“Based on observation, the staff-to-children ratios were not always maintained whenever children were in care. Evidence: The Cubs classroom (3-5 year olds) had a ratio of one staff member with eleven children from approximately 9:15 a.m. to approximately 10:30 a.m., leaving the classroom out of ratio.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There were two spots of chipped purple paint located near the window in the ?Penguins? classroom. 2. There were five spots of chipped pink paint located on the half wall in the ?Lambs? classroom. 3. There was a broken piece of the vinyl gate with sharp edges, located towards the bottom of the gate door on the playground.”

8VAC20-780-60-A-8

“Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy. Evidence: 1. Child #1?s record indicates an allergy to dairy. There was no allergy care plan on file. 2. Child #4?s record indicates an allergy to eggs. There was no allergy care plan on file.”

8VAC20-780-160-C

“Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening. Evidence: Staff #4?s most recent tuberculosis screening on file was dated 03/16/2020.”

8VAC20-780-440-E

“Based on observation, there was not 30 inches of space between service sides of occupied cribs and other furniture. Evidence: 1. At the time of inspection, a crib occupied by Child #5 and a crib occupied by Child #6 were approximately 4 inches apart. 2. At the time of inspection, a crib occupied by Child #6 and a crib occupied by Child #7 were approximately 2 inches apart. 3. At the time of inspection, a crib occupied by Child #3 and a crib occupied by Child #8 were approximately 1 inch apart.”

8VAC20-780-570-B

“Based on observation, bottles were used while the child was in their designated sleeping location. Evidence: 1. During the inspection, Child #2 was observed drinking a bottle while in their crib. 2. During the inspection, Child #8 was observed drinking a bottle while in their crib.”

22.1-289.035-B-4

“Based on record review, the center did not obtain a copy of the results of a criminal history record check for a staff member from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #2 (start date: 05/12/2021) has resided out of state in the preceding five years. An out-of-state criminal history record check was not obtained. 2. Staff #4 (start date: 08/26/2020) has resided out of state in the preceding five years. An out-of-state criminal history record check was not obtained.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There were two spots of chipped purple paint located near the window in the ?Penguins? classroom. 2. There were five spots of chipped pink paint located on the half wall in the ?Lambs? classroom. 3. There was a broken piece of the vinyl gate with sharp edges, located towards the bottom of the gate door on the playground.”

8VAC20-780-60-A-8

“Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy. Evidence: 1. Child #1?s record indicates an allergy to dairy. There was no allergy care plan on file. 2. Child #4?s record indicates an allergy to eggs. There was no allergy care plan on file.”

8VAC20-780-160-C

“Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening. Evidence: Staff #4?s most recent tuberculosis screening on file was dated 03/16/2020.”

8VAC20-780-440-E

“Based on observation, there was not 30 inches of space between service sides of occupied cribs and other furniture. Evidence: 1. At the time of inspection, a crib occupied by Child #5 and a crib occupied by Child #6 were approximately 4 inches apart. 2. At the time of inspection, a crib occupied by Child #6 and a crib occupied by Child #7 were approximately 2 inches apart. 3. At the time of inspection, a crib occupied by Child #3 and a crib occupied by Child #8 were approximately 1 inch apart.”

8VAC20-780-570-B

“Based on observation, bottles were used while the child was in their designated sleeping location. Evidence: 1. During the inspection, Child #2 was observed drinking a bottle while in their crib. 2. During the inspection, Child #8 was observed drinking a bottle while in their crib.”

22.1-289.035-B-4

“Based on record review, the center did not obtain a copy of the results of a criminal history record check for a staff member from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #2 (start date: 05/12/2021) has resided out of state in the preceding five years. An out-of-state criminal history record check was not obtained. 2. Staff #4 (start date: 08/26/2020) has resided out of state in the preceding five years. An out-of-state criminal history record check was not obtained.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There were two spots of chipped purple paint located near the window in the ?Penguins? classroom. 2. There were five spots of chipped pink paint located on the half wall in the ?Lambs? classroom. 3. There was a broken piece of the vinyl gate with sharp edges, located towards the bottom of the gate door on the playground.”

8VAC20-780-60-A-8

“Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy. Evidence: 1. Child #1?s record indicates an allergy to dairy. There was no allergy care plan on file. 2. Child #4?s record indicates an allergy to eggs. There was no allergy care plan on file.”

8VAC20-780-160-C

“Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening. Evidence: Staff #4?s most recent tuberculosis screening on file was dated 03/16/2020.”

8VAC20-780-440-E

“Based on observation, there was not 30 inches of space between service sides of occupied cribs and other furniture. Evidence: 1. At the time of inspection, a crib occupied by Child #5 and a crib occupied by Child #6 were approximately 4 inches apart. 2. At the time of inspection, a crib occupied by Child #6 and a crib occupied by Child #7 were approximately 2 inches apart. 3. At the time of inspection, a crib occupied by Child #3 and a crib occupied by Child #8 were approximately 1 inch apart.”

8VAC20-780-570-B

“Based on observation, bottles were used while the child was in their designated sleeping location. Evidence: 1. During the inspection, Child #2 was observed drinking a bottle while in their crib. 2. During the inspection, Child #8 was observed drinking a bottle while in their crib.”

22.1-289.035-B-4

“Based on record review, the center did not obtain a copy of the results of a criminal history record check for a staff member from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #2 (start date: 05/12/2021) has resided out of state in the preceding five years. An out-of-state criminal history record check was not obtained. 2. Staff #4 (start date: 08/26/2020) has resided out of state in the preceding five years. An out-of-state criminal history record check was not obtained.”