Groomed for Greatness Learning Center II

8VAC20-780-40-M

“Based on observation and interview it was determined the center did not ensure that the current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan was dated. Evidence: 1 The posted allergy lists in four classrooms was not dated. 2. The Director confirmed a date was not on the allergy lists.”

8VAC20-780-245-H

“Based on observation, record review and interview it was determined the facility did not ensure staff received training on the recommended care requirements related to the care and development of children with special needs. Evidence: 1. Child #6 had documentation of special needs and ASD. 2. Staff #3 and Staff #6 who worked directly with the child stated the center had not provided training related to the care and development of child #6. 3.The Director confirmed staff had not received training related to the care and development of child #6.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a clean, safe and operable condition. Evidence: 1. In the two year old classroom a three tier toy shelf was leaning to the right and wobbled when touched creating a tipping hazard. 2. .In the toddler room a corner of the wooden toy cubby had broken wood that caused sharp edges creating a splinter/scratch hazard. 3. In the two year old classroom a sheet on a cot was torn in 2 places causing an entanglement hazard. 4. In the school age and the three and four year old classroom two carpets were dirty and frayed. Frayed carpets can cause a tripping hazard.”

8VAC20-780-350-B-2

“Based on observations, record review and interviews it was determined that the facility did not ensure that the staff-to-child ratio of 1:5 for children ages 16-24 months was maintained. Evidence: 1.From 9:50am to 10:00am on 7/27/023, Staff #5 was caring for 7 children ages 16 ? 24 months old alone. The number and ages of the children required two staff to be present. The Director confirmed the classroom ratio was not maintained.”

8VAC20-780-400-A

“A. Based on observation and interviews it was determined that the facility did not ensure staff shall interact with the child to provide needed help, comfort and support:. Evidence: 1.In the toddler classroom with children ages 16-24 months, Staff #5 was heard repeatedly saying in a loud, hard tone ?stop?, ?no, no, no?, ?no stop doing that? , ?get out of your shirt?. 2. A child was following Staff #5 in distress and crying. Staff #5 responded to the crying child in a hard tone ?you?re just going to have to wait a minute?. 3. The child became more distressed and continued to cry.”

8VAC20-780-500-A

“Based on observation it was determined that the facility did not ensure that children’s hands are washed before and after meals and snacks. Evidence: In the toddler room a child came into the center with food. The child was seated at the table to eat without having washed hands.”

8VAC20-780-500-B

“Based on observation and interviews it was determined that the facility did not ensure that diapers were disposed of in a storage system that is either foot operated or used in such a way that neither the staff members hand nor the soiled diaper touches an exterior surface of the disposal system. Evidence: 1.In the infant room the lid of the foot operated diaper pail did not lift. Staff #1 confirmed that the system was not operating properly and that the lid would not lift unless a hand was used.”

8VAC20-780-440-I

“Based on observation and interviews it was determined that the facility did not ensure that cribs are placed where objects outside the crib are not within reach of children. Evidence: 1, A plastic gate/fence system used to divide two classrooms(approximately 12? long) was secured with packing tape to a crib. 2.Tape was stretched between 2-3 of the crib spindles inside the crib and within reach of children, creating a suffocation/choking hazard. 3.Staff # 1 confirmed the crib is used for Child #5 who was present during the inspection.”

8VAC20-780-40-M

“Based on observation and interview it was determined the center did not ensure that the current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan was dated. Evidence: 1 The posted allergy lists in four classrooms was not dated. 2. The Director confirmed a date was not on the allergy lists.”

8VAC20-780-245-H

“Based on observation, record review and interview it was determined the facility did not ensure staff received training on the recommended care requirements related to the care and development of children with special needs. Evidence: 1. Child #6 had documentation of special needs and ASD. 2. Staff #3 and Staff #6 who worked directly with the child stated the center had not provided training related to the care and development of child #6. 3.The Director confirmed staff had not received training related to the care and development of child #6.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a clean, safe and operable condition. Evidence: 1. In the two year old classroom a three tier toy shelf was leaning to the right and wobbled when touched creating a tipping hazard. 2. .In the toddler room a corner of the wooden toy cubby had broken wood that caused sharp edges creating a splinter/scratch hazard. 3. In the two year old classroom a sheet on a cot was torn in 2 places causing an entanglement hazard. 4. In the school age and the three and four year old classroom two carpets were dirty and frayed. Frayed carpets can cause a tripping hazard.”

8VAC20-780-350-B-2

“Based on observations, record review and interviews it was determined that the facility did not ensure that the staff-to-child ratio of 1:5 for children ages 16-24 months was maintained. Evidence: 1.From 9:50am to 10:00am on 7/27/023, Staff #5 was caring for 7 children ages 16 ? 24 months old alone. The number and ages of the children required two staff to be present. The Director confirmed the classroom ratio was not maintained.”

8VAC20-780-400-A

“A. Based on observation and interviews it was determined that the facility did not ensure staff shall interact with the child to provide needed help, comfort and support:. Evidence: 1.In the toddler classroom with children ages 16-24 months, Staff #5 was heard repeatedly saying in a loud, hard tone ?stop?, ?no, no, no?, ?no stop doing that? , ?get out of your shirt?. 2. A child was following Staff #5 in distress and crying. Staff #5 responded to the crying child in a hard tone ?you?re just going to have to wait a minute?. 3. The child became more distressed and continued to cry.”

8VAC20-780-500-A

“Based on observation it was determined that the facility did not ensure that children’s hands are washed before and after meals and snacks. Evidence: In the toddler room a child came into the center with food. The child was seated at the table to eat without having washed hands.”

8VAC20-780-500-B

“Based on observation and interviews it was determined that the facility did not ensure that diapers were disposed of in a storage system that is either foot operated or used in such a way that neither the staff members hand nor the soiled diaper touches an exterior surface of the disposal system. Evidence: 1.In the infant room the lid of the foot operated diaper pail did not lift. Staff #1 confirmed that the system was not operating properly and that the lid would not lift unless a hand was used.”

8VAC20-780-440-I

“Based on observation and interviews it was determined that the facility did not ensure that cribs are placed where objects outside the crib are not within reach of children. Evidence: 1, A plastic gate/fence system used to divide two classrooms(approximately 12? long) was secured with packing tape to a crib. 2.Tape was stretched between 2-3 of the crib spindles inside the crib and within reach of children, creating a suffocation/choking hazard. 3.Staff # 1 confirmed the crib is used for Child #5 who was present during the inspection.”

8VAC20-780-70 Complaint related: No

“Based on record review and interview, it was determined that the center did not ensure that for staff hired after March 1, 1996, documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. Staff #2 (date of hire 7/20/22) did not contain two required reference checks to their record. 2. Staff #1, Director, confirmed there were no references to Staff #2's record.”

22.1-289.035-B-4 Complaint related: No

“Based on record review and interview, it was determined that the center did not ensure that they obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. 1. Staff #2 (date of hire 7/20/22) did not contain documentation of a completed child abuse and neglect registry check. 2. Staff #1 confirmed that there was no CPS registry check for Staff #2.”

8VAC20-780-520-C

“Based on observation and interview, it was determined that the licensee did not ensure that topical ointments are labeled with the child’s name. Evidence: 1. There was a container of Destin and a container of A & D ointment in the cabinet over the sink in the Two’s classroom that did not have a child’s name on either container. 2. Staff #6 (Program Director) confirmed that the two containers of diaper ointment were not labeled with a child’s name.”

8VAC20-780-540-C

“Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that there is a first kit on the facility's vehicle used for transporting children that contain all of the required items. Evidence: 1. The first aid kit for white van that used for transporting the children to and from field trips did not contain a thermometer, scissors, tweezers and triangle bandages. 2. Staff #6 (Program Director) confirmed that the first aid kit for the white van used for transporting the children did not contain all of the required items.”

8VAC20-780-540-E

“Based on a review of the emergency supplies at the center, it was determined that the licensee did not ensure that there is one working battery-operated radio in each building used by children. Evidence: 1. There was not a working battery-operated radio available during the inspection. 2. Staff #6 (Program Director) could not find batteries during the inspection to demonstrate that the battery-operated radio was working.”

8VAC20-780-560-G

“Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The Licensing Inspector observed two cups in the refrigerator in the Toddler/Infant classroom that were not labeled with the child’s name or date. 2. Staff #3 confirmed that the two cups were not labeled with the child’s name or date.”

8VAC20-780-570-C

“Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child's feeding schedule and brand of formula. Evidence: 1. There was no documentation of a feeding schedule for each child and the brand of formula. 2. The staff present in the Infant classroom confirmed that there was not documentation of a feeding schedule for each child who is on formula and the name brand of the formula”

8VAC20-780-570-I

“Based on observation and interview, it was determined that the licensee did not that a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. Evidence: 1. There was not a one day’s emergency supply disposable bottles, nipples, and commercial formulas at the center during the inspection. 2. Staff #3 confirmed that there was not a one day’s emergency supply disposable bottles, nipples, and commercial formulas at the center during the inspection”

8VAC20-780-280-G

“Based on observation and interview, it was determined that the facility did not ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers. Evidence: 1. There was an unlabeled bottle with a clear liquid in the cabinet over the sink in the Two year old classroom. 2. When asked what the liquid was, staff #6 (Program Director) stated it was the sanitizer used during the cleaning process, and confirmed that it was not labeled.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The results from the most recent inspection (1/20/22) was not posted anywhere in the facility. 2. When asked if the results from the most recent inspection were posted, staff #6 (Program Director) confirmed that the results were not posted.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the licensee did not ensure that a nonabsorbent surface is used for diapering. Evidence: 1. Both diaper changing pads in the Infant classroom had a tear. 2. The Infant room staff confirmed that the diaper changing surface was not nonabsorbent due to the tear in the changing pad.”

8VAC20-780-440-B

“Based on observation it was determined that the licensee did not ensure that that a crib shall be provided for children in care and identified for use by a specific child. Evidence: 1. Only three of eight cribs present were identified for use by a single child. 2. Staff #3 confirmed that all of the cribs were not labeled for use by a specific child.”

8VAC20-780-380-A

“Based on observation and interview, it was determined that the licensee did not ensure that shall be a posted daily schedule that allows for flexibility as children's needs require. Evidence: 1. The daily schedule for the Preschool classroom was not posted anywhere in the classroom. 2. Staff #1 confirmed that the daily schedule was not posted anywhere in the classroom.”

8VAC20-780-350-B-1

“Based on observation and interviews, it was determined that the facility did not ensure that for children the ratio of one staff member for every four children is maintained at all times children are in care. Evidence: 1. When the Licensing Inspector arrived at the facility at 10:15am, there were 15 children in care with three staff present in the Infant/Toddler classroom. 2. When staff #3 was asked the age of the youngest child, she stated two months. 4. Staff #6 (Program Director) confirmed that the facility did not maintain the required staff-to-child ratio in the Infant/Toddler classroom.”

8VAC20-780-160-A

“Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and shall have been completed in the last 30 calendar days. Evidence: 1. The record for staff #4(date of hire 7/1/22) contained documentation of a negative tuberculosis screening that was dated 7/5/22. 2. Staff #6 (Program Director) reviewed the record for staff #4, and confirmed that the tuberculosis screening had not been completed prior to employment”

8VAC20-780-60-A

“Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #1 did not contain the address and phone number for the first emergency contact and the address for the second emergency contact. 2. The record for child #4 did not contain name, address and phone number for two emergency contacts. 3. Staff #6 (Program Director) confirmed the records for child #1 and child #5 did not contain all of the required items.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided. Evidence: 1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 4/7/21. 2. Staff #6 (Program Director) confirmed that the annual approval from the health department had not been received”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a clean, safe and operable condition. Evidence: 1. There were two plastic chairs on the playground that had areas where the plastic was split and cracked. 2. There was damaged floor tiles that provided a possible tripping hazard in the Infant classroom. 3. There was dirt and debris under the diaper changing pad in the Two’s classroom. 3. Staff #6 (Program Director) confirmed the items listed above were not in a clean, safe and operable condition.”

8VAC20-780-510-L

“Based on observation and interview it was determined that the licensee did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Medication (Epi-Pen) for child #6 was found in an unlocked cabinet in the Two’s classroom. 2. Medication (Pro-Air Inhaler) for child #7 was found in an unlocked cabinet in the Two’s classroom. 3. Staff #6 (Program Director) confirmed the medication was stored in an unlocked cabinet.”

8VAC20-780-520-C

“Based on observation and interview, it was determined that the licensee did not ensure that topical ointments are labeled with the child’s name. Evidence: 1. There was a container of Destin and a container of A & D ointment in the cabinet over the sink in the Two’s classroom that did not have a child’s name on either container. 2. Staff #6 (Program Director) confirmed that the two containers of diaper ointment were not labeled with a child’s name.”

8VAC20-780-540-C

“Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that there is a first kit on the facility's vehicle used for transporting children that contain all of the required items. Evidence: 1. The first aid kit for white van that used for transporting the children to and from field trips did not contain a thermometer, scissors, tweezers and triangle bandages. 2. Staff #6 (Program Director) confirmed that the first aid kit for the white van used for transporting the children did not contain all of the required items.”

8VAC20-780-540-E

“Based on a review of the emergency supplies at the center, it was determined that the licensee did not ensure that there is one working battery-operated radio in each building used by children. Evidence: 1. There was not a working battery-operated radio available during the inspection. 2. Staff #6 (Program Director) could not find batteries during the inspection to demonstrate that the battery-operated radio was working.”

8VAC20-780-560-G

“Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The Licensing Inspector observed two cups in the refrigerator in the Toddler/Infant classroom that were not labeled with the child’s name or date. 2. Staff #3 confirmed that the two cups were not labeled with the child’s name or date.”

8VAC20-780-570-C

“Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child's feeding schedule and brand of formula. Evidence: 1. There was no documentation of a feeding schedule for each child and the brand of formula. 2. The staff present in the Infant classroom confirmed that there was not documentation of a feeding schedule for each child who is on formula and the name brand of the formula”

8VAC20-780-570-I

“Based on observation and interview, it was determined that the licensee did not that a one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. Evidence: 1. There was not a one day’s emergency supply disposable bottles, nipples, and commercial formulas at the center during the inspection. 2. Staff #3 confirmed that there was not a one day’s emergency supply disposable bottles, nipples, and commercial formulas at the center during the inspection”

8VAC20-780-280-G

“Based on observation and interview, it was determined that the facility did not ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers. Evidence: 1. There was an unlabeled bottle with a clear liquid in the cabinet over the sink in the Two year old classroom. 2. When asked what the liquid was, staff #6 (Program Director) stated it was the sanitizer used during the cleaning process, and confirmed that it was not labeled.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises. Evidence: 1. The results from the most recent inspection (1/20/22) was not posted anywhere in the facility. 2. When asked if the results from the most recent inspection were posted, staff #6 (Program Director) confirmed that the results were not posted.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the licensee did not ensure that a nonabsorbent surface is used for diapering. Evidence: 1. Both diaper changing pads in the Infant classroom had a tear. 2. The Infant room staff confirmed that the diaper changing surface was not nonabsorbent due to the tear in the changing pad.”

8VAC20-780-440-B

“Based on observation it was determined that the licensee did not ensure that that a crib shall be provided for children in care and identified for use by a specific child. Evidence: 1. Only three of eight cribs present were identified for use by a single child. 2. Staff #3 confirmed that all of the cribs were not labeled for use by a specific child.”

8VAC20-780-380-A

“Based on observation and interview, it was determined that the licensee did not ensure that shall be a posted daily schedule that allows for flexibility as children's needs require. Evidence: 1. The daily schedule for the Preschool classroom was not posted anywhere in the classroom. 2. Staff #1 confirmed that the daily schedule was not posted anywhere in the classroom.”

8VAC20-780-350-B-1

“Based on observation and interviews, it was determined that the facility did not ensure that for children the ratio of one staff member for every four children is maintained at all times children are in care. Evidence: 1. When the Licensing Inspector arrived at the facility at 10:15am, there were 15 children in care with three staff present in the Infant/Toddler classroom. 2. When staff #3 was asked the age of the youngest child, she stated two months. 4. Staff #6 (Program Director) confirmed that the facility did not maintain the required staff-to-child ratio in the Infant/Toddler classroom.”

8VAC20-780-160-A

“Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and shall have been completed in the last 30 calendar days. Evidence: 1. The record for staff #4(date of hire 7/1/22) contained documentation of a negative tuberculosis screening that was dated 7/5/22. 2. Staff #6 (Program Director) reviewed the record for staff #4, and confirmed that the tuberculosis screening had not been completed prior to employment”

8VAC20-780-60-A

“Based on a review of five children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #1 did not contain the address and phone number for the first emergency contact and the address for the second emergency contact. 2. The record for child #4 did not contain name, address and phone number for two emergency contacts. 3. Staff #6 (Program Director) confirmed the records for child #1 and child #5 did not contain all of the required items.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided. Evidence: 1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 4/7/21. 2. Staff #6 (Program Director) confirmed that the annual approval from the health department had not been received”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a clean, safe and operable condition. Evidence: 1. There were two plastic chairs on the playground that had areas where the plastic was split and cracked. 2. There was damaged floor tiles that provided a possible tripping hazard in the Infant classroom. 3. There was dirt and debris under the diaper changing pad in the Two’s classroom. 3. Staff #6 (Program Director) confirmed the items listed above were not in a clean, safe and operable condition.”

8VAC20-780-510-L

“Based on observation and interview it was determined that the licensee did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Medication (Epi-Pen) for child #6 was found in an unlocked cabinet in the Two’s classroom. 2. Medication (Pro-Air Inhaler) for child #7 was found in an unlocked cabinet in the Two’s classroom. 3. Staff #6 (Program Director) confirmed the medication was stored in an unlocked cabinet.”

8VAC20-780-570-C

“Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child's feeding schedule and brand of formula. Evidence: 1. There was no documentation of a feeding schedule for each child and the brand of formula. 2. The staff present in the Infant classroom confirmed that there was not documentation of a feeding schedule for each child who is on formula and the name brand of the formula.”

8VAC20-780-350-B

“Based on observation and interviews, it was determined that the licensee did not ensure that for children, 16 months up to 24 months, a ratio of one staff member for every five children is maintained at all times children are in care. Evidence: 1. There were 14 children present with staff #1 and staff #2 in the Toddler classroom during the entire inspection. 2. When staff #1 was asked the ages of the children present, staff #1 stated that children present were 16 months to 24 months. Based on the age of children present in the Toddler classroom, the required staff-to child ratio would be one staff for every five children. 3. Both staff present in the classroom confirmed that the facility did not maintain the required staff-to-child ratio of one staff for every five children for this grouping of children.”

8VAC20-780-540-A

“Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that there is a first kit on the facility's vehicle used for transporting children that contain all of the required items. Evidence: 1. There was no first aid kit for either of the vehicles used for transporting the children to and from school on a daily basis. 2. Staff #5 (Program Director) confirmed that neither vehicle used for transporting the children contained a first aid kit.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. There were areas of peeling paint on the door and door frame located in the Two's classroom that provides entry to the playground. 2. There were multiple floor tiles that were damaged and provided possible tripping hazard in the Infant classroom and the Two's classroom. 3. Staff #5 (Program Director) confirmed the items listed above were not in a safe and operable condition.”

8VAC20-770-60-C-2

“Based on a review of our staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #2 (date of hire 9/10/21) did not contain documentation of a completed search of the central registry finding. 2. Staff #5 (Program Director) reviewed the record for the staff #2, and confirmed that the search of the central registry finding has not been received.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the licensee did not ensure that a nonabsorbent surface is used for diapering. Evidence: 1. Both diaper changing pads in the Infant classroom had a tear. 2. The Infant room staff confirmed that the diaper changing surface was not nonabsorbent due to the tear in the changing pad.”

8VAC20-780-440-B

“Based on observation it was determined that the licensee did not ensure that that a crib shall be provided for children in care and identified for use by a specific child. Evidence: 1. There were 7 children present in the Infant classroom and only 6 cribs present. 2. None of the 6 cribs present were identified for use by a single child. 3. The staff in the Infant classroom confirmed that there were less cribs than children present and none of the cribs were labeled.”

8VAC20-780-560-G

“Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The Licensing Inspector observed two cans of formula on top of the refrigerator in the Toddler/Infant classroom that were not labeled with the date that they were opened. 2. The staff present in the classroom acknowledged that the two cans of formula were not labeled with the date.”

8VAC20-780-550-K

“Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. Neither of the facility's vehicles used for transporting children contained the required emergency document. 2. Staff #5 (Program Director) confirmed that the facility's vehicles did not contain the required emergency document.”

8VAC20-780-570-C

“Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child's feeding schedule and brand of formula. Evidence: 1. There was no documentation of a feeding schedule for each child and the brand of formula. 2. The staff present in the Infant classroom confirmed that there was not documentation of a feeding schedule for each child who is on formula and the name brand of the formula.”

8VAC20-780-350-B

“Based on observation and interviews, it was determined that the licensee did not ensure that for children, 16 months up to 24 months, a ratio of one staff member for every five children is maintained at all times children are in care. Evidence: 1. There were 14 children present with staff #1 and staff #2 in the Toddler classroom during the entire inspection. 2. When staff #1 was asked the ages of the children present, staff #1 stated that children present were 16 months to 24 months. Based on the age of children present in the Toddler classroom, the required staff-to child ratio would be one staff for every five children. 3. Both staff present in the classroom confirmed that the facility did not maintain the required staff-to-child ratio of one staff for every five children for this grouping of children.”

8VAC20-780-540-A

“Based on a review of the facility's first aid kits, it was determined that the facility did not ensure that there is a first kit on the facility's vehicle used for transporting children that contain all of the required items. Evidence: 1. There was no first aid kit for either of the vehicles used for transporting the children to and from school on a daily basis. 2. Staff #5 (Program Director) confirmed that neither vehicle used for transporting the children contained a first aid kit.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. There were areas of peeling paint on the door and door frame located in the Two's classroom that provides entry to the playground. 2. There were multiple floor tiles that were damaged and provided possible tripping hazard in the Infant classroom and the Two's classroom. 3. Staff #5 (Program Director) confirmed the items listed above were not in a safe and operable condition.”

8VAC20-770-60-C-2

“Based on a review of our staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #2 (date of hire 9/10/21) did not contain documentation of a completed search of the central registry finding. 2. Staff #5 (Program Director) reviewed the record for the staff #2, and confirmed that the search of the central registry finding has not been received.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the licensee did not ensure that a nonabsorbent surface is used for diapering. Evidence: 1. Both diaper changing pads in the Infant classroom had a tear. 2. The Infant room staff confirmed that the diaper changing surface was not nonabsorbent due to the tear in the changing pad.”

8VAC20-780-440-B

“Based on observation it was determined that the licensee did not ensure that that a crib shall be provided for children in care and identified for use by a specific child. Evidence: 1. There were 7 children present in the Infant classroom and only 6 cribs present. 2. None of the 6 cribs present were identified for use by a single child. 3. The staff in the Infant classroom confirmed that there were less cribs than children present and none of the cribs were labeled.”

8VAC20-780-560-G

“Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The Licensing Inspector observed two cans of formula on top of the refrigerator in the Toddler/Infant classroom that were not labeled with the date that they were opened. 2. The staff present in the classroom acknowledged that the two cans of formula were not labeled with the date.”

8VAC20-780-550-K

“Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: 1. Neither of the facility's vehicles used for transporting children contained the required emergency document. 2. Staff #5 (Program Director) confirmed that the facility's vehicles did not contain the required emergency document.”