Heritage Child Development Center

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the shared restroom between Pre-K 1 and Pre-K 2 there was a swifter mop setting next to the toilet. The swifter mop had the cleaning solution attached to the mop. 2. The manufacturer's label states, "keep out of reach of children." 3. Children were observed using the restroom with the mop and cleaning solution accessible to the children.”

8VAC20-780-500-B

“Based on observation and interview, the center failed to ensure that the proper cleaning and sanitizing process was completed after diapering. Evidence: 1. In the Infant Classroom, Staff #1, spayed the changing table with soap and water and immediately sprayed sanitizing disinfectant spray on top of the soap and water. The soap and water was not wiped off or cleaned before adding the sanitizing disinfectant spray. 2. Staff #1 verified that she did not wipe the changing table clean after spraying the soap and water.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the shared restroom between Pre-K 1 and Pre-K 2 there was a swifter mop setting next to the toilet. The swifter mop had the cleaning solution attached to the mop. 2. The manufacturer's label states, "keep out of reach of children." 3. Children were observed using the restroom with the mop and cleaning solution accessible to the children.”

8VAC20-780-500-B

“Based on observation and interview, the center failed to ensure that the proper cleaning and sanitizing process was completed after diapering. Evidence: 1. In the Infant Classroom, Staff #1, spayed the changing table with soap and water and immediately sprayed sanitizing disinfectant spray on top of the soap and water. The soap and water was not wiped off or cleaned before adding the sanitizing disinfectant spray. 2. Staff #1 verified that she did not wipe the changing table clean after spraying the soap and water.”

22.1-289.035-B-4

“Based on a review of staff records and interview, the center failed to obtain all required out-of-state background checks in the required timeframe. Evidence: 1. Staff #1's date of hire was 12/20/2023. The sworn disclosure statement on file signed 12/20/2023 indicated they had lived out-of-state of Virginia within the past five years. 2. There was not an out-of-state criminal history background check in the record. The background check was required before the first day of employment. 3. There was not an out-of-state central registry background check in the record. The background check was required to be sent out by 01/20/2024. There was no evidence that an out-of-state central registry background check has been requested. 4. Administration verified that new out-of-state background checks had not been completed for Staff #1.”

8VAC20-770-60-C-2

“Based on review of staff records and interview, the center failed to ensure that a central registry finding was completed within 30 days of employment. Evidence: 1. Staff #1's date of employment was 12/20/2023. There was no documentation in the record that the central registry finding had been requested. 2. Staff #3 verified that there was not a central registry finding in the record.”

8VAC20-790-600-F

“Based on review of staff records, the center failed to ensure that the departments health and safety training course was completed annually. Evidence: 1. Staff #1 did not complete the Annual Update for 2023. The update was required to be completed by 05/02/2023. 2. Staff #1 verified that the training had not been completed.”

8VAC20-780-510-I

“Based on observation, review of documentation, and interview, the center administered prescription medication that was not maintained in the original labeled container as required. Evidence: 1. In Pre-K 1, Child #5 had a prescription medication, (Albuterol Sulfate), that was not in the original labeled container. 2. Staff #4 had documented that the medication was administered to Child #5 on 11/13/2023. 3. Staff #4 verified that the medication was not in the original labeled container.”

8VAC20-790-600-F

“Based on review of staff records, the center failed to ensure that the departments health and safety training course was completed annually. Evidence: 1. Staff #1 did not complete the Annual Update for 2023. The update was required to be completed by 05/02/2023. 2. Staff #1 verified that the training had not been completed.”

8VAC20-780-510-I

“Based on observation, review of documentation, and interview, the center administered prescription medication that was not maintained in the original labeled container as required. Evidence: 1. In Pre-K 1, Child #5 had a prescription medication, (Albuterol Sulfate), that was not in the original labeled container. 2. Staff #4 had documented that the medication was administered to Child #5 on 11/13/2023. 3. Staff #4 verified that the medication was not in the original labeled container.”

8VAC20-780-240-D

“Based on interviews and review of written policies, the center failed to provide required policies and procedures in writing to staff prior to working along with children and within seven days of employment. Evidence: 1. The following procedures were not provided in writing to staff as required: procedures for supervising a child who may arrive after scheduled classes or activities including field trips have begun; procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center; and procedures for identifying where attending children are at all time, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the to the center. 2. Staff #3 stated these procedures are not in a written format and are only provided to staff verbally during orientation.”

8VAC20-780-340-F

“Based on interviews and review of documentation, the center failed to ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: 1. On 10/17/2023, a three-year-old child, was left outside on the playground for approximately 5 minutes. 2. Staff #1 was on the Two-Year-Old Playground with six children. At approximately 4:00 P.M., Staff #1 left the playground and returned to the classroom. 3. At approximately 4:05 P.M., Staff #2 entered the playground with approximately five children. Staff #2 found Child #1 in the tunnel. 4. Staff #1 verified that they had left Child #1 on the playground without sight and sound supervision, and was unaware that Child #1 was missing until it was brought to her attention by Staff #2.”

8VAC20-780-510-B

“Based on review of medications, the center failed to ensure that non-prescription medication was only given with written authorization from the parent. Evidence: 1. Child #5 had a tube of Maximum Strength Cortizone 10 1% hyrdrocortison Anti-Itch Cream at the center. The cream was applied five times between 01/05/2023-03/02/2023, there was no authorization on file from the parent. 2. Staff #5 verified that they did not have written authorization from the parent for the maximum Strength Cortisone 10 1% hydrocortisone Anti-Itch Cream to be applied.”

8VAC20-780-320-B

“Based upon observation and a temperature reading, the facility failed to have hand washing sinks that have warm water that does not exceed 120 degrees Fahrenheit. Evidence: The hot water temperature at the hand washing sinks in the restrooms of Pre-K 1 and Pre-2 exceeded 120 degrees Fahrenheit. One sink reached 122 degrees Fahrenheit, and the other sink reached 123 degrees Fahrenheit.”

8VAC20-780-130-A

“Based on review of children records, the center failed to obtain immunizations before the child began attending the center. Evidence: 1. Child #3's date of enrollment was 06/19/2023. There were no immunization records in the file. 2. Staff #5 verified that there was not an immunization record in the file.”

8VAC20-780-60-A

“Based on a review of children records, the center failed to ensure that all required information was in the records. Evidence: 1. Child #2's file was missing the business phone number for both parents, and the name, home address, and phone number of each parent who has custody. 2. Child #3's file was missing the name, home address, and phone number for each parent who has custody. 3. Child #4's file was missing the business phone number for the parents, and the address for the emergency contacts if the parents can't be reached. 4. Child #5's file was missing the business phone number for the parents.”

8VAC20-780-550-P

“Based on review of injury reports, the center failed to ensure that all injury reports recorded all required information. Evidence: 1. An injury report dated 07/10/2023 did not contain the time the parents were notified, and documentation how the parent was notified. 2. Two injury reports dated 07/18/2023 did not contain the time the parents were notified. 3. An injury report dated 07/18/2023 did not contain information on how the injury occurred. 4. Staff #5 verified that the injury reports were missing the required information.”

8VAC20-780-70

“REPEAT Based on review of staff files, the center failed to complete required information regarding references, and failed to obtain two or more references as to character and reputation as well as competency before employment. Evidence: 1. Reference checks for Staff #1, Staff #2 and Staff #3 did not contain the signature of the person making the call. 2. Staff #4's date of hire was 08/24/2023 there were no reference checks in the record. 3. Staff #5 verified that the reference checks did not contain a signature, and that reference checks had not been completed for Staff #4.”

8VAC20-780-270-A

“REPEAT Based on observation, the center failed to ensure that all areas and equipment inside and outside shall be maintained in a safe and operable condition. Evidence: 1. In the Two Year Old Classroom there is a hole in the wall next to the storage closet. 2. In the Two Year Old Classroom the contact paper on the walls is peeling off in several different spots. A child was standing next to the storage area peeling off the contact paper. The Licensing Inspector observed the child put the contact paper in her mouth. 3. On the Waddler and Two Year old playground the pour in place to the right of the side was torn and ripping in several areas. Part of the pour in place were loose and could be considered a trip hazard. 4. In the Two Year Old Classroom the children's sink in the restroom was clogged and filled with water, and had very low water pressure. 5. On the Pre-K playground a storage closet was missing the door handle. 6. In the Pre-K restroom area 3 of the 4 fluorescent lightbulbs were burned out. 7. In the Pre-K Classroom 4 out of the 12 florescent lightbulbs were burned out. 8. In the Pre-K Classroom the little upholstered sofa ripped across most of the seating areas and on both arms. 9. In Pre-K 1 the screen beside the door to outside has a small hole.”

8VAC20-780-140-A

“Based on a review on children records, the center failed to obtain documentation of a physical examination before the child's first day of attendance or within 30 days after the first day of attendance. Evidence; 1. Child #4's first date of attendance was 06/19/2023. There was not documentation of a physical examination in the child's record. 2. Staff #5 verified that there was not a physical examination in the child's record.”

8VAC20-780-430-B

“Based on observation, interviews, and review of documentation, the center failed to ensure that all materials available shall be age and stage appropriate for the age of the children. Evidence: 1. On 06/21/2023 in the Toddler Classroom, (children 2 years of age), Orbeez Water beads were used in the sensory table between 3:30 P.M.-4:00 P.M. 2. The recommended age for Orbeez Water beads is for children five years of age and older. 3. Staff #1, #2, and #3 verified in interviews and documentation that the water beads were placed in the sensory bin on 06/20/23 and 06/21/2023 to used with children two years of age.”

8VAC20-780-340-A

“Based on review of documentation and interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. On 06/21/2023 in the Toddler Classroom, (children 2 years of age), Orbeez Water beads were used in the sensory table between 3:30 P.M.-4:00 P.M. 2. A two year old child placed the water beads in one of her nostrils and one of her ear canals. The child required outside medical care to remove the water beads. 3. The center was notified by the parents on 06/21/2023 at 6:15 p.m. that they were on route to the emergency room due to the water beads being in the child's nostril and ear canal. 4. The recommended age for Orbeez Water beads is for children five years of age and older. 5. Staff #1, #2, and #3 verified in interviews and documentation that the water beads were placed in the sensory bin on 06/20/23 and 06/21/2023 to used with children two years of age.”

22.1-289.035-B-2 Complaint related: Yes

“COMPLAINT RELATED Based on review of staff records, the center failed to ensure that the required national criminal background check was completed prior to the first day of employment. Evidence: 1. Staff #1?s date of employment was 08/04/2022. There was not documentation of the National Fingerprint background check being completed in the file. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

22.1-289.035-B-4 Complaint related: Yes

“COMPLAINT RELATED & REPEAT Based on review of staff records, the center failed to ensure that all required out-of-state background checks were completed. Evidence: 1. Staff #1?s date of employment was 08/04/2022. On the West Virginia Clearance for Access: Registry & Employment Screening, Staff #1 indicated they had lived in two states (West Virginia and Maryland), outside of Virginia within the past five years. 2. There was no documentation of a West Virginia or Maryland Sex Offender name check completed before date of hire. 3. There was not documentation that an out of state central registry finding for Maryland had been completed within 30 days of hire. 4. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. Staff #8 stated they were not aware if the out-of-state background checks had been completed. 5. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-770-60-B Complaint related: Yes

“COMPLAINT RELATED & REPEAT Based on review of staff records, the center failed to ensure that the sworn disclosure statement included a statement that attested to whether or not the individual has been subject of a founded complaint of child abuse or neglect within or outside the Commonwealth was completed prior to the date of employment. Evidence: 1. Staff #1?s date of employment was 08/04/2022. The West Virginia disclosure statement on file did not include a statement to attest whether or not the individual has been subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-770-60-C-2 Complaint related: Yes

“COMPLAINT RELATED Based on review of staff records, the center failed to ensure that a Virginia Central Registry Finding was completed within 30 days of hire. Evidence: 1. Staff #1?s date of employment was 08/04/2022. There was not a completed Virginia Central Registry Finding on file for Staff #1. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. Staff #8 was not aware if a Virginia Central Registry finding had been completed for Staff #1. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-780-70 Complaint related: No

“Based on review of staff records, the center failed to ensure that staff completed the Virginia Department of Education sponsored orientation course within 90 days of employment. Evidence: 1. The record for Staff #1 showed the date of employment was 08/04/2022 and there was no documentation on file that Staff #1 had completed the orientation training. 2. Staff #8 verified that there was not documentation of the orientation training being completed by Staff #1.”

8VAC20-780-350-B-2 Complaint related: Yes

“COMPLAINT RELATED Based on a review of sign-in sheets, timecards, schedule, and interviews, the center failed to ensure that the staff-to-children ratio was always maintained for children that are two years old. Evidence: 1. Review of sign-in sheets revealed that there were fourteen two-year-olds in attendance on April 19, 2023, that were present between the timeframe of 2:30 P.M.-3:00 P.M. The required ratio is 1:8 for two-year-olds. 2. Review of the schedule and timesheets revealed that one staff member left at 2:29 P.M., and that another staff member did not arrive until 2:50 P.M. 3. Staff interviews confirmed that the required ratio was not maintained for two-year-olds for approximately 30 minutes, around 2:30pm- 3:00pm on April 19. 2023.”

8VAC20-780-160-A Complaint related: No

“Based on review of staff records, the center failed to ensure that documentation of a tuberculosis screening or test shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #1?s date of employment was 08/04/2022. The tuberculosis screening on file was dated 09/23/2022.”

8VAC20-790-600-D-2

“Based on a review of staff records, the center failed to ensure that all staff were certified in first aid within 90 days of hire. Evidence: 1. Staff #9's date of hire was 11/30/2022. The first aid certification card was dated 03/11/2025. The certification was required by 03/02/2023. 2. Staff #2 verified the date of employment and the date on the certification card.”

8VAC20-790-600-D-1

“Based on a review of staff records, the center failed to ensure that all staff were certified in cardiopulmonary resuscitation within 90 days of hire. Evidence: 1. Staff #9's date of hire was 11/30/2022. The CPR certification card was dated 03/11/2025. The certification was required by 03/02/2023. 2. Staff #2 verified the date of employment and the date on the certification card.”

8VAC20-780-70

“Based on a review of staff records, the center failed to ensure that two or reference checks as to character and reputation as well as competency were checked before employment. Evidence: 1.. Staff #1's first date of employment was 02/13/2023. There were no completed reference checks in the file. 2. Staff #2's first date of employment was 04/24/2023. There were no completed reference checks in the file. 3. Staff #4's first date of employment was 04/24/2023. There were no completed reference checks in the file. 4. Staff #5's first date of employment was 04/03/2023. There were no completed reference checks in the file. 5. Staff #1's first date of employment was 02/13/2023. There were no completed reference checks in the file. 6. Staff #6's first date of employment was 04/24/2023. There were no completed reference checks in the file. 7. Staff #7's first date of employment was 04/24/2023. There were no completed reference checks in the file. 8. Staff #3 verified that there were no reference check in all the files.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that all areas inside and outside shall be maintained in safe and operable condition. Evidence: In the Pre-K 1 Classroom there is peeling paint on the molding located near the block area.”

8VAC20-780-520-A

“Based on observation, the center failed to ensure that all over-the-counter skin products shall not be kept beyond the expiration date. Evidence: 1. In the Waddler Classroom there was a tube of Aquaphor that expired in March 2023. 2. Staff #2 verified that the Aquaphor had expired in March 2023.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that staff washed their hands with soap and running water before and after a diaper change. Evidence: 1. In the Toddler Classroom, Staff #1, was observed preparing for and completing a diaper change. Staff #1 did not wash her hands before putting the gloves on and starting the diaper change. 2. In the Toddler Classroom, Staff #1, did not change the gloves in between diaper changes.”

22.1-289.035-B-4

“Based on a review of staff files, the center failed to ensure that all out-of-state background checks were completed within the required timeframe. Evidence: 1. Staff #6 disclosed on the sworn disclosure statement dated 04/25/2023 that they had previously lived in two other states within the past five years. 2. Staff #6 date of hire was 04/24/2023 there was not a sex offender name search completed and on file for the two states. There was not an out-of-state criminal history check completed and on file for one state. Both the out of state sex offender name search, and the criminal history are required prior to the first date of employment. 3. Staff #6 was observed working with a group of children on May 1, 2023. 4. Staff #3 verified that the out-of-state background checks had not been completed.”

8VAC20-780-500-B

“Based on observation and interview, the center failed to ensure that a nonabsorbent surface for diapering or changing was used ,and that diapering surfaces were cleaned with soap and at least room temperature water and sanitized after each use. Evidence: 1. In the Infant Classroom the diaper changing mat was torn and ripped on two of the corners exposing the foam. 2. In the Toddler Classroom, Staff #1, did not clean the diapering surface with water and soap before sanitizing the diapering surface. 3. Staff #1 confirmed that she did not spray the diapering surface with water and soap to first clean the surface.”

8VAC20-780-530-A-2

“Based on observation and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall be certified in first aid. Evidence: 1. On 05/01/2023 between 8:00 A.M.-9:00 A.M. there was not a staff member certified in First Aid in the Waddler Classroom. 2. Staff #3 verified that the staff member is not currently certified in First Aid.”

8VAC20-780-530-A-1

“Based on observation and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall be certified in cardiopulmonary resuscitation (CPR). Evidence: 1. On 05/01/2023 between 8:00 A.M.-9:00 A.M. there was not a staff member certified in CPR in the Waddler Classroom. 2. Staff #3 verified that the staff member is not currently certified in CPR.”

8VAC20-770-40-D-1-a

“Based on a review of board member background checks, the center failed to ensure that search of central registry was on file within 30 days of the board member taking office. Evidence: 1. Agent #1's file did not contain a completed central registry finding. Date of service began 10/07/2020. 2. Staff #3 verified that the record did not contain a completed central registry finding.”

8VAC20-770-60-B

“Based on review of staff records, the center failed to ensure that a sworn disclosure statement was signed by the first date of employment. Evidence: 1. Staff #4's date of hire was 04/24/2023. The sworn disclosure statement was dated 04/27/2023. 2. Staff #5's date of hire was 04/24/2023. The sworn disclosure statement was dated 04/25/2023. 2. Staff #3 confirmed the dates of hire and the dates on the sworn disclosure statements.”

8VAC20-780-40-E

“Based on review of emergency plan, the center failed to comply with their own policies and procedures. Evidence: 1. In the emergency preparedness plan it states the following, "once a year, the director will meet with local authorities to review the above security checks." 2. The plan was dated that it was last updated in January 2022. 3. Staff #3 verified that the emergency preparedness plan had not been updated since January 2022.”

22.1-289.035-B-2 Complaint related: Yes

“COMPLAINT RELATED Based on review of staff records, the center failed to ensure that the required national criminal background check was completed prior to the first day of employment. Evidence: 1. Staff #1?s date of employment was 08/04/2022. There was not documentation of the National Fingerprint background check being completed in the file. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

22.1-289.035-B-4 Complaint related: Yes

“COMPLAINT RELATED & REPEAT Based on review of staff records, the center failed to ensure that all required out-of-state background checks were completed. Evidence: 1. Staff #1?s date of employment was 08/04/2022. On the West Virginia Clearance for Access: Registry & Employment Screening, Staff #1 indicated they had lived in two states (West Virginia and Maryland), outside of Virginia within the past five years. 2. There was no documentation of a West Virginia or Maryland Sex Offender name check completed before date of hire. 3. There was not documentation that an out of state central registry finding for Maryland had been completed within 30 days of hire. 4. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. Staff #8 stated they were not aware if the out-of-state background checks had been completed. 5. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-770-60-B Complaint related: Yes

“COMPLAINT RELATED & REPEAT Based on review of staff records, the center failed to ensure that the sworn disclosure statement included a statement that attested to whether or not the individual has been subject of a founded complaint of child abuse or neglect within or outside the Commonwealth was completed prior to the date of employment. Evidence: 1. Staff #1?s date of employment was 08/04/2022. The West Virginia disclosure statement on file did not include a statement to attest whether or not the individual has been subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-770-60-C-2 Complaint related: Yes

“COMPLAINT RELATED Based on review of staff records, the center failed to ensure that a Virginia Central Registry Finding was completed within 30 days of hire. Evidence: 1. Staff #1?s date of employment was 08/04/2022. There was not a completed Virginia Central Registry Finding on file for Staff #1. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. Staff #8 was not aware if a Virginia Central Registry finding had been completed for Staff #1. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-780-70 Complaint related: No

“Based on review of staff records, the center failed to ensure that staff completed the Virginia Department of Education sponsored orientation course within 90 days of employment. Evidence: 1. The record for Staff #1 showed the date of employment was 08/04/2022 and there was no documentation on file that Staff #1 had completed the orientation training. 2. Staff #8 verified that there was not documentation of the orientation training being completed by Staff #1.”

8VAC20-780-350-B-2 Complaint related: Yes

“COMPLAINT RELATED Based on a review of sign-in sheets, timecards, schedule, and interviews, the center failed to ensure that the staff-to-children ratio was always maintained for children that are two years old. Evidence: 1. Review of sign-in sheets revealed that there were fourteen two-year-olds in attendance on April 19, 2023, that were present between the timeframe of 2:30 P.M.-3:00 P.M. The required ratio is 1:8 for two-year-olds. 2. Review of the schedule and timesheets revealed that one staff member left at 2:29 P.M., and that another staff member did not arrive until 2:50 P.M. 3. Staff interviews confirmed that the required ratio was not maintained for two-year-olds for approximately 30 minutes, around 2:30pm- 3:00pm on April 19. 2023.”

8VAC20-780-160-A Complaint related: No

“Based on review of staff records, the center failed to ensure that documentation of a tuberculosis screening or test shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #1?s date of employment was 08/04/2022. The tuberculosis screening on file was dated 09/23/2022.”

8VAC20-790-600-D-2

“Based on a review of staff records, the center failed to ensure that all staff were certified in first aid within 90 days of hire. Evidence: 1. Staff #9's date of hire was 11/30/2022. The first aid certification card was dated 03/11/2025. The certification was required by 03/02/2023. 2. Staff #2 verified the date of employment and the date on the certification card.”

8VAC20-790-600-D-1

“Based on a review of staff records, the center failed to ensure that all staff were certified in cardiopulmonary resuscitation within 90 days of hire. Evidence: 1. Staff #9's date of hire was 11/30/2022. The CPR certification card was dated 03/11/2025. The certification was required by 03/02/2023. 2. Staff #2 verified the date of employment and the date on the certification card.”

8VAC20-780-70

“Based on a review of staff records, the center failed to ensure that two or reference checks as to character and reputation as well as competency were checked before employment. Evidence: 1.. Staff #1's first date of employment was 02/13/2023. There were no completed reference checks in the file. 2. Staff #2's first date of employment was 04/24/2023. There were no completed reference checks in the file. 3. Staff #4's first date of employment was 04/24/2023. There were no completed reference checks in the file. 4. Staff #5's first date of employment was 04/03/2023. There were no completed reference checks in the file. 5. Staff #1's first date of employment was 02/13/2023. There were no completed reference checks in the file. 6. Staff #6's first date of employment was 04/24/2023. There were no completed reference checks in the file. 7. Staff #7's first date of employment was 04/24/2023. There were no completed reference checks in the file. 8. Staff #3 verified that there were no reference check in all the files.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that all areas inside and outside shall be maintained in safe and operable condition. Evidence: In the Pre-K 1 Classroom there is peeling paint on the molding located near the block area.”

8VAC20-780-520-A

“Based on observation, the center failed to ensure that all over-the-counter skin products shall not be kept beyond the expiration date. Evidence: 1. In the Waddler Classroom there was a tube of Aquaphor that expired in March 2023. 2. Staff #2 verified that the Aquaphor had expired in March 2023.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that staff washed their hands with soap and running water before and after a diaper change. Evidence: 1. In the Toddler Classroom, Staff #1, was observed preparing for and completing a diaper change. Staff #1 did not wash her hands before putting the gloves on and starting the diaper change. 2. In the Toddler Classroom, Staff #1, did not change the gloves in between diaper changes.”

22.1-289.035-B-4

“Based on a review of staff files, the center failed to ensure that all out-of-state background checks were completed within the required timeframe. Evidence: 1. Staff #6 disclosed on the sworn disclosure statement dated 04/25/2023 that they had previously lived in two other states within the past five years. 2. Staff #6 date of hire was 04/24/2023 there was not a sex offender name search completed and on file for the two states. There was not an out-of-state criminal history check completed and on file for one state. Both the out of state sex offender name search, and the criminal history are required prior to the first date of employment. 3. Staff #6 was observed working with a group of children on May 1, 2023. 4. Staff #3 verified that the out-of-state background checks had not been completed.”

8VAC20-780-500-B

“Based on observation and interview, the center failed to ensure that a nonabsorbent surface for diapering or changing was used ,and that diapering surfaces were cleaned with soap and at least room temperature water and sanitized after each use. Evidence: 1. In the Infant Classroom the diaper changing mat was torn and ripped on two of the corners exposing the foam. 2. In the Toddler Classroom, Staff #1, did not clean the diapering surface with water and soap before sanitizing the diapering surface. 3. Staff #1 confirmed that she did not spray the diapering surface with water and soap to first clean the surface.”

8VAC20-780-530-A-2

“Based on observation and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall be certified in first aid. Evidence: 1. On 05/01/2023 between 8:00 A.M.-9:00 A.M. there was not a staff member certified in First Aid in the Waddler Classroom. 2. Staff #3 verified that the staff member is not currently certified in First Aid.”

8VAC20-780-530-A-1

“Based on observation and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall be certified in cardiopulmonary resuscitation (CPR). Evidence: 1. On 05/01/2023 between 8:00 A.M.-9:00 A.M. there was not a staff member certified in CPR in the Waddler Classroom. 2. Staff #3 verified that the staff member is not currently certified in CPR.”

8VAC20-770-40-D-1-a

“Based on a review of board member background checks, the center failed to ensure that search of central registry was on file within 30 days of the board member taking office. Evidence: 1. Agent #1's file did not contain a completed central registry finding. Date of service began 10/07/2020. 2. Staff #3 verified that the record did not contain a completed central registry finding.”

8VAC20-770-60-B

“Based on review of staff records, the center failed to ensure that a sworn disclosure statement was signed by the first date of employment. Evidence: 1. Staff #4's date of hire was 04/24/2023. The sworn disclosure statement was dated 04/27/2023. 2. Staff #5's date of hire was 04/24/2023. The sworn disclosure statement was dated 04/25/2023. 2. Staff #3 confirmed the dates of hire and the dates on the sworn disclosure statements.”

8VAC20-780-40-E

“Based on review of emergency plan, the center failed to comply with their own policies and procedures. Evidence: 1. In the emergency preparedness plan it states the following, "once a year, the director will meet with local authorities to review the above security checks." 2. The plan was dated that it was last updated in January 2022. 3. Staff #3 verified that the emergency preparedness plan had not been updated since January 2022.”

22.1-289.035-B-2 Complaint related: Yes

“COMPLAINT RELATED Based on review of staff records, the center failed to ensure that the required national criminal background check was completed prior to the first day of employment. Evidence: 1. Staff #1?s date of employment was 08/04/2022. There was not documentation of the National Fingerprint background check being completed in the file. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

22.1-289.035-B-4 Complaint related: Yes

“COMPLAINT RELATED & REPEAT Based on review of staff records, the center failed to ensure that all required out-of-state background checks were completed. Evidence: 1. Staff #1?s date of employment was 08/04/2022. On the West Virginia Clearance for Access: Registry & Employment Screening, Staff #1 indicated they had lived in two states (West Virginia and Maryland), outside of Virginia within the past five years. 2. There was no documentation of a West Virginia or Maryland Sex Offender name check completed before date of hire. 3. There was not documentation that an out of state central registry finding for Maryland had been completed within 30 days of hire. 4. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. Staff #8 stated they were not aware if the out-of-state background checks had been completed. 5. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-770-60-B Complaint related: Yes

“COMPLAINT RELATED & REPEAT Based on review of staff records, the center failed to ensure that the sworn disclosure statement included a statement that attested to whether or not the individual has been subject of a founded complaint of child abuse or neglect within or outside the Commonwealth was completed prior to the date of employment. Evidence: 1. Staff #1?s date of employment was 08/04/2022. The West Virginia disclosure statement on file did not include a statement to attest whether or not the individual has been subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-770-60-C-2 Complaint related: Yes

“COMPLAINT RELATED Based on review of staff records, the center failed to ensure that a Virginia Central Registry Finding was completed within 30 days of hire. Evidence: 1. Staff #1?s date of employment was 08/04/2022. There was not a completed Virginia Central Registry Finding on file for Staff #1. 2. Staff #8 verified that Staff #1 was working in the center on 03/28/2023, 03/30/23, 04/03/2023, and 04/04/2023. Staff #8 was not aware if a Virginia Central Registry finding had been completed for Staff #1. 3. Two staff revealed during interviews that Staff #1 was counted in ratio and observed working with children alone.”

8VAC20-780-70 Complaint related: No

“Based on review of staff records, the center failed to ensure that staff completed the Virginia Department of Education sponsored orientation course within 90 days of employment. Evidence: 1. The record for Staff #1 showed the date of employment was 08/04/2022 and there was no documentation on file that Staff #1 had completed the orientation training. 2. Staff #8 verified that there was not documentation of the orientation training being completed by Staff #1.”

8VAC20-780-350-B-2 Complaint related: Yes

“COMPLAINT RELATED Based on a review of sign-in sheets, timecards, schedule, and interviews, the center failed to ensure that the staff-to-children ratio was always maintained for children that are two years old. Evidence: 1. Review of sign-in sheets revealed that there were fourteen two-year-olds in attendance on April 19, 2023, that were present between the timeframe of 2:30 P.M.-3:00 P.M. The required ratio is 1:8 for two-year-olds. 2. Review of the schedule and timesheets revealed that one staff member left at 2:29 P.M., and that another staff member did not arrive until 2:50 P.M. 3. Staff interviews confirmed that the required ratio was not maintained for two-year-olds for approximately 30 minutes, around 2:30pm- 3:00pm on April 19. 2023.”

8VAC20-780-160-A Complaint related: No

“Based on review of staff records, the center failed to ensure that documentation of a tuberculosis screening or test shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #1?s date of employment was 08/04/2022. The tuberculosis screening on file was dated 09/23/2022.”

8VAC20-790-600-D-2

“Based on a review of staff records, the center failed to ensure that all staff were certified in first aid within 90 days of hire. Evidence: 1. Staff #9's date of hire was 11/30/2022. The first aid certification card was dated 03/11/2025. The certification was required by 03/02/2023. 2. Staff #2 verified the date of employment and the date on the certification card.”

8VAC20-790-600-D-1

“Based on a review of staff records, the center failed to ensure that all staff were certified in cardiopulmonary resuscitation within 90 days of hire. Evidence: 1. Staff #9's date of hire was 11/30/2022. The CPR certification card was dated 03/11/2025. The certification was required by 03/02/2023. 2. Staff #2 verified the date of employment and the date on the certification card.”

8VAC20-780-70

“Based on a review of staff records, the center failed to ensure that two or reference checks as to character and reputation as well as competency were checked before employment. Evidence: 1.. Staff #1's first date of employment was 02/13/2023. There were no completed reference checks in the file. 2. Staff #2's first date of employment was 04/24/2023. There were no completed reference checks in the file. 3. Staff #4's first date of employment was 04/24/2023. There were no completed reference checks in the file. 4. Staff #5's first date of employment was 04/03/2023. There were no completed reference checks in the file. 5. Staff #1's first date of employment was 02/13/2023. There were no completed reference checks in the file. 6. Staff #6's first date of employment was 04/24/2023. There were no completed reference checks in the file. 7. Staff #7's first date of employment was 04/24/2023. There were no completed reference checks in the file. 8. Staff #3 verified that there were no reference check in all the files.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that all areas inside and outside shall be maintained in safe and operable condition. Evidence: In the Pre-K 1 Classroom there is peeling paint on the molding located near the block area.”

8VAC20-780-520-A

“Based on observation, the center failed to ensure that all over-the-counter skin products shall not be kept beyond the expiration date. Evidence: 1. In the Waddler Classroom there was a tube of Aquaphor that expired in March 2023. 2. Staff #2 verified that the Aquaphor had expired in March 2023.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that staff washed their hands with soap and running water before and after a diaper change. Evidence: 1. In the Toddler Classroom, Staff #1, was observed preparing for and completing a diaper change. Staff #1 did not wash her hands before putting the gloves on and starting the diaper change. 2. In the Toddler Classroom, Staff #1, did not change the gloves in between diaper changes.”

22.1-289.035-B-4

“Based on a review of staff files, the center failed to ensure that all out-of-state background checks were completed within the required timeframe. Evidence: 1. Staff #6 disclosed on the sworn disclosure statement dated 04/25/2023 that they had previously lived in two other states within the past five years. 2. Staff #6 date of hire was 04/24/2023 there was not a sex offender name search completed and on file for the two states. There was not an out-of-state criminal history check completed and on file for one state. Both the out of state sex offender name search, and the criminal history are required prior to the first date of employment. 3. Staff #6 was observed working with a group of children on May 1, 2023. 4. Staff #3 verified that the out-of-state background checks had not been completed.”

8VAC20-780-500-B

“Based on observation and interview, the center failed to ensure that a nonabsorbent surface for diapering or changing was used ,and that diapering surfaces were cleaned with soap and at least room temperature water and sanitized after each use. Evidence: 1. In the Infant Classroom the diaper changing mat was torn and ripped on two of the corners exposing the foam. 2. In the Toddler Classroom, Staff #1, did not clean the diapering surface with water and soap before sanitizing the diapering surface. 3. Staff #1 confirmed that she did not spray the diapering surface with water and soap to first clean the surface.”

8VAC20-780-530-A-2

“Based on observation and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall be certified in first aid. Evidence: 1. On 05/01/2023 between 8:00 A.M.-9:00 A.M. there was not a staff member certified in First Aid in the Waddler Classroom. 2. Staff #3 verified that the staff member is not currently certified in First Aid.”

8VAC20-780-530-A-1

“Based on observation and interview, the center failed to ensure that at least one staff in each classroom or area where children are present shall be certified in cardiopulmonary resuscitation (CPR). Evidence: 1. On 05/01/2023 between 8:00 A.M.-9:00 A.M. there was not a staff member certified in CPR in the Waddler Classroom. 2. Staff #3 verified that the staff member is not currently certified in CPR.”

8VAC20-770-40-D-1-a

“Based on a review of board member background checks, the center failed to ensure that search of central registry was on file within 30 days of the board member taking office. Evidence: 1. Agent #1's file did not contain a completed central registry finding. Date of service began 10/07/2020. 2. Staff #3 verified that the record did not contain a completed central registry finding.”

8VAC20-770-60-B

“Based on review of staff records, the center failed to ensure that a sworn disclosure statement was signed by the first date of employment. Evidence: 1. Staff #4's date of hire was 04/24/2023. The sworn disclosure statement was dated 04/27/2023. 2. Staff #5's date of hire was 04/24/2023. The sworn disclosure statement was dated 04/25/2023. 2. Staff #3 confirmed the dates of hire and the dates on the sworn disclosure statements.”

8VAC20-780-40-E

“Based on review of emergency plan, the center failed to comply with their own policies and procedures. Evidence: 1. In the emergency preparedness plan it states the following, "once a year, the director will meet with local authorities to review the above security checks." 2. The plan was dated that it was last updated in January 2022. 3. Staff #3 verified that the emergency preparedness plan had not been updated since January 2022.”

8VAC20-780-130-E

“Based on review of children records, the center failed to obtain additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #5,(age 20 months), last immunizations on file were dated 11/19/2021. Updated immunizations were required in May 2022, and again in November 2022. 2. Administration verified that there were no updated immunizations obtained for Child #5.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff washed their hands at all required times. Evidence: 1. In Classroom #1, Staff #1 was observed preparing for and completing a diaper change. Staff #1 placed a pair of gloves on her hands, and placed the child on the changing table and proceeded with changing the child's diaper. Staff #1 did not wash her hands before putting the gloves on and starting the diaper change. 2. Staff #1 verified that she did not wash her hands before completing the diaper change.”

8VAC20-780-130-E

“Based on review of children records, the center failed to obtain additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #5,(age 20 months), last immunizations on file were dated 11/19/2021. Updated immunizations were required in May 2022, and again in November 2022. 2. Administration verified that there were no updated immunizations obtained for Child #5.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff washed their hands at all required times. Evidence: 1. In Classroom #1, Staff #1 was observed preparing for and completing a diaper change. Staff #1 placed a pair of gloves on her hands, and placed the child on the changing table and proceeded with changing the child's diaper. Staff #1 did not wash her hands before putting the gloves on and starting the diaper change. 2. Staff #1 verified that she did not wash her hands before completing the diaper change.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all equipment shall be maintained in a safe and operable condition. Evidence: 1. The play structure on the Waddler Playground has areas of peeling paint and rust being exposed. 2. Staff verified that the play structure had peeling paint and rust exposed.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all equipment shall be maintained in a safe and operable condition. Evidence: 1. The play structure on the Waddler Playground has areas of peeling paint and rust being exposed. 2. Staff verified that the play structure had peeling paint and rust exposed.”

63.2-1509-A

“Based on interviews, staff failed to report suspected child abuse and neglect in a timely manner. Evidence: 1. Staff #2 stated in an interview on 02/14/2022, that Child #1 had told her on 02/04/2022 that she was scared of Staff #3, and that Staff #3 had pinched her. 2. Staff #2 did not check Child #1 for any marks, nor did Staff #2 report the incident to administration. 3. Administration was made aware of the alleged abuse on 02/07/2022 by the parent. 4. Administration reported the incident to Child Protective Services and Office of Child Care Health and Safety on 02/09/2022. Staff #3 was put on administrative leave until the investigation was completed by both entities.”

8VAC20-790-530-B

8VAC20-790-530-B