Karter School of One Loudoun

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

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. On August 25, 2025, while sitting at a table a 2 year old child pushed their chair against the table causing them to fall backwards and hit the floor. The child became visibly upset. Three staff were working in the classroom and did not provide care, protection or guidance to the child. All three staff stated they did not see the child fall.”

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

“In order to promote the child's physical, intellectual, emotional, and social well-being and growth, staff shall interact with the child and one another to provide needed help, comfort, support and promote ways of getting along. On 8/25/2025, a two year old child fell backwards in a chair and began to cry. All three staff did not interact with the child after the fall and did not provide the child help, support or comfort. The child did get up off the floor by herself. The child was still crying when she walked to a staff member who was behind a counter. The staff member guided her back to the table stating "let's go sit down" and did not comfort the crying child. On 8/25/2025, two (two year old) children were pulling at the same toy at the table. A staff member saw the incident and walked over and grabbed the toy from both children rather than promoting ways of getting along.”

8VAC20-780-560-L Complaint related: No

“Staff shall sit with children during meal times. On 8/25/2025, three staff were observed standing and walking around the classroom while eating during lunch time and not sitting with the children eating in the 2 year old classroom.”

8VAC20-780-40-E

“Repeat Violation The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center's discipline policies including acceptable and unacceptable discipline measures titled "Forbidden Actions and Behavior Policy" states "never use physical punishment, striking a child, roughly handling or shaking a child for any reason at any time." It also states "If a team member witnesses such violations, they must document and report them to the Director." Staff #1 roughly handled Child A (16 month old) on 7/10/2025 and the actions were observed by Staff #2. Staff #2 did not report these actions to the Director and did not document the incident.”

8VAC20-780-410-1

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child. On 7/10/2025, Staff #1 roughly handled Child A (age 16 months) with excessive force. There were multiple visible bruises on her back (two hand print shape bruises on the child's back) and scratches on her upper thigh as a result of the incident.”

8VAC20-780-340-A

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. On 7/10/2025, Staff #2 observed Staff #1 roughly handling Child A(16 months) for approximately 6 minutes and did not intervene to protect her from Staff #1.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The current written list of all children's allergies, sensitivities and dietary restrictions was posted in Room 112A, but it was missing the cover sheet to keep it confidential.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The current written list of all children's allergies, sensitivities and dietary restrictions was posted in Room 112A, but it was missing the cover sheet to keep it confidential.”

8VAC20-780-40-E Complaint related: No

“Repeat Violation The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center's policy regarding medication states "Karter will administer over-the-counter medications at the request of the parent/guardian in accordance with VDSS. The parent/guardian is responsible for supplying the over-the-counter medication as well as completing and submitting a VDSS 'Medication Authorization Form'." The center did not follow this policy on January 14, 2025 when Medication #1 was administered to two year old Child #1 without receiving a request to do so from the parent/guardian and without a completed medication authorization form from the parent/guardian. Medication #1 belonged to the center and was not supplied by the parent/guardian.”

8VAC20-780-510-B Complaint related: No

“Prescription and nonprescription medication shall be given to a child according to the center's written medication policies; and only with written authorization from the parent. Though there was no written parent authorization to administer a nonprescription medication to two-year old Child #1, Medication #1 was administered to Child #1 on January 14, 2025 at approximately 12:06pm. Medication #1 belonged to the center and was not supplied by the parent/guardian.”

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 prior to employment. Staff #1, employed for 11 months, did not have documentation of the Out-of-State Criminal History Records Request or Out of State Sex Offender Registry Search from one state prior to employment.The center obtained Out of State Sex Offender Registry results during the inspection and requested the Out-of-State Criminal History Record during the inspection.”

8VAC20-780-40-E Complaint related: No

“Repeat Violation The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center's policy regarding medication states "Karter will administer over-the-counter medications at the request of the parent/guardian in accordance with VDSS. The parent/guardian is responsible for supplying the over-the-counter medication as well as completing and submitting a VDSS 'Medication Authorization Form'." The center did not follow this policy on January 14, 2025 when Medication #1 was administered to two year old Child #1 without receiving a request to do so from the parent/guardian and without a completed medication authorization form from the parent/guardian. Medication #1 belonged to the center and was not supplied by the parent/guardian.”

8VAC20-780-510-B Complaint related: No

“Prescription and nonprescription medication shall be given to a child according to the center's written medication policies; and only with written authorization from the parent. Though there was no written parent authorization to administer a nonprescription medication to two-year old Child #1, Medication #1 was administered to Child #1 on January 14, 2025 at approximately 12:06pm. Medication #1 belonged to the center and was not supplied by the parent/guardian.”

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 prior to employment. Staff #1, employed for 11 months, did not have documentation of the Out-of-State Criminal History Records Request or Out of State Sex Offender Registry Search from one state prior to employment.The center obtained Out of State Sex Offender Registry results during the inspection and requested the Out-of-State Criminal History Record during the inspection.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 7/31/2024, were not posted in a conspicuous place on the premises.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #8, who is currently working, was dated four weeks after their first day of employment.”

22.1-289.035-B-3

“Repeat Violation The center must receive the central registry results by the end of the 30th Day of employment for staff. Staff #12, who had been employed for over 7 months and Staff #13, who had ben employed for over 5 months did not have a central registry search results by the end of 30th Day .”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #5, who had been attending for 9 months and under the age of two years old, did not have documentation of additional immunizations once every six months on file. The last immunization record was dated over 9 months ago.”

8VAC20-780-160-A

“Repeat Violation Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3 TB was dated more than 38 days prior to the date of employment., and Staff #8 TB was dated more than 40 days prior to the employment.”

8VAC20-780-40-J

“Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. The center's injury prevention procedures was last updated 15 months ago.”

8VAC20-780-50-A

“Staff and children's records shall be treated confidentially. In classroom 115 A, three children's confidential information regarding food restrictions were posted on the refrigerator of the classroom.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, 2, 3, and 9 enrolled for more than one year, were missing the following required components: Documentation of child updates and confirmation of up-to-date information in the child's record as required by 8VAC20-780-420 E 3. The record for Child 6, 7, and 10 enrolled for more than 7 months, were missing the following required components: Previous child day care and schools attended by the child.”

8VAC20-780-60-A-8

“Repeat Violation A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2 (who had been enrolled over 14 months), Child #9 (who had been enrolled over 15 over months) and Child #10 (who had been enrolled over 7 months) all had diagnosed food allergies and did not have a written care plan from a physician with instructions and steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #15, who is working with children, has not yet completed this course which is overdue by 2 1/2 months.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the 112 A classroom, the cleaning solution was placed on the changing table, out of reach of children. In the 114 A classroom, the Clorox wipes was placed on a high shelf, out of reach of children and two Lysol toilet bowl cleaning products were on the bathroom floor near the toilet.”

8VAC20-780-280-G

“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. In room 112 A, a plastic spray bottle of cleaning solution was not clearly labeled with the contents. In 101 B, a plastic spray bottle of cleaning solution was not clearly labeled with the contents.”

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. In classroom 117 A bathroom, there were no disposable towels within reach of children.”

8VAC20-780-500-B

“Repeat Violation The diapering area shall have the following the appropriate disposal container during disposal as required by subdivision 6 of this subsection and a leakproof covered receptacle for soiled linens. In classroom 117 A, there was no disposal container or receptacle near the diapering area.”

8VAC20-790-600-D-2

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment, must have current certification in first aid appropriate to the ages of children in care. Staff #1, who has been actively working at the center for the past 5 1/2 months, did not have current certification in first aid appropriate to the ages of children in care.”

8VAC20-790-600-D-1

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment, must have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration; Staff #1, who has been actively working at the center for the past 5 1/2 months, did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 7/31/2024, were not posted in a conspicuous place on the premises.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #8, who is currently working, was dated four weeks after their first day of employment.”

22.1-289.035-B-3

“Repeat Violation The center must receive the central registry results by the end of the 30th Day of employment for staff. Staff #12, who had been employed for over 7 months and Staff #13, who had ben employed for over 5 months did not have a central registry search results by the end of 30th Day .”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #5, who had been attending for 9 months and under the age of two years old, did not have documentation of additional immunizations once every six months on file. The last immunization record was dated over 9 months ago.”

8VAC20-780-160-A

“Repeat Violation Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3 TB was dated more than 38 days prior to the date of employment., and Staff #8 TB was dated more than 40 days prior to the employment.”

8VAC20-780-40-J

“Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. The center's injury prevention procedures was last updated 15 months ago.”

8VAC20-780-50-A

“Staff and children's records shall be treated confidentially. In classroom 115 A, three children's confidential information regarding food restrictions were posted on the refrigerator of the classroom.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, 2, 3, and 9 enrolled for more than one year, were missing the following required components: Documentation of child updates and confirmation of up-to-date information in the child's record as required by 8VAC20-780-420 E 3. The record for Child 6, 7, and 10 enrolled for more than 7 months, were missing the following required components: Previous child day care and schools attended by the child.”

8VAC20-780-60-A-8

“Repeat Violation A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #2 (who had been enrolled over 14 months), Child #9 (who had been enrolled over 15 over months) and Child #10 (who had been enrolled over 7 months) all had diagnosed food allergies and did not have a written care plan from a physician with instructions and steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #15, who is working with children, has not yet completed this course which is overdue by 2 1/2 months.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the 112 A classroom, the cleaning solution was placed on the changing table, out of reach of children. In the 114 A classroom, the Clorox wipes was placed on a high shelf, out of reach of children and two Lysol toilet bowl cleaning products were on the bathroom floor near the toilet.”

8VAC20-780-280-G

“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. In room 112 A, a plastic spray bottle of cleaning solution was not clearly labeled with the contents. In 101 B, a plastic spray bottle of cleaning solution was not clearly labeled with the contents.”

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. In classroom 117 A bathroom, there were no disposable towels within reach of children.”

8VAC20-780-500-B

“Repeat Violation The diapering area shall have the following the appropriate disposal container during disposal as required by subdivision 6 of this subsection and a leakproof covered receptacle for soiled linens. In classroom 117 A, there was no disposal container or receptacle near the diapering area.”

8VAC20-790-600-D-2

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment, must have current certification in first aid appropriate to the ages of children in care. Staff #1, who has been actively working at the center for the past 5 1/2 months, did not have current certification in first aid appropriate to the ages of children in care.”

8VAC20-790-600-D-1

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment, must have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration; Staff #1, who has been actively working at the center for the past 5 1/2 months, did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.”

8VAC20-780-40-E

“Based on documentation review, observation of video footage recording and interviews, the center did not ensure that the center's activities and services were maintained in compliance with these standards and the center's own policies and procedures that are required by these standards. Evidence: 1. The center's policy on playground and supervision states: "Team members should be involved with children, observing them at play and guiding them toward productive activities. Ninety (90) percent of all accidents in preschools happen on playgrounds, so active supervision of children is a must. Please do not congregate in groups with other teachers and chat. Observe the "triangle rule" and maintain stations amongst the children to ensure their safety . Chairs are not allowed outside. In order to maintain maximum supervision, sitting is not allowed.? 2. On 7/22/2024 at approximately 4:10pm two children (ages 4 and 5 years) were observed physically fighting and wrestling on the ground of the soccer field for approximately 1 minute and 20 seconds. The three staff on the playground and responsible for supervising the group of 20 children were unaware of the incident until the parent of one of the children arrived on the playground and intervened by yelling. 3. Staff #1 was observed sitting on the playground speaking with three children. She stated she did not see the incident. 4. Staff #2 was observed with her back to the children while speaking with a parent for approximately 5 minutes. She stated that she also did not see the incident. 5. Staff #3 was observed looking at Staff #2 speaking to the parent, then looking to the right, speaking with a child and then looking in the middle area of the playground. Staff #3 was standing directly across from where the children were fighting/wrestling and did not intervene to stop the children from fighting. She stated she did not see the incident until she suddenly heard the parent state ?Oh no, don?t hit my son.? 6.The three staff responsible for the 20 children were not observing the triangle rule and maintaining the stations amongst the children. All three staff were spread out in one line. Staff #3 should have been positioned across the field in the middle near where the incident occurred..”

8VAC20-780-340-A

“Repeat Violation Based on observation of video footage recording and interviews, staff failed to always ensure the care, protection and guidance when supervising children. Evidence: 1.On July 22, 2024, at approximately 4:10pm, two children (ages 4 and 5 years) were observed physically fighting over a soccer ball and wrestling on the ground of the soccer field for approximately 1 minute and 20 seconds. The three staff on the playground and responsible for supervising the group of 20 children were unaware of the incident until the parent of one of the children arrived on the playground and intervened by yelling. 2. One staff was sitting and talking with 3 children, one staff was talking with a parent with her back to the children, and the third staff was facing the children but did not notice the fighting until she heard the parent yell.”

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

“Based on interviews, staff failed to always ensure the care, protection and guidance of one child. Evidence: 1. Approximately a few months ago, Staff #1 confirmed that she accidently fed two infants with the same spoon, while feeding them at the same time.”

8VAC20-780-60-A-8

“Repeat Violation Based on review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Four children were listed on the allergy list that had diagnosed food allergies without a written care plan for each child at the center.”

8VAC20-770-60-C-2

“Based on review of staff records, the center did not obtain the central registry findings within 30 days of employment for one staff member. Evidence: 1. Staff #5 (Date of hire 1/02/2024) did not have the central registry findings in their file . 2. Staff #7 (Date of hire 3/07/2024) did not have the central registry findings in their file . 3.Staff #8 (Date of hire 3/04/2024) had a central registry finding dated 5/05/2024 and was received after more than 30 days of hire.”

8VAC20-780-290-A-3

“Based on observation, the center failed to cover all unused electrical outlets accessible to children under five years of age with child resistant protective covers. Evidence: 1. In Room 120 A, the outlet cover was not slid over to protect the unused electrical outlet from children. The staff member stated the outlet cover does not work.”

8VAC20-780-70

“Repeat Violation Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 (Date of hire 4/29/2024) did not have two references in their file. 2. Staff #7 (Date of hire 3/07/2024) had only one references and needed one more for their file. 3. Staff #9 (Date of hire 4/22/2024) did not have two references in their file.”

8VAC20-780-140-A

“Repeat Violation Based on review of children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of attendance. Evidence: 1. Child #5 (start date 7/17/2023) did not have documentation of a physical prior to or within 30 days of attendance.”

8VAC20-780-500-B

“Repeat Violation Based on observation, the center did not follow all diaper changing requirements. Evidence: 1. In classroom 120A, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system. 2. In classroom 112A Bathroom, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system.”

8VAC20-780-160-A

“Based on review of staff records, the center did not obtain the documentation of a negative tuberculosis screening prior to hiring and within 30 days of employment. Evidence: 1. Staff #4 (Date of hire 5/06/2024) had a tuberculosis screening or test dated 5/13/2024 and was received after the hire date..”

8VAC20-790-600-D-2

“Based on review of training, one staff member did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff member A (hire date 2/05/2024) was not current in First Aid Training and had worked for the center more than 90 days.”

8VAC20-790-600-D-1

“Based on review of training, one staff member did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff member A (hire date 2/05/2024) was not current in CPR and had worked for the center more than 90 days.”

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

“Based on interviews, staff failed to always ensure the care, protection and guidance of one child. Evidence: 1. Approximately a few months ago, Staff #1 confirmed that she accidently fed two infants with the same spoon, while feeding them at the same time.”

8VAC20-780-60-A-8

“Repeat Violation Based on review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Four children were listed on the allergy list that had diagnosed food allergies without a written care plan for each child at the center.”

8VAC20-770-60-C-2

“Based on review of staff records, the center did not obtain the central registry findings within 30 days of employment for one staff member. Evidence: 1. Staff #5 (Date of hire 1/02/2024) did not have the central registry findings in their file . 2. Staff #7 (Date of hire 3/07/2024) did not have the central registry findings in their file . 3.Staff #8 (Date of hire 3/04/2024) had a central registry finding dated 5/05/2024 and was received after more than 30 days of hire.”

8VAC20-780-290-A-3

“Based on observation, the center failed to cover all unused electrical outlets accessible to children under five years of age with child resistant protective covers. Evidence: 1. In Room 120 A, the outlet cover was not slid over to protect the unused electrical outlet from children. The staff member stated the outlet cover does not work.”

8VAC20-780-70

“Repeat Violation Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 (Date of hire 4/29/2024) did not have two references in their file. 2. Staff #7 (Date of hire 3/07/2024) had only one references and needed one more for their file. 3. Staff #9 (Date of hire 4/22/2024) did not have two references in their file.”

8VAC20-780-140-A

“Repeat Violation Based on review of children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of attendance. Evidence: 1. Child #5 (start date 7/17/2023) did not have documentation of a physical prior to or within 30 days of attendance.”

8VAC20-780-500-B

“Repeat Violation Based on observation, the center did not follow all diaper changing requirements. Evidence: 1. In classroom 120A, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system. 2. In classroom 112A Bathroom, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system.”

8VAC20-780-160-A

“Based on review of staff records, the center did not obtain the documentation of a negative tuberculosis screening prior to hiring and within 30 days of employment. Evidence: 1. Staff #4 (Date of hire 5/06/2024) had a tuberculosis screening or test dated 5/13/2024 and was received after the hire date..”

8VAC20-790-600-D-2

“Based on review of training, one staff member did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff member A (hire date 2/05/2024) was not current in First Aid Training and had worked for the center more than 90 days.”

8VAC20-790-600-D-1

“Based on review of training, one staff member did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff member A (hire date 2/05/2024) was not current in CPR and had worked for the center more than 90 days.”

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

“Based on interviews, staff failed to always ensure the care, protection and guidance of one child. Evidence: 1. Approximately a few months ago, Staff #1 confirmed that she accidently fed two infants with the same spoon, while feeding them at the same time.”

8VAC20-780-60-A-8

“Repeat Violation Based on review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Four children were listed on the allergy list that had diagnosed food allergies without a written care plan for each child at the center.”

8VAC20-770-60-C-2

“Based on review of staff records, the center did not obtain the central registry findings within 30 days of employment for one staff member. Evidence: 1. Staff #5 (Date of hire 1/02/2024) did not have the central registry findings in their file . 2. Staff #7 (Date of hire 3/07/2024) did not have the central registry findings in their file . 3.Staff #8 (Date of hire 3/04/2024) had a central registry finding dated 5/05/2024 and was received after more than 30 days of hire.”

8VAC20-780-290-A-3

“Based on observation, the center failed to cover all unused electrical outlets accessible to children under five years of age with child resistant protective covers. Evidence: 1. In Room 120 A, the outlet cover was not slid over to protect the unused electrical outlet from children. The staff member stated the outlet cover does not work.”

8VAC20-780-70

“Repeat Violation Based on record review, staff records did not include all required information. Evidence: 1. Staff #1 (Date of hire 4/29/2024) did not have two references in their file. 2. Staff #7 (Date of hire 3/07/2024) had only one references and needed one more for their file. 3. Staff #9 (Date of hire 4/22/2024) did not have two references in their file.”

8VAC20-780-140-A

“Repeat Violation Based on review of children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of attendance. Evidence: 1. Child #5 (start date 7/17/2023) did not have documentation of a physical prior to or within 30 days of attendance.”

8VAC20-780-500-B

“Repeat Violation Based on observation, the center did not follow all diaper changing requirements. Evidence: 1. In classroom 120A, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system. 2. In classroom 112A Bathroom, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system.”

8VAC20-780-160-A

“Based on review of staff records, the center did not obtain the documentation of a negative tuberculosis screening prior to hiring and within 30 days of employment. Evidence: 1. Staff #4 (Date of hire 5/06/2024) had a tuberculosis screening or test dated 5/13/2024 and was received after the hire date..”

8VAC20-790-600-D-2

“Based on review of training, one staff member did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff member A (hire date 2/05/2024) was not current in First Aid Training and had worked for the center more than 90 days.”

8VAC20-790-600-D-1

“Based on review of training, one staff member did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff member A (hire date 2/05/2024) was not current in CPR and had worked for the center more than 90 days.”

8VAC20-780-140-A

“Based on review of children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of attendance. Evidence: 1. Child #2 (start date 8/21/2023) did not have documentation of a physical prior to or within 30 days of attendance.”

8VAC20-780-40-M

“Based on review, the center did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan and kept confidential in each room or area where children are present. Evidence: 1. In classroom 119A and in the back school age classroom, the allergy list did not have a cover sheet and the child's allergies and/or food preferences were visible. 2. Child K had an allergy action plan for a food allergy and was listed as only having a food preference.”

8VAC20-780-60-A

“Based on record review, children's records did not have complete information. Evidence: 1. Child #3 and Child #4 did not list previous child care and schools attended by the child in their record. 2. Child F had an allergy action plan dated 8/18/2022 and did not have confirmation of up to date information in the child's file at least annually.”

8VAC20-780-60-A-8

“Based on review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Child A (For another school) L, Child E (Not signed by a doctor), Child H (None available) did and Child I (None available) did not have an action plan at the center for the child's diagnosed food allergy.”

8VAC20-780-270-A

“Repeat Violation Based on observation, equipment of the center inside was not maintained in a safe and operable condition. Evidence: 1. In the bowling room, a blue sofa had a rip approximately 2 inches long that was covered by tape.”

8VAC20-780-500-B

“Based on observation, the center did not follow all diaper changing requirements. Evidence: 1. In classroom 119A, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system.”

8VAC20-780-510-P

“Repeat Violation Based on review of medication, the center had medications that had not been returned to the parent or disposed of after 14 days of an authorization expiring. Evidence: 1. Child J had one emergency medication authorization that expired on 9/25/2023 and had not been returned to the parent of disposed of within 14 days.”

8VAC20-780-540-E

“Based on observation and interview, the center did not have a working battery operated radio in the building. Evidence: 1. The center had a radio, but did not have batteries to operate it.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #4 (Date of hire 12/04/2023) had two references dated 12/06/2023 and 12/11/2023.”

8VAC20-780-140-A

“Based on review of children's records, the center did not have documentation of a physical in each child's file prior to or within 30 days of attendance. Evidence: 1. Child #2 (start date 8/21/2023) did not have documentation of a physical prior to or within 30 days of attendance.”

8VAC20-780-40-M

“Based on review, the center did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan and kept confidential in each room or area where children are present. Evidence: 1. In classroom 119A and in the back school age classroom, the allergy list did not have a cover sheet and the child's allergies and/or food preferences were visible. 2. Child K had an allergy action plan for a food allergy and was listed as only having a food preference.”

8VAC20-780-60-A

“Based on record review, children's records did not have complete information. Evidence: 1. Child #3 and Child #4 did not list previous child care and schools attended by the child in their record. 2. Child F had an allergy action plan dated 8/18/2022 and did not have confirmation of up to date information in the child's file at least annually.”

8VAC20-780-60-A-8

“Based on review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Child A (For another school) L, Child E (Not signed by a doctor), Child H (None available) did and Child I (None available) did not have an action plan at the center for the child's diagnosed food allergy.”

8VAC20-780-270-A

“Repeat Violation Based on observation, equipment of the center inside was not maintained in a safe and operable condition. Evidence: 1. In the bowling room, a blue sofa had a rip approximately 2 inches long that was covered by tape.”

8VAC20-780-500-B

“Based on observation, the center did not follow all diaper changing requirements. Evidence: 1. In classroom 119A, the trashcan used to dispose of diapers had a spinning top and was not foot operated or used in such a way that neither the staff member's hand nor the diaper touches the exterior surface of the storage system.”

8VAC20-780-510-P

“Repeat Violation Based on review of medication, the center had medications that had not been returned to the parent or disposed of after 14 days of an authorization expiring. Evidence: 1. Child J had one emergency medication authorization that expired on 9/25/2023 and had not been returned to the parent of disposed of within 14 days.”

8VAC20-780-540-E

“Based on observation and interview, the center did not have a working battery operated radio in the building. Evidence: 1. The center had a radio, but did not have batteries to operate it.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #4 (Date of hire 12/04/2023) had two references dated 12/06/2023 and 12/11/2023.”

8VAC20-780-510-P

“Based on review of medication, the center had two medications that had not been returned to the parent or disposed of after 14 days of an authorization expiring. Evidence: 1. One child had two medications at the center that had authorizations that had expired on 8/22/2023 and 8/27/2023. The parent had not picked up the medication within 14 days or renewed the authorization and the center did not dispose of the medication.”

8VAC20-780-80-A

“Based on review of attendance records, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. In Classroom 118A, 8 children were present. 7 children were checked in on the classroom iPad attendance tracker.. 6 children were written down on the daily attendance sheet. The child that was not listed on either iPad attendance tracker or daily attendance sheet arrived at approximately 8:30am and was not on the iPad attendance tracker or the daily attendance sheet at approximately 10:18am.”

8VAC20-780-550-A

“Based on interview and review of the emergency preparedness plan, the center's plan was not developed in consultation with local and state authorities. Evidence: 1. Staff stated it had not been developed in consultation with local and state authorities.”

8VAC20-780-270-A

“Based on observation, areas and equipment inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the media classroom, the foosball table was missing a part for the game. 2. The home living pretend sink was missing the sink faucet in classroom 124A, 111A, 119A and 112A. 3. In the music classroom, the cabinet was chipped on the left side corner. 4. In 122A classroom, the cabinet handle was missing a screw to hold it in place. 5. On the playground, the poured in place surface was cracked near the slide in the Toddler/2's area and a large circular area approximately 15 inches wide was missing the poured in place surface on the 3's playground.”