Kiddie Academy of Leesburg

8VAC20-780-500-B

“A nonabsorbent surface for diapering or changing shall be used. In classroom #1 the diapering surface had two tears in the changing pad.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for child #1, enrolled for over one year, was missing the name and address of one emergency contact. The record for child #2, enrolled for seven months, was missing the name, address and phone number of one emergency contact.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of children in care. The training shall include an in-person competency demonstration. Staff #1, who had been employed for over two weeks, was working alone with a group of children (all age: 3 years), and did not have a current certification in CPR and first aid that included an in-person competency demonstration.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 03/24/2025, staff #1 walked out of a classroom leaving eight children (all age: 3 years) with independent contractor #1, that was not an employee of the center.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 03/24/2025, staff #1 did not ensure the care, protection, and guidance of a classroom of children (all 3 years of age) when she walked out of the classroom leaving them alone with independent contractor #1, that was not an employee of the center, for approximately nine minutes.”

8VAC20-780-230-B

“Individuals from independent contractors who do not meet staff qualifications shall, when in the presence of children, be within sight and sound supervision of a staff member. On 03/24/2025, staff #1 left a classroom with children (all 3 years of age) out of sight supervision, for approximately nine minutes with independent contractor #1 who did not meet staff qualifications and was not an employee of the center.”

8VAC20-780-230-A

“Individuals from independent contractors shall not be counted in the staff-to-children ratios unless they meet the qualifications for the applicable position. Staff #1 walked out of a classroom leaving independent contractor #1, who did not meet staff qualifications and was not an employee of the center, alone with children for approximately nine minutes.”

22.1-289.035-B-4

“Repeat Violation An applicant for employment that has received qualifying results on the fingerprint-based background check and has requested an out of state central registry background check, may work in the child day center prior to receiving the results, provided that the applicant is supervised at all times by a person who received a qualifying result back on a background check conducted in the past five years. Staff #1, who has been employed for over two weeks, was working alone with a group of children (all age: 3 years) prior to the center receiving qualifying results for staff #1s out of state central registry background check from one state that was requested three weeks ago.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record for child #2, who had been enrolled for three months.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state which the individual has resided in the preceding five years. Staff #2, employed for nine months, did not have documentation of requesting a central registry check or sex offender registry check from one state.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2 completed the course three months late.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record for child #2, who had been enrolled for three months.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state which the individual has resided in the preceding five years. Staff #2, employed for nine months, did not have documentation of requesting a central registry check or sex offender registry check from one state.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2 completed the course three months late.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on record review and interview, the center did not inform the superintendent’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurred while the child was under the supervision of the center and required outside medical attention. Evidence: 1. The centers accident/injury report stated that on 05/14/2024, Child # 1 (age: 2 years) was "opening and closing the potty door until they closed it on their finger. Their nail is displaced." 2. Staff #1 stated that on 05/15/2024 they were notified by the parent that Child #1 went to the Emergency Room and was diagnosed with a broken finger. 3. There was no record of the injury that occurred to Child #1 on 05/14/2024 that required outside medical attention, or that the injury was reported to the superintendent's representative. 4. Staff #1 stated that they were unaware of the requirements for reporting injuries of a child that occur while the child is under the supervision of the center and required outside medical attention.”

8VAC20-780-50-B Complaint related: Yes

“Based on interview, records on children were not made accessible for two years after termination of services. Evidence: 1. Staff #1 and Staff #2 stated that the record for Child #1 (last date of enrollment: 05/23/2024) was not available for review at the time of inspection.”

8VAC20-780-580-B

“Based on observation and interview, the center did not ensure that any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. Evidence: 1) Two of the three transportation buses have an expired Virginia State Inspection dated March 2024. 2) Staff #5 confirmed the Virginia State Inspection is expired and is actively being used for transportation of children.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Happy Hippos classroom, 2 open containers of cleaning liquids were observed on a high shelf above the rocking chair. 2) In the Lively Ladybugs classroom, 1 bottle of cleaning spray was observed in an unlocked upper cabinet above the sink. 3) In the Eagles classroom, 1 bottle of cleaning spray and 1 container of cleaning wipes were observed in an unlocked lower cabinet under the sink.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that each staff member submits documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1) Staff #2 (DOH: 11/29/2023) record did not contain documentation of negative tuberculosis screening. 2) Staff #5 confirmed that Staff #2 did not have documentation of a negative tuberculosis screening.”

8VAC20-780-580-B

“Based on observation and interview, the center did not ensure that any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. Evidence: 1) Two of the three transportation buses have an expired Virginia State Inspection dated March 2024. 2) Staff #5 confirmed the Virginia State Inspection is expired and is actively being used for transportation of children.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Happy Hippos classroom, 2 open containers of cleaning liquids were observed on a high shelf above the rocking chair. 2) In the Lively Ladybugs classroom, 1 bottle of cleaning spray was observed in an unlocked upper cabinet above the sink. 3) In the Eagles classroom, 1 bottle of cleaning spray and 1 container of cleaning wipes were observed in an unlocked lower cabinet under the sink.”

8VAC20-780-160-A

“Based on record review and interview, the center failed to ensure that each staff member submits documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1) Staff #2 (DOH: 11/29/2023) record did not contain documentation of negative tuberculosis screening. 2) Staff #5 confirmed that Staff #2 did not have documentation of a negative tuberculosis screening.”

8VAC20-780-270-A Complaint related: No

“REPEAT VIOLATION Based on observation, the center failed to ensure areas of the center, inside, were not maintained in a clean, safe and operable condition. Evidence: 1. Witness A stated that daily around pickup time, the classroom restroom smells foul. They stated that urine is always on the floor and the toilet is rarely flushed. 2. On January 30, 2024, one out of two toilets in the restroom used by the Ladybugs classroom was observed to contain urine and toilet paper. 3. On January 30, 2024, toilet paper and paper towels were observed on the floor of the Ladybugs? restroom. 4. On January 30, 2024, a sippy cup was observed sitting on the toilet paper dispenser in a bathroom stall in the restroom used by the Ladybugs classroom. 5. On January 30, 2024, one out of two toilets in the restroom used by the Bees and Frogs classrooms was inoperable and contained feces and urine. There was an out of order sign posted on the door. 6. Staff #1 confirmed that the toilet had been inoperable since January 29, 2024 and a plumbing company was scheduled to come out on January 31, 2024. 7. On January 30, 2024, toilet paper was observed on the floor of a bathroom stall in the restroom used by the Bees and Frogs classrooms.”

8VAC20-780-490-E Complaint related: No

“Based on observation, the center failed to ensure when any surface has been contaminated with body fluids, it is cleaned and sanitized. Evidence: 1. Witness A stated that daily around pickup time, the classroom restroom smells foul. They stated that urine is always on the floor and the toilet is rarely flushed. 2. On January 30, 2024, a puddle of liquid was observed on the floor of a bathroom stall in the restroom used by the Bees and Frogs classroom. 3. There was a urine odor in the restroom. 4. After dipping toilet paper into the puddle, it was determined that the liquid was urine.”

8VAC20-780-270-A Complaint related: No

“REPEAT VIOLATION Based on observation, the center failed to ensure areas of the center, inside, were not maintained in a clean, safe and operable condition. Evidence: 1. Witness A stated that daily around pickup time, the classroom restroom smells foul. They stated that urine is always on the floor and the toilet is rarely flushed. 2. On January 30, 2024, one out of two toilets in the restroom used by the Ladybugs classroom was observed to contain urine and toilet paper. 3. On January 30, 2024, toilet paper and paper towels were observed on the floor of the Ladybugs? restroom. 4. On January 30, 2024, a sippy cup was observed sitting on the toilet paper dispenser in a bathroom stall in the restroom used by the Ladybugs classroom. 5. On January 30, 2024, one out of two toilets in the restroom used by the Bees and Frogs classrooms was inoperable and contained feces and urine. There was an out of order sign posted on the door. 6. Staff #1 confirmed that the toilet had been inoperable since January 29, 2024 and a plumbing company was scheduled to come out on January 31, 2024. 7. On January 30, 2024, toilet paper was observed on the floor of a bathroom stall in the restroom used by the Bees and Frogs classrooms.”

8VAC20-780-490-E Complaint related: No

“Based on observation, the center failed to ensure when any surface has been contaminated with body fluids, it is cleaned and sanitized. Evidence: 1. Witness A stated that daily around pickup time, the classroom restroom smells foul. They stated that urine is always on the floor and the toilet is rarely flushed. 2. On January 30, 2024, a puddle of liquid was observed on the floor of a bathroom stall in the restroom used by the Bees and Frogs classroom. 3. There was a urine odor in the restroom. 4. After dipping toilet paper into the puddle, it was determined that the liquid was urine.”

8VAC20-780-350-Q Complaint related: No

“Based on interview and record review, without a written assessment by the program director and program leader, the center assigned a child to a different age group that was not more appropriate for the child’s developmental level. Evidence: 1. Staff #1 confirmed that Child #1 (age: 3 years) was moved to the four-year-old classroom after a parent made a complaint to the center that their child was picking up bad words from Child #1. Witnesses #A and #F confirmed that the child was not developmentally ready for the four-year-old classroom. 2. When requested, the center failed to produce a written assessment for Child #1?s transition to the four-year-old classroom.”

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

“REPEAT VIOLATION Based on record review and interview, the center failed to follow the center’s own policies and procedures. Evidence: 1. The center has a policy that states ?one week’s notice will be provided for disenrollment, unless the inappropriate behavior jeopardizes the health and safety of other children or members of the Academy’s staff.? 2. On August 31, 2023, the center informed the family of Child #1 (age: 3 years) via email, that ?August 31st will be the final day of enrollment,? for Child #1 and their three siblings. The email indicated that the disenrollment was due to the center not feeling comfortable providing care to the children after a comment was made that the parent will be shutting the center down. 3. The center has a behavior management policy that states, ?our goal is to limit exclusionary measures and will only be considered when the health and safety of the child, other children, or staff is jeopardized.? The policy also states, ?exclusionary measures are not taken unless there is an agreement from all parties that it is in the best interest of the child. If exclusionary measures are taken the program will offer assistance to the family in accessing services and an alternative placement.? 4. Child #1 had four behavior reports about hitting classmates and teachers, and three behavior reports about running from teachers, written between March 27, 2023 and August 29, 2023. On August 29, 2023, the family of Child #1 was notified that the child would be suspended starting August 30, 2023 and could return to school on September 5, 2023. Witness #F confirmed that all parties had not come to an agreement that exclusionary measures were in the best interest of the child. The program did not offer assistance in accessing services and an alternative placement. 5. Witnesses B, C, D, and E all confirmed that there are multiple children who have exhibited behavior issues including hitting, kicking, spitting, throwing toys and running around. 6. Review of behavior reports indicated that Child #2 has had multiple behavior reports written due to choking classmates, wrapping their hands around classmates? necks, shoving, hitting, throwing toys, pulling hair, scratching and biting. Child #3 has had multiple behavior reports written due to hitting teachers, punching a teacher in the face, and kicking. Staff #1 confirmed that Child #2 and Child #3 have not been suspended.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation that each child has received required immunizations before the child can attend the center. Evidence: Child #2 (start date: 07/10/2023) did not have documentation of immunizations on file.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: Staff #5 (start date: 05/10/2023) did not have documentation of completion of the Virginia Department of Education-sponsored orientation course on file.”

8VAC20-780-350-F

“Based on record review and staff interview, the center failed to develop a written policy and procedure that describes how each group of children will receive care by consistent staff. Evidence: Staff #3 confirmed that the center did not have a written and procedure policy on consistent care.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review, the center failed to obtain a physical examination for each child before the child’s attendance or within 30 days of the first day of attendance. Evidence: Child #2 (start date: 07/10/2023) did not have documentation of a physical examination on file.”

8VAC20-780-350-Q Complaint related: No

“Based on interview and record review, without a written assessment by the program director and program leader, the center assigned a child to a different age group that was not more appropriate for the child’s developmental level. Evidence: 1. Staff #1 confirmed that Child #1 (age: 3 years) was moved to the four-year-old classroom after a parent made a complaint to the center that their child was picking up bad words from Child #1. Witnesses #A and #F confirmed that the child was not developmentally ready for the four-year-old classroom. 2. When requested, the center failed to produce a written assessment for Child #1?s transition to the four-year-old classroom.”

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

“REPEAT VIOLATION Based on record review and interview, the center failed to follow the center’s own policies and procedures. Evidence: 1. The center has a policy that states ?one week’s notice will be provided for disenrollment, unless the inappropriate behavior jeopardizes the health and safety of other children or members of the Academy’s staff.? 2. On August 31, 2023, the center informed the family of Child #1 (age: 3 years) via email, that ?August 31st will be the final day of enrollment,? for Child #1 and their three siblings. The email indicated that the disenrollment was due to the center not feeling comfortable providing care to the children after a comment was made that the parent will be shutting the center down. 3. The center has a behavior management policy that states, ?our goal is to limit exclusionary measures and will only be considered when the health and safety of the child, other children, or staff is jeopardized.? The policy also states, ?exclusionary measures are not taken unless there is an agreement from all parties that it is in the best interest of the child. If exclusionary measures are taken the program will offer assistance to the family in accessing services and an alternative placement.? 4. Child #1 had four behavior reports about hitting classmates and teachers, and three behavior reports about running from teachers, written between March 27, 2023 and August 29, 2023. On August 29, 2023, the family of Child #1 was notified that the child would be suspended starting August 30, 2023 and could return to school on September 5, 2023. Witness #F confirmed that all parties had not come to an agreement that exclusionary measures were in the best interest of the child. The program did not offer assistance in accessing services and an alternative placement. 5. Witnesses B, C, D, and E all confirmed that there are multiple children who have exhibited behavior issues including hitting, kicking, spitting, throwing toys and running around. 6. Review of behavior reports indicated that Child #2 has had multiple behavior reports written due to choking classmates, wrapping their hands around classmates? necks, shoving, hitting, throwing toys, pulling hair, scratching and biting. Child #3 has had multiple behavior reports written due to hitting teachers, punching a teacher in the face, and kicking. Staff #1 confirmed that Child #2 and Child #3 have not been suspended.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation that each child has received required immunizations before the child can attend the center. Evidence: Child #2 (start date: 07/10/2023) did not have documentation of immunizations on file.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: Staff #5 (start date: 05/10/2023) did not have documentation of completion of the Virginia Department of Education-sponsored orientation course on file.”

8VAC20-780-350-F

“Based on record review and staff interview, the center failed to develop a written policy and procedure that describes how each group of children will receive care by consistent staff. Evidence: Staff #3 confirmed that the center did not have a written and procedure policy on consistent care.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review, the center failed to obtain a physical examination for each child before the child’s attendance or within 30 days of the first day of attendance. Evidence: Child #2 (start date: 07/10/2023) did not have documentation of a physical examination on file.”

8VAC20-780-350-Q Complaint related: No

“Based on interview and record review, without a written assessment by the program director and program leader, the center assigned a child to a different age group that was not more appropriate for the child’s developmental level. Evidence: 1. Staff #1 confirmed that Child #1 (age: 3 years) was moved to the four-year-old classroom after a parent made a complaint to the center that their child was picking up bad words from Child #1. Witnesses #A and #F confirmed that the child was not developmentally ready for the four-year-old classroom. 2. When requested, the center failed to produce a written assessment for Child #1?s transition to the four-year-old classroom.”

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

“REPEAT VIOLATION Based on record review and interview, the center failed to follow the center’s own policies and procedures. Evidence: 1. The center has a policy that states ?one week’s notice will be provided for disenrollment, unless the inappropriate behavior jeopardizes the health and safety of other children or members of the Academy’s staff.? 2. On August 31, 2023, the center informed the family of Child #1 (age: 3 years) via email, that ?August 31st will be the final day of enrollment,? for Child #1 and their three siblings. The email indicated that the disenrollment was due to the center not feeling comfortable providing care to the children after a comment was made that the parent will be shutting the center down. 3. The center has a behavior management policy that states, ?our goal is to limit exclusionary measures and will only be considered when the health and safety of the child, other children, or staff is jeopardized.? The policy also states, ?exclusionary measures are not taken unless there is an agreement from all parties that it is in the best interest of the child. If exclusionary measures are taken the program will offer assistance to the family in accessing services and an alternative placement.? 4. Child #1 had four behavior reports about hitting classmates and teachers, and three behavior reports about running from teachers, written between March 27, 2023 and August 29, 2023. On August 29, 2023, the family of Child #1 was notified that the child would be suspended starting August 30, 2023 and could return to school on September 5, 2023. Witness #F confirmed that all parties had not come to an agreement that exclusionary measures were in the best interest of the child. The program did not offer assistance in accessing services and an alternative placement. 5. Witnesses B, C, D, and E all confirmed that there are multiple children who have exhibited behavior issues including hitting, kicking, spitting, throwing toys and running around. 6. Review of behavior reports indicated that Child #2 has had multiple behavior reports written due to choking classmates, wrapping their hands around classmates? necks, shoving, hitting, throwing toys, pulling hair, scratching and biting. Child #3 has had multiple behavior reports written due to hitting teachers, punching a teacher in the face, and kicking. Staff #1 confirmed that Child #2 and Child #3 have not been suspended.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation that each child has received required immunizations before the child can attend the center. Evidence: Child #2 (start date: 07/10/2023) did not have documentation of immunizations on file.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: Staff #5 (start date: 05/10/2023) did not have documentation of completion of the Virginia Department of Education-sponsored orientation course on file.”

8VAC20-780-350-F

“Based on record review and staff interview, the center failed to develop a written policy and procedure that describes how each group of children will receive care by consistent staff. Evidence: Staff #3 confirmed that the center did not have a written and procedure policy on consistent care.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review, the center failed to obtain a physical examination for each child before the child’s attendance or within 30 days of the first day of attendance. Evidence: Child #2 (start date: 07/10/2023) did not have documentation of a physical examination on file.”

8VAC20-780-560-F-4 Complaint related: Yes

“Based on observation and staff interview, children three years of age or younger were offered foods that are considered to be potential choking hazards. Evidence: 1. On June 14, 2023, 4 out of 5 classrooms with children three years of age or younger were observed eating hotdogs for lunch. The hot dogs were torn into chunks large enough to pose a choking hazard in 3 of the classrooms. The hot dogs were served cut in half, posing a choking hazard, in the fourth classroom. 2. The center menu stated that Cheese Sticks would be served for PM snack on June 14, 2023. 3. Staff #1 stated that the children in the Toddlers classroom typically eat the cheese stick whole, but sometimes the staff will cut the cheese stick in half. 4. Staff #2 stated that the children in the two year old classroom eat the cheese stick whole.”

8VAC20-780-560-F-4 Complaint related: Yes

“Based on observation and staff interview, children three years of age or younger were offered foods that are considered to be potential choking hazards. Evidence: 1. On June 14, 2023, 4 out of 5 classrooms with children three years of age or younger were observed eating hotdogs for lunch. The hot dogs were torn into chunks large enough to pose a choking hazard in 3 of the classrooms. The hot dogs were served cut in half, posing a choking hazard, in the fourth classroom. 2. The center menu stated that Cheese Sticks would be served for PM snack on June 14, 2023. 3. Staff #1 stated that the children in the Toddlers classroom typically eat the cheese stick whole, but sometimes the staff will cut the cheese stick in half. 4. Staff #2 stated that the children in the two year old classroom eat the cheese stick whole.”

8VAC20-780-340-F

“Based on interview and review of the center’s video footage, a child under 10 years of age was not within actual sight and sound supervision of staff at all times. Evidence: 1. On 04/06/2023, at approximately 9:29 a.m., the video recording shows Staff #2 walking Child #1 (age: 3 years) towards the bathroom on the School Age playground. 2. At approximately 9:30 a.m., the video recording shows Staff #2 going back to the playground area where the rest of her students were playing, without Child #1. 3. At approximately 9:47 a.m., the video recording shows Staff #2 and Staff #3 going into the building with their class. 4. Staff #3 stated that they were not aware that Staff #2 had taken Child #1 to the bathroom. 5. Staff #1 stated that when they went to the playground at approximately 9:50 a.m., they were alerted by Staff #4 that Child #1 was in the bathroom. 6. When Staff #1 went to retrieve Child #1 from the bathroom, the child was still sitting on the toilet and did not appear to be crying. 7. Child #1 was in the bathroom, unsupervised and with the door closed, from approximately 9:29 a.m. to approximately 9:50 a.m.”

8VAC20-780-40-E

“Based on staff interview and policy review, staff failed to follow the center’s own policies and procedures on Name-to-Face. Evidence: 1. The center has a Name-to-Face policy that states that the Name to Face checks should be conducted ?before and after every transition from place to place.? It also states that Name to Face checks should be conducted ?before you leave the playground and again when you get back to the classroom.? 2. On 04/06/2023 Staff #1 stated that the Name to Face check was not conducted by Staff #2 or Staff #3 before leaving the playground or when they returned to the classroom. 3. Staff #2 signed a copy of the Name-to-Face policy on 03/06/2019. 4. Staff #3 signed a copy of the Name-to-Face policy on 09/05/2022. 5. Staff #1 stated that they reviewed the Name-to-Face policy with all center staff at new hire orientation and during staff meetings.”

8VAC20-780-340-A

“Based on interview and review of the center’s video footage, when staff were supervising children, they did not always ensure their care and protection. Evidence: 1. On 04/06/2023, at approximately 9:29 a.m., the video recording shows Staff #2 walking Child #1 (age: 3 years) towards the bathroom on the School Age playground. 2. At approximately 9:30 a.m., the video recording shows Staff #2 going back to the playground area where the rest of her students were playing, without Child #1. 3. At approximately 9:47 a.m., the video recording shows Staff #2 and Staff #3 going into the building with their class. 4. Staff #1 stated that when they went to the playground at approximately 9:50 a.m., they were alerted that Child #1 was in the bathroom. 5. When Staff #1 went to retrieve Child #1 from the bathroom, the child was still sitting on the toilet and did not appear to be crying. 6. Child #1 was in the bathroom, unsupervised, from approximately 9:29 a.m. to approximately 9:50 a.m. 7. Staff #2 and Staff #3 did not realize that Child #1 was not with the class.”

8VAC20-780-550-P

“Based on record review, not all written records of children’s injuries included all required information. Evidence: 1. 7 out of 7 injury reports reviewed were missing the time when parents were notified. 2. 2 out 7 injury reports reviewed were missing the time of injury.”

8VAC20-780-40-I

“Based on record review and staff interview, the center did develop written procedures for injury prevention. Evidence: The center did not have written procedures for injury prevention.”

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: Child #1 (start date: 01/03/2022) did not have a physical examination on file.”

8VAC20-780-160-C

“Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: The most recent TB screening for Staff #5 was dated 10/26/2020.”

8VAC20-780-60-A-8

“Based on record review and staff interview, the center did not obtain all information for children’s records. Evidence: 1. The posted allergy list indicates that Child #2 has an allergy to nuts. Staff #3 confirmed this allergy. 2. The record for Child #2 did not include a written allergy care plan.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was chipped yellow paint on the wall under the art board in the ?Moving Monkeys? classroom. 2. There was chipped blue paint in the science area in the ?Lively Ladybugs? classroom.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunization once every six months for all children under the age of two years. Evidence: The most recent immunization for Child #1 (age: 16 months) was dated 03/21/2022.”

8VAC20-780-550-P

“Based on record review, not all written records of children’s injuries included all required information. Evidence: 1. 7 out of 7 injury reports reviewed were missing the time when parents were notified. 2. 2 out 7 injury reports reviewed were missing the time of injury.”

8VAC20-780-40-I

“Based on record review and staff interview, the center did develop written procedures for injury prevention. Evidence: The center did not have written procedures for injury prevention.”

8VAC20-780-140-A

“Based on record review, each child did not have a physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: Child #1 (start date: 01/03/2022) did not have a physical examination on file.”

8VAC20-780-160-C

“Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: The most recent TB screening for Staff #5 was dated 10/26/2020.”

8VAC20-780-60-A-8

“Based on record review and staff interview, the center did not obtain all information for children’s records. Evidence: 1. The posted allergy list indicates that Child #2 has an allergy to nuts. Staff #3 confirmed this allergy. 2. The record for Child #2 did not include a written allergy care plan.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. There was chipped yellow paint on the wall under the art board in the ?Moving Monkeys? classroom. 2. There was chipped blue paint in the science area in the ?Lively Ladybugs? classroom.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunization once every six months for all children under the age of two years. Evidence: The most recent immunization for Child #1 (age: 16 months) was dated 03/21/2022.”

8VAC20-790-600-D-2

“Based on record review and staff interview, all staff who work directly with children did not have current certification in first aid within 90 days of the date of employment. Evidence: 1. Staff #2 (date of employment: 04/24/2022) did not have current certification in first aid. 2. Staff #6 stated that Staff #2 has a training scheduled.”

8VAC20-790-600-D-1

“Based on record review and staff interview, all staff who work directly with children did not have current certification in cardiopulmonary resuscitation (CPR) within 90 days of the date of employment. Evidence: 1. Staff #2 (date of employment: 04/24/2022) did not have current certification in CPR. 2. Staff #6 stated that Staff #2 has a training scheduled.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: 1. In the Bees classroom, a spray bottle containing a cleaning disinfectant was located in an unlocked cabinet. 2. In the Frogs classroom, two hand sanitizers and a container of floor cleaner wipes were located in an unlocked cabinet.”

8VAC20-780-60-A-8

“Based on record review, the center did not obtain all information for children’s records. Evidence: 1. Child #2?s record indicates an allergy to fish, peanuts, and beans. The record for Child #2 did not include a written allergy care plan. 2. Child #4?s record indicates an allergy to eggs and nuts. The record for Child #4 did not include a written allergy care plan.”

8VAC20-780-160-A

“Based on record review and staff interview, not all staff members submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #1?s (date of employment: 09/28/2022) record did not contain documentation of a negative tuberculosis screening. 2. Staff #6 stated that Staff #1 has an appointment scheduled.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the Board of Health before the child can attend the center. Evidence: 1. Child #1?s (start date: 09/12/2022) record did not contain documentation of immunizations. 2. Child #2?s (start date: 08/25/2022) record did not contain documentation of immunizations.”

8VAC20-780-280-D

“Based on observation, cleaning and sanitizing materials were located above utensils and single-service articles. Evidence: 1. In the Frogs classroom, there were two bottles of hand sanitizer sitting on top of food service gloves in the cabinet above the cubbies. 2. In the Frogs classroom, there was a container of floor cleaner wipes above spoons, cups, gloves and plates.”

8VAC20-790-600-D-2

“Based on record review and staff interview, all staff who work directly with children did not have current certification in first aid within 90 days of the date of employment. Evidence: 1. Staff #2 (date of employment: 04/24/2022) did not have current certification in first aid. 2. Staff #6 stated that Staff #2 has a training scheduled.”

8VAC20-790-600-D-1

“Based on record review and staff interview, all staff who work directly with children did not have current certification in cardiopulmonary resuscitation (CPR) within 90 days of the date of employment. Evidence: 1. Staff #2 (date of employment: 04/24/2022) did not have current certification in CPR. 2. Staff #6 stated that Staff #2 has a training scheduled.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: 1. In the Bees classroom, a spray bottle containing a cleaning disinfectant was located in an unlocked cabinet. 2. In the Frogs classroom, two hand sanitizers and a container of floor cleaner wipes were located in an unlocked cabinet.”

8VAC20-780-60-A-8

“Based on record review, the center did not obtain all information for children’s records. Evidence: 1. Child #2?s record indicates an allergy to fish, peanuts, and beans. The record for Child #2 did not include a written allergy care plan. 2. Child #4?s record indicates an allergy to eggs and nuts. The record for Child #4 did not include a written allergy care plan.”

8VAC20-780-160-A

“Based on record review and staff interview, not all staff members submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #1?s (date of employment: 09/28/2022) record did not contain documentation of a negative tuberculosis screening. 2. Staff #6 stated that Staff #1 has an appointment scheduled.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the Board of Health before the child can attend the center. Evidence: 1. Child #1?s (start date: 09/12/2022) record did not contain documentation of immunizations. 2. Child #2?s (start date: 08/25/2022) record did not contain documentation of immunizations.”

8VAC20-780-280-D

“Based on observation, cleaning and sanitizing materials were located above utensils and single-service articles. Evidence: 1. In the Frogs classroom, there were two bottles of hand sanitizer sitting on top of food service gloves in the cabinet above the cubbies. 2. In the Frogs classroom, there was a container of floor cleaner wipes above spoons, cups, gloves and plates.”

8VAC20-780-40-E

“Based on interview and review of written statements, the center failed to ensure that the center's activities were maintained in compliance with the center's own policies as required by licensing standards. Evidence - 1. On the date of inspection (04/22/2022) it was determined that on 04/21/2022, between the approximate time of 11:20 am to 11:30 am, Staff #1 and Staff #2 failed to conduct a name-to-face check when leaving the playground and again upon their return to the Busy Bees classroom. 2. The Center Director stated (during an interview on the date of inspection) that a name-to-face check is required (by center policy) during transition; conducted once when leaving an area with a group of children, and again at arrival to the new area. This ensures that all children in attendance are present. These checks are also conducted at regular intervals throughout the day. 3. As a result of not conducting a name-to-face, Child #1 was left unsupervised on the center playground for 19 minutes. 4. This incident was self-reported to the Office of Child Care Health and Safety by the Center Director on 04/21/2022.”

8VAC20-780-340-F

“Based on review, a child under 10 years of age was not always within actual sight and sound supervision of staff. Evidence - 1. On the date of inspection (04/22/2022), it was determined that on 04/21/2022, Child #1 (4 years of age) was left out on the preschool playground for approximately 19 minutes. 2. The amount of time was determined by a time stamp placed on a video recording of this incident. 3. This incident was directly linked to the failure of Staff #1 and Staff #2 to do a name-to-face for all children directly in their care. 4. After 19 minutes, Child #1 was located on playground by Staff #1 and brought back to room. No other staff or classroom children were outside at that time.”

8VAC20-780-330-B

“Based on observation the resilient surfacing under playground equipment on the school age playground was insufficient. Evidence - 1. On the date of inspection (04/15/2022), 5 areas within the poured-in-place resilient surfacing on the School-age/Preschool playground has cracked and come loose. 2. These areas were observed a holes in the surfacing, some as wide as a foot across and several inches deep. These holes in themselves now pose as a tripping hazard.”

8VAC20-780-330-B

“Based on observation the resilient surfacing under playground equipment on the school age playground was insufficient. Evidence - 1. On the date of inspection (04/15/2022), 5 areas within the poured-in-place resilient surfacing on the School-age/Preschool playground has cracked and come loose. 2. These areas were observed a holes in the surfacing, some as wide as a foot across and several inches deep. These holes in themselves now pose as a tripping hazard.”