Kid's Cottage

8VAC20-780-280-B

“Hazardous substances shall be stored in an area inaccessible to children. Chemical cleaning products were observed and accessible under the sinks in the Toddler Room and 2-year-old room.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center are maintained in a safe and operable condition. A broken child safety gate was observed by the exterior door in the 2-year-old room and children were playing between the door and the gate.”

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff in the 2-year-old room cleaned the diaper changing surface after diapering a child and sprayed it with a bleach water solution to sanitized the surface, but did not allow it to dry for a period of at least two minutes.”

8VAC20-780-130-E

“Immunization records and physical exams are required to be signed and dated by a physician, his designee, or an official of the local health department. The physical and immunization record for C4 was not signed.”

8VAC20-780-560-M

“Children shall not be allowed to drink while walking around. A child was observed during the inspection drinking from a sippy cup while walking around in the Infant I/Infant II room.”

8VAC20-790-600-D-2

“Based on staff record review, the provider failed to ensure that two of five staff members who work directly with children shall have within 90 days of the date of employment a current certification in first aid. Evidence: The record for S4, employed 06/21/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 03/08/2023. The record for S5, employed 07/26/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 11/10/2022.”

8VAC20-790-600-D-1

“Based on staff record review, the provider failed to ensure that two of five staff members who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for S4, employed 06/21/2022 did not contain certification in CPR within 90 days of hire. The certification was completed 03/08/2023. The record for S5, employed 07/26/2022 did not contain”

8VAC20-780-70

“Based on record review, the provider did not keep records for one of five staff as required. Evidence: The record for S5, employed 04/12/2023 and promoted to program leader 03/13/2023 did not contained documentation to demonstrate that the individual completed of 24 hours of training within 30 days of beginning work as a program leader (8VAC20-780-210). The record documented 18 of the required 24 hours.”

8VAC20-780-240-A

“(Repeat Violation) Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S4, employed 06/21/2022 did not contain a certificate of showing completion of the Virginia Preservice Training within 90 days of employment. Training completed 03/19/2023. The record for S5, employed 07/26/2022 did not contain a certificate of showing completion of the Virginia Preservice Training within 90 days of employment. Training completed 03/19/2023.”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the provider did not ensure that all areas and equipment inside the center, be maintained in a clean, safe, and operable condition. Evidence: Infant II Room: The feeding table seats were caked with dried food. 2?s-3?s Room: The diapering pad cover was cracked.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector observed sliding boards in the playground that had less than 6 inches of resilient surfacing.”

8VAC20-770-60-C-2

“(Repeat Violation) Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S2, employed 06/21/2022 did not contain findings of a central registry search within 30 days of employment. Results dated 07/28/2023.”

8VAC20-780-150-B

“Based on child record review, the provider failed to ensure that two of five immunizations records for children were signed by a physician, designee, or official of a local health department. Evidence: The immunization records for C2 and C3 were not signed by a physician, designee, or official of a local health department.”

8VAC20-780-160-A

“(Repeat Violation) Based on staff record review, the provider failed to ensure that one of five staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 08/08/2023, contained a screening completed 11/14/2022.”

8VAC20-780-420-E-1

“Based on child record review, the provider failed to ensure that for each infant, the center shall post a daily record that contains the amount of food consumed. Evidence: The record for C2 did not document the amount of food consumed during the day in the electronic record used by the center to make this information accessible to parents.”

22.1-289.035-B-4

“22.1-(14.1)-289.035-B-4 Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check and out-of-state child abuse and neglect search for each staff as required. Evidence: S5 documented on the sworn disclosure statement having lived out-of-state in the last five years. Record for S5, employed 07/26/2022 did not contain a sex offender registry check prior to the 1st day of employment and did not contain results for an out-of-state child abuse and neglect search.”

8VAC20-780-40-E

“Based on observation, interview, policy review the center failed to ensure 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. Evidence: Licensing inspector observed the toddler class on the playground during the inspection and several children were observed showing effects of sun exposure. Staff supervising the children reported that sunscreen had not been applied prior to going outside. The program director was interviewed regarding the center’s policy that requires the application of sunscreen prior to going outside to the playground during the summer. The program director acknowledged staff failed to follow the center’s policy.”

8VAC20-790-600-D-2

“Based on staff record review, the provider failed to ensure that two of five staff members who work directly with children shall have within 90 days of the date of employment a current certification in first aid. Evidence: The record for S4, employed 06/21/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 03/08/2023. The record for S5, employed 07/26/2022 did not contain certification in first aid within 90 days of hire. The certification was completed 11/10/2022.”

8VAC20-790-600-D-1

“Based on staff record review, the provider failed to ensure that two of five staff members who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for S4, employed 06/21/2022 did not contain certification in CPR within 90 days of hire. The certification was completed 03/08/2023. The record for S5, employed 07/26/2022 did not contain”

8VAC20-780-70

“Based on record review, the provider did not keep records for one of five staff as required. Evidence: The record for S5, employed 04/12/2023 and promoted to program leader 03/13/2023 did not contained documentation to demonstrate that the individual completed of 24 hours of training within 30 days of beginning work as a program leader (8VAC20-780-210). The record documented 18 of the required 24 hours.”

8VAC20-780-240-A

“(Repeat Violation) Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S4, employed 06/21/2022 did not contain a certificate of showing completion of the Virginia Preservice Training within 90 days of employment. Training completed 03/19/2023. The record for S5, employed 07/26/2022 did not contain a certificate of showing completion of the Virginia Preservice Training within 90 days of employment. Training completed 03/19/2023.”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the provider did not ensure that all areas and equipment inside the center, be maintained in a clean, safe, and operable condition. Evidence: Infant II Room: The feeding table seats were caked with dried food. 2?s-3?s Room: The diapering pad cover was cracked.”

8VAC20-780-330-B

“Based on observation, the provider failed to ensure that resilient surfacing shall comply with minimum safety standards describe in the American Society for Testing and Materials. Evidence: Licensing inspector observed sliding boards in the playground that had less than 6 inches of resilient surfacing.”

8VAC20-770-60-C-2

“(Repeat Violation) Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S2, employed 06/21/2022 did not contain findings of a central registry search within 30 days of employment. Results dated 07/28/2023.”

8VAC20-780-150-B

“Based on child record review, the provider failed to ensure that two of five immunizations records for children were signed by a physician, designee, or official of a local health department. Evidence: The immunization records for C2 and C3 were not signed by a physician, designee, or official of a local health department.”

8VAC20-780-160-A

“(Repeat Violation) Based on staff record review, the provider failed to ensure that one of five staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S2, employed 08/08/2023, contained a screening completed 11/14/2022.”

8VAC20-780-420-E-1

“Based on child record review, the provider failed to ensure that for each infant, the center shall post a daily record that contains the amount of food consumed. Evidence: The record for C2 did not document the amount of food consumed during the day in the electronic record used by the center to make this information accessible to parents.”

22.1-289.035-B-4

“22.1-(14.1)-289.035-B-4 Based on staff record review, the provider failed to obtain the results of the out-of-state sex offender registry check and out-of-state child abuse and neglect search for each staff as required. Evidence: S5 documented on the sworn disclosure statement having lived out-of-state in the last five years. Record for S5, employed 07/26/2022 did not contain a sex offender registry check prior to the 1st day of employment and did not contain results for an out-of-state child abuse and neglect search.”

8VAC20-780-40-E

“Based on observation, interview, policy review the center failed to ensure 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. Evidence: Licensing inspector observed the toddler class on the playground during the inspection and several children were observed showing effects of sun exposure. Staff supervising the children reported that sunscreen had not been applied prior to going outside. The program director was interviewed regarding the center’s policy that requires the application of sunscreen prior to going outside to the playground during the summer. The program director acknowledged staff failed to follow the center’s policy.”

8VAC20-780-40-E Complaint related: Yes

“Based on interview, policy review, and child record review the center failed to ensure 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. Evidence: The program director was interviewed regarding a parental complaint concerning their child coming home with diapers full of urine and feces. The program director explained the center’s diapering policy and procedure and provided the policy for the licensing inspector to review. The policy states that ?diapers will be checked every hour and changed every 2 hours regardless of whether they are soiled.? The program director stated that the diaper changes are recorded in Bright Wheels. Licensing inspector requested to review a random child’s record enrolled in the 2?3-year-old classroom to observe how the diaper changes are recorded. The record for C1 was reviewed. The electronic record documented diaper changes at 10:25 a.m. and 2:25 p.m. for C1. The program director acknowledged failure to follow the center’s policy.”

8VAC20-780-270-A

“Based on observation, agency failed to assure that all areas and equipment inside the center was maintained in a clean, safe, and operable condition. Evidence: The cork board in the toddler room was peeling within reach of the children in care.”

8VAC20-780-240-B

“Based on staff record review, the provider failed to ensure that a staff member completed orientation training within required time frame. Evidence: Record for S2, employed 02/27/2023 did not contain document orientation and training required by 8VAC20-780-240 prior to working alone with children and within seven days of the first day of employment. The training was completed 04/20/2023.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S2, employed 02/27/2023 did not contain findings of a central registry search within 30 days of employment. Results dated 04/06/2023. The record for S3, employed 12/07/2022 did not contain findings of a central registry search. The record for S4, employed 11/11/2022 did not contain findings of a central registry search within 30 days of employment. Results dated 01/04/2023.”

8VAC20-780-130-A

“Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C2, enrolled 12/01/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 04/18/2023. The record for C4, enrolled 08/29/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 10/10/2022.”

8VAC20-780-130-A

“Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C5, enrolled 08/12/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 08/19/2022.”

8VAC20-780-140-A

“Based on record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for C2, enrolled 12/01/2022 did not contain a physical examination.”

8VAC20-780-40-M

“Based on observation, the provider failed to keep confidential in each room where children are present a written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: Licensing inspector observed allergy lists posted in the toddler and infant classrooms in such a manner that it was not confidential. The list was posted on the wall of the classroom with no coversheet to protect the names of the children with allergies from view.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that three of five records contained required documentation. Evidence: Record for C1, enrolled 05/01/2023, did not contain documentation of a second emergency contact for the child if the child’s parents could not be located. Record for C4, enrolled 08/29/2022, did not contain documentation of viewing proof of the child’s identity and age within 7 days enrollment. Proof of identity was completed 10/10/2022. Record for C5, enrolled 10/24/22, did contain documentation two emergency contacts for the child if the child’s parents could not be located.”

8VAC20-780-550-G

“Based on review of emergency evacuation drill documentation, the provider failed to ensure the documentation includes the required information. Evidence: The emergency drill documentation dated January 2023 ? April 2023 did not document the method used for notification of the drill, any special conditions simulated, and problems encountered, if any.”

8VAC20-780-550-F

“Based on the review of emergency evacuation documents, the provider failed to ensure that the center practiced annually it’s lockdown procedures. Evidence: Records did not document a lockdown drill during 2022.”

8VAC20-780-500-B

“Based on observation, the provider failed to ensure a diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Licensing inspector observed staff member in the toddler room changing the diapers of three children. The staff member failed to clean the diapering surface with soap and water and then sanitize the surface after each diaper change.”

8VAC20-780-500-A

“Based on observation, the provider failed to ensure that children’s hands shall be washed with soap and running water after toileting. Evidence: Licensing inspector observed a staff member in the toddler room failing to wash three children’s hands after each child was diapered. Licensing inspector observed staff member in the infant room diapering an infant. The staff member failed to wash the child's hands after diapering and before placing the child in a highchair for self-feeding.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that two of five records contained required information. The record for S3, employed 12/07/2022 did not document orientation and training required by 8VAC20-780-240 prior to working alone with children and within seven days of the first day of employment.”

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S4, employed 11/21/2022 did not contain a certificate of showing completion of the Virginia Preservice Training within 90 days of employment. Training completed 03/18/2023.”

8VAC20-780-40-E Complaint related: Yes

“Based on interview, policy review, and child record review the center failed to ensure 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. Evidence: The program director was interviewed regarding a parental complaint concerning their child coming home with diapers full of urine and feces. The program director explained the center’s diapering policy and procedure and provided the policy for the licensing inspector to review. The policy states that ?diapers will be checked every hour and changed every 2 hours regardless of whether they are soiled.? The program director stated that the diaper changes are recorded in Bright Wheels. Licensing inspector requested to review a random child’s record enrolled in the 2?3-year-old classroom to observe how the diaper changes are recorded. The record for C1 was reviewed. The electronic record documented diaper changes at 10:25 a.m. and 2:25 p.m. for C1. The program director acknowledged failure to follow the center’s policy.”

8VAC20-780-270-A

“Based on observation, agency failed to assure that all areas and equipment inside the center was maintained in a clean, safe, and operable condition. Evidence: The cork board in the toddler room was peeling within reach of the children in care.”

8VAC20-780-240-B

“Based on staff record review, the provider failed to ensure that a staff member completed orientation training within required time frame. Evidence: Record for S2, employed 02/27/2023 did not contain document orientation and training required by 8VAC20-780-240 prior to working alone with children and within seven days of the first day of employment. The training was completed 04/20/2023.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S2, employed 02/27/2023 did not contain findings of a central registry search within 30 days of employment. Results dated 04/06/2023. The record for S3, employed 12/07/2022 did not contain findings of a central registry search. The record for S4, employed 11/11/2022 did not contain findings of a central registry search within 30 days of employment. Results dated 01/04/2023.”

8VAC20-780-130-A

“Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C2, enrolled 12/01/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 04/18/2023. The record for C4, enrolled 08/29/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 10/10/2022.”

8VAC20-780-130-A

“Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C5, enrolled 08/12/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 08/19/2022.”

8VAC20-780-140-A

“Based on record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for C2, enrolled 12/01/2022 did not contain a physical examination.”

8VAC20-780-40-M

“Based on observation, the provider failed to keep confidential in each room where children are present a written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: Licensing inspector observed allergy lists posted in the toddler and infant classrooms in such a manner that it was not confidential. The list was posted on the wall of the classroom with no coversheet to protect the names of the children with allergies from view.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that three of five records contained required documentation. Evidence: Record for C1, enrolled 05/01/2023, did not contain documentation of a second emergency contact for the child if the child’s parents could not be located. Record for C4, enrolled 08/29/2022, did not contain documentation of viewing proof of the child’s identity and age within 7 days enrollment. Proof of identity was completed 10/10/2022. Record for C5, enrolled 10/24/22, did contain documentation two emergency contacts for the child if the child’s parents could not be located.”

8VAC20-780-550-G

“Based on review of emergency evacuation drill documentation, the provider failed to ensure the documentation includes the required information. Evidence: The emergency drill documentation dated January 2023 ? April 2023 did not document the method used for notification of the drill, any special conditions simulated, and problems encountered, if any.”

8VAC20-780-550-F

“Based on the review of emergency evacuation documents, the provider failed to ensure that the center practiced annually it’s lockdown procedures. Evidence: Records did not document a lockdown drill during 2022.”

8VAC20-780-500-B

“Based on observation, the provider failed to ensure a diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Licensing inspector observed staff member in the toddler room changing the diapers of three children. The staff member failed to clean the diapering surface with soap and water and then sanitize the surface after each diaper change.”

8VAC20-780-500-A

“Based on observation, the provider failed to ensure that children’s hands shall be washed with soap and running water after toileting. Evidence: Licensing inspector observed a staff member in the toddler room failing to wash three children’s hands after each child was diapered. Licensing inspector observed staff member in the infant room diapering an infant. The staff member failed to wash the child's hands after diapering and before placing the child in a highchair for self-feeding.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that two of five records contained required information. The record for S3, employed 12/07/2022 did not document orientation and training required by 8VAC20-780-240 prior to working alone with children and within seven days of the first day of employment.”

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S4, employed 11/21/2022 did not contain a certificate of showing completion of the Virginia Preservice Training within 90 days of employment. Training completed 03/18/2023.”

8VAC20-780-40-E Complaint related: Yes

“Based on interview, policy review, and child record review the center failed to ensure 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. Evidence: The program director was interviewed regarding a parental complaint concerning their child coming home with diapers full of urine and feces. The program director explained the center’s diapering policy and procedure and provided the policy for the licensing inspector to review. The policy states that ?diapers will be checked every hour and changed every 2 hours regardless of whether they are soiled.? The program director stated that the diaper changes are recorded in Bright Wheels. Licensing inspector requested to review a random child’s record enrolled in the 2?3-year-old classroom to observe how the diaper changes are recorded. The record for C1 was reviewed. The electronic record documented diaper changes at 10:25 a.m. and 2:25 p.m. for C1. The program director acknowledged failure to follow the center’s policy.”

8VAC20-780-270-A

“Based on observation, agency failed to assure that all areas and equipment inside the center was maintained in a clean, safe, and operable condition. Evidence: The cork board in the toddler room was peeling within reach of the children in care.”

8VAC20-780-240-B

“Based on staff record review, the provider failed to ensure that a staff member completed orientation training within required time frame. Evidence: Record for S2, employed 02/27/2023 did not contain document orientation and training required by 8VAC20-780-240 prior to working alone with children and within seven days of the first day of employment. The training was completed 04/20/2023.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S2, employed 02/27/2023 did not contain findings of a central registry search within 30 days of employment. Results dated 04/06/2023. The record for S3, employed 12/07/2022 did not contain findings of a central registry search. The record for S4, employed 11/11/2022 did not contain findings of a central registry search within 30 days of employment. Results dated 01/04/2023.”

8VAC20-780-130-A

“Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C2, enrolled 12/01/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 04/18/2023. The record for C4, enrolled 08/29/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 10/10/2022.”

8VAC20-780-130-A

“Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C5, enrolled 08/12/2022 failed to contain documentation of immunizations on that date. The immunization documentation in the file was dated for 08/19/2022.”

8VAC20-780-140-A

“Based on record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for C2, enrolled 12/01/2022 did not contain a physical examination.”

8VAC20-780-40-M

“Based on observation, the provider failed to keep confidential in each room where children are present a written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: Licensing inspector observed allergy lists posted in the toddler and infant classrooms in such a manner that it was not confidential. The list was posted on the wall of the classroom with no coversheet to protect the names of the children with allergies from view.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that three of five records contained required documentation. Evidence: Record for C1, enrolled 05/01/2023, did not contain documentation of a second emergency contact for the child if the child’s parents could not be located. Record for C4, enrolled 08/29/2022, did not contain documentation of viewing proof of the child’s identity and age within 7 days enrollment. Proof of identity was completed 10/10/2022. Record for C5, enrolled 10/24/22, did contain documentation two emergency contacts for the child if the child’s parents could not be located.”

8VAC20-780-550-G

“Based on review of emergency evacuation drill documentation, the provider failed to ensure the documentation includes the required information. Evidence: The emergency drill documentation dated January 2023 ? April 2023 did not document the method used for notification of the drill, any special conditions simulated, and problems encountered, if any.”

8VAC20-780-550-F

“Based on the review of emergency evacuation documents, the provider failed to ensure that the center practiced annually it’s lockdown procedures. Evidence: Records did not document a lockdown drill during 2022.”

8VAC20-780-500-B

“Based on observation, the provider failed to ensure a diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Licensing inspector observed staff member in the toddler room changing the diapers of three children. The staff member failed to clean the diapering surface with soap and water and then sanitize the surface after each diaper change.”

8VAC20-780-500-A

“Based on observation, the provider failed to ensure that children’s hands shall be washed with soap and running water after toileting. Evidence: Licensing inspector observed a staff member in the toddler room failing to wash three children’s hands after each child was diapered. Licensing inspector observed staff member in the infant room diapering an infant. The staff member failed to wash the child's hands after diapering and before placing the child in a highchair for self-feeding.”

8VAC20-780-70

“Based on staff record review, the provider failed to ensure that two of five records contained required information. The record for S3, employed 12/07/2022 did not document orientation and training required by 8VAC20-780-240 prior to working alone with children and within seven days of the first day of employment.”

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S4, employed 11/21/2022 did not contain a certificate of showing completion of the Virginia Preservice Training within 90 days of employment. Training completed 03/18/2023.”

8VAC20-770-60-C-2

“Based on a review of three staff records and interview, the center did not ensure one staff member had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #1, hired on 01/11/2022, did not contain the results of a central registry finding. 2) During interview, a member of management reported the central registry request for Staff #1 was mailed, but the results had not been received within 30 days of employment.”

22.1-289.035-B-4

“Based on a review of five staff records and interview, the center did not obtain the results of a criminal history record information check from any state in which one staff member had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #1, hired on 01/11/2022, indicated the staff had resided in three other states outside of Virginia within the last five years. The record did not contain the results of the search of a criminal history record check from one of the states. 2) During interview, a member of management reported the request was mailed, but the results have not been received to date. The out-of-state criminal history record check results are required to be obtained prior to hiring.”

8VAC20-770-60-C-2

“Based on a review of three staff records and interview, the center did not ensure one staff member had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #1, hired on 01/11/2022, did not contain the results of a central registry finding. 2) During interview, a member of management reported the central registry request for Staff #1 was mailed, but the results had not been received within 30 days of employment.”

22.1-289.035-B-4

“Based on a review of five staff records and interview, the center did not obtain the results of a criminal history record information check from any state in which one staff member had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #1, hired on 01/11/2022, indicated the staff had resided in three other states outside of Virginia within the last five years. The record did not contain the results of the search of a criminal history record check from one of the states. 2) During interview, a member of management reported the request was mailed, but the results have not been received to date. The out-of-state criminal history record check results are required to be obtained prior to hiring.”

8VAC20-780-570-A

“Based on documentation reviewed, interviews, and facility video reviewed, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt was fastened securely. Evidence: 1) The licensing inspector viewed facility video footage of the infant classroom from 10/13/2021 and observed the following: a) At approximately 11:07am, Staff #1 is observed placing Child #1 in a high chair. b) Staff #1 is observed turning around after placing the tray on the high chair and walking away from the child. c) Approximately 30 seconds after Staff #1 walked away, the tray and the child are observed falling out of the chair and the child hitting her head on the floor. Staff #1, Staff #2, and Staff #3 are observed rushing over to the child, picking her up, and consoling her. 2) During interviews, Staff #2 and Staff #5 reported Staff #1 did not use the protective belt when Child #1 was placed in the high chair. Staff #2 reported she observed a bump on the child's forehead when they picked her up off the ground. 3) An accident/injury report completed by the facility on 10/13/21 states the following: "[Child #1] was placed in high chair for lunch, [Staff #1] walked over to grab her lunch and she fell out less than one minute after being sat in the chair at 11:07am. She pushed the tray off and fell head first, forward, to the floor." The accident/injury report states: "All three teachers immediately ran to her aid. Ice was applied and rescue squad was notified immediately. Arrived at 11:16am.? Staff #5 reported Child #1 was transported by ambulance to a nearby hospital and was accompanied by Staff #4. The child had bruising and a bump on her forehead as a result of the fall.”

22VAC40-185-440-G Complaint related: Yes

“Based on a review of observation, documentation review, and interviews, the center did not ensure that cribs were used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. 1) During the inspection on 07/28/21, the licensing inspector observed 10 children in the infant classroom. The children’s age ranged from 4 months to 15 months. There were a total of 8 cribs observed in the classroom. Three children under 12 months were observed sleeping in swings. 2) During interviews, staff reported the children that were observed sleeping in swings did not have a designated crib at the time. Cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat.”