KinderCare Education LLC - Dogwood

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for child #8 (under the age of 2), date of enrollment 08/23/23, contained one set of immunizations. The record did not contain updated immunizations. Administration verified that there were no updated immunizations obtained for Child #8.”

8VAC20-780-560-G

“Based on observation, and interview, the center failed to ensure that when food is brought from home the container shall be clearly dated and labeled in a way that identifies the owner. Evidence: The refrigerator in classroom #2 contained a bottle for child #9, that was not dated. Child #9 was in attendance. Staff confirmed that the bottle was not dated.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children's hands shall be washed with soap and running water after toileting. Evidence: 1. Staff #1 was observed assisting a child with toileting in classroom #7. The child was handed a piece of candy after toileting. Staff #1 and the child did not wash their hands prior to being handed a piece of candy. 2. Staff #10 was assisting with toileting in classroom #6. Staff #10 did not wash their hands in between assisting the children with toileting.”

8VAC20-780-280-B

“Based on observation, and interview, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a bottle of bleach in a low unlocked cabinet in classroom # 5 with children ages two to three years old.”

8VAC20-780-140-A

“Based on record review, and interview, the center failed to obtain documentation of a physical examination for each child within 30 days after the first day of attendance. Evidence: The record for child #8, date of enrollment 06/05/2023, did not contain documentation of a physical examination. Interview with administration confirmed that the record for child #8 did not contain documentation of a physical examination.”

8VAC20-780-240-A

“Based on record review, observation, and interview, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #4, date of employment 6/29/22, did not contain documentation of completion of the VDOE sponsored orientation course. Staff #4 was observed in ratio in a classroom with children. Interview with administration confirmed that staff #4 did not complete the VDOE sponsored orientation course.”

8VAC20-780-140-A

“Based on record review, and interview, the center failed to obtain documentation of a physical examination for each child within 30 days after the first day of attendance. Evidence: The record for child #8, date of enrollment 06/05/2023, did not contain documentation of a physical examination. Interview with administration confirmed that the record for child #8 did not contain documentation of a physical examination.”

8VAC20-780-240-A

“Based on record review, observation, and interview, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #4, date of employment 6/29/22, did not contain documentation of completion of the VDOE sponsored orientation course. Staff #4 was observed in ratio in a classroom with children. Interview with administration confirmed that staff #4 did not complete the VDOE sponsored orientation course.”

8VAC20-780-530-A-1

“Based on observation, record review, and interview the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. Staff #6 and staff #10 were alone in classroom #5 with a group of children. Record review and interview revealed that staff #6 and staff #10 do not have current certification in CPR. 2. Staff #8 and staff #11 were alone in classroom #8 with a group of children. Record review and interview revealed that staff #8 and staff #11 do not have current certification in CPR.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children's hands are washed with soap and running water after toileting. Evidence: The inspector observed children's hands not being washed after diapering in the two's room.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation of a physical examination for each child within 30 days after the first day of attendance. Evidence: 1. The record for child #10, date of enrollment 11/20/23, contained documentation of a physical examination dated 02/01/2024. 2. The record for child #11, date of enrollment 01/07/24, did not contain documentation of a physical examination.”

8VAC20-780-530-A-2

“Based on observation, record review, and interview the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid. Evidence: 1. Staff #6 and staff #10 were alone in classroom #5 with a group of children. Record review and interview revealed that staff #6 and staff #10 do not have current certification in first aid. 2. Staff #8 and staff #11 were alone in classroom #8 with a group of children. Record review and interview revealed that staff #8 and staff #11 do not have current certification in first aid.”

8VAC20-780-130-A

“Based on record review, and interview, the center 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 child #11, date of enrollment 01/07/2024 did not contain documentation of immunizations. Administration confirmed that the record did not contain documentation of immunizations.”

8VAC20-780-550-G

“Based on documentation review, and interview, the center failed to document emergency evacuation drills. Evidence: The emergency drill log did not have emergency evacuation drills documented for the month of December 2023 or January 2024. Administration stated that the drills were conducted but acknowledged that they were not documented.”

8VAC20-780-530-A-1

“Based on observation, record review, and interview the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. Staff #6 and staff #10 were alone in classroom #5 with a group of children. Record review and interview revealed that staff #6 and staff #10 do not have current certification in CPR. 2. Staff #8 and staff #11 were alone in classroom #8 with a group of children. Record review and interview revealed that staff #8 and staff #11 do not have current certification in CPR.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children's hands are washed with soap and running water after toileting. Evidence: The inspector observed children's hands not being washed after diapering in the two's room.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation of a physical examination for each child within 30 days after the first day of attendance. Evidence: 1. The record for child #10, date of enrollment 11/20/23, contained documentation of a physical examination dated 02/01/2024. 2. The record for child #11, date of enrollment 01/07/24, did not contain documentation of a physical examination.”

8VAC20-780-530-A-2

“Based on observation, record review, and interview the center failed to ensure that at least one staff in each classroom or area where children are present shall have current certification in first aid. Evidence: 1. Staff #6 and staff #10 were alone in classroom #5 with a group of children. Record review and interview revealed that staff #6 and staff #10 do not have current certification in first aid. 2. Staff #8 and staff #11 were alone in classroom #8 with a group of children. Record review and interview revealed that staff #8 and staff #11 do not have current certification in first aid.”

8VAC20-780-130-A

“Based on record review, and interview, the center 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 child #11, date of enrollment 01/07/2024 did not contain documentation of immunizations. Administration confirmed that the record did not contain documentation of immunizations.”

8VAC20-780-550-G

“Based on documentation review, and interview, the center failed to document emergency evacuation drills. Evidence: The emergency drill log did not have emergency evacuation drills documented for the month of December 2023 or January 2024. Administration stated that the drills were conducted but acknowledged that they were not documented.”

8VAC20-780-340-A

“Repeat Violation Based on interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: Interviews with staff #1, staff #2, staff #3, and staff #4 revealed that on July 28th child #1 (4 years) followed staff #1 out of the classroom onto the playground. Staff #1 was unaware that child #1 followed them through the exit door and onto the playground. Staff #1 was signed into the classroom tracking sheet (CSR) and had responsibility for the children in classroom #1. Child #1 was left unsupervised on the playground for approximately 5 minutes. The temperature on July 28th was 98 degrees. There was a heat advisory in place. The lawn crew was on the playground cutting the grass. The child was found crying and had visible signs of being overheated.”

8VAC20-780-340-F

“Repeat Violation Based on interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Interviews with staff #1, staff #2, staff #3, and staff #4 revealed that on July 28th child #1 (4 years) was found alone on the playground, unsupervised, out of sight and sound supervision. Staff #1 was unaware that child #1 followed staff #1 through the exit door and onto the playground. Child #1 was alone on the playground for approximately 5 minutes. The lawn crew was on the playground cutting the grass at the time.”

8VAC20-780-160-A

“Repeat Violation Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff # 3, date of employment 07/05/2023, contained documentation of a negative tuberculosis screening dated 07/17/2023.”

8VAC20-780-340-A

“Repeat Violation Based on interviews and documentation review, the center failed to ensure the care, protection, and guidance of three children. Evidence: 1. Staff#1 and staff#2 took 8 toddlers outside to the toddler playground at approximately 10:45am. 2. Staff#4 found 3 of the toddlers (child#1, child#2, child#3) unsupervised on the preschool playground at approximately 11:10am. 3. Staff #1 and staff #2 were unaware that 3 of 8 toddlers were missing from the group until Staff#4 returned the children to the toddler playground.”

8VAC20-780-40-E

“Repeat Violation. Based on documentation review, and interview, the center failed to ensure that the center's own policies and procedures are followed. Evidence: Interviews with staff #1, staff #2, staff #3, staff #4, and staff #5 revealed that on 07/14/2023, staff #1 and staff #2 brought 8 toddler age children out to the playground at approximately 10:45 am. Child #1 (23 months), child #2, (21 months), and child #3 (24 months), walked through one unlocked gate located on the toddler playground, down a passageway on the side of the building, through another unlocked gate located on the preschool playground and were found alone on the preschool playground by staff #4 at approximately 11:10 am. Review of the centers "Playground Safety" policy states "supervision with appropriate staff/child ratios is maintained at all times while on the playground" and "name to face attendance using the CSR is conducted on a regular basis so that every child is accounted for at all times."”

8VAC20-780-340-F

“Repeat Violation Based on interviews and documentation review, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Review of name to face tracking sheet revealed that classroom #1, with a group of 8 toddlers and 2 staff, went outside to the toddler playground at approximately 10:45am. 2. Child#1 (23 months), child#2 (21 months), and child#3 (24 months) exited the toddler playground through an unlocked gate, walked down a passageway on the side of the building, and entered the preschool playground through a second unlocked gate. 3. Staff#4 found child#1, child#2, and child#3 unsupervised, out of sight and sound supervision, on the preschool playground at approximately 11:10am. 4. Staff #4 brought the three toddler children back to the toddler class on the toddler playground.”

8VAC20-780-270-A

“Repeat Violation Based on documentation review, and interviews, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. Interviews with staff #4, staff #5, staff #6, revealed that the two gates on the preschool playground have not been operating properly since April of 2023. 2. Interviews and documentation review revealed that work orders have been put in to fix the gates.”

22.1-289.035-B-4 Complaint related: No

“Based on records review, and interview, the center failed to ensure employees have required out of state background checks when an individual has lived outside the state of Virginia within the past 5 years. Evidence: The record for staff #5 (date of employment 3/1/23) had documentation of living outside the state of Virginia within the past 5 years. There was not documentation of a criminal history check, central registry check and sex offender registry search for the state/district listed. Director confirmed the background checks were not completed.”

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

“Based on documentation review, and interviews, the center failed to follow its own policies related to behavior guidance. Evidence: 1. Interviews with staff #1, staff #4, staff #5. Staff #6, staff #7, staff #8, staff #9, and staff #10 revealed that staff #3 was witnessed on multiple occasions yelling at the children, making comments such as ?I hate working in this classroom?, and using profanity in front of and directed towards the children. 2. Review of document titled ?Guidance Protection of and Respect for Children OP-300 states that ?employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from any unacceptable measures while caring for children".”

8VAC20-780-240-A Complaint related: No

“Based on records review, and interview, the center failed to ensure that all staff complete the Virginia Department of Education (VDOE) 10 hour preservice training within 90 days of the date of employment. Evidence: 1. The record for staff #2, date of employment 2/7/23, contained documentation of the VDOE training dated 05/16/23. 2. The record for staff #5, date of employment 3/1/23 did not contain documentation of the VDOE training. The Director confirmed that the training had not been completed.”

8VAC20-780-270-A Complaint related: Yes

“Based on interviews, and observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. Interview with staff #9 revealed that the gates on the playground were not latching properly. 2. Observations confirmed that the gates in between the preschool playground and the toddler playground were not latching properly.”

8VAC20-780-400-B Complaint related: Yes

“Based on interviews, and written statements, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Interviews with staff #1, staff #4, staff #5. staff #6, staff #7, staff #8, staff #9, and staff #10, revealed that staff #3 was witnessed on multiple occasions yelling at the children, making comments such as ?I hate working in this classroom?, and using profanity in front of and directed towards the children. 2. Written statements and interviews with staff #4, staff #7, and staff #12 revealed that staff #3 was observed on June 7, 2023, using her foot to redirect child #1, age 8 months, to prevent the child from hurting another infant. This caused the 8-month-old child to fall backwards into a boppy pillow. 3. Interview with Director revealed that staff #3 was issued a ?final coaching? on June 7, 2023 for tone of voice and using inappropriate child guidance.”

8VAC20-770-60-C-2 Complaint related: No

“Based on records review, and interview, the center failed to obtain the results of a Central Registry Search by the end of the 30th day of employment. Evidence: The record for staff #5, date of employment 3/1/23, did not contain the results of a Central Registry Search. The Director confirmed that a Central Registry Search had not been conducted.”

22.1-289.035-B-4 Complaint related: No

“Based on records review, and interview, the center failed to ensure employees have required out of state background checks when an individual has lived outside the state of Virginia within the past 5 years. Evidence: The record for staff #5 (date of employment 3/1/23) had documentation of living outside the state of Virginia within the past 5 years. There was not documentation of a criminal history check, central registry check and sex offender registry search for the state/district listed. Director confirmed the background checks were not completed.”

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

“Based on documentation review, and interviews, the center failed to follow its own policies related to behavior guidance. Evidence: 1. Interviews with staff #1, staff #4, staff #5. Staff #6, staff #7, staff #8, staff #9, and staff #10 revealed that staff #3 was witnessed on multiple occasions yelling at the children, making comments such as ?I hate working in this classroom?, and using profanity in front of and directed towards the children. 2. Review of document titled ?Guidance Protection of and Respect for Children OP-300 states that ?employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from any unacceptable measures while caring for children".”

8VAC20-780-240-A Complaint related: No

“Based on records review, and interview, the center failed to ensure that all staff complete the Virginia Department of Education (VDOE) 10 hour preservice training within 90 days of the date of employment. Evidence: 1. The record for staff #2, date of employment 2/7/23, contained documentation of the VDOE training dated 05/16/23. 2. The record for staff #5, date of employment 3/1/23 did not contain documentation of the VDOE training. The Director confirmed that the training had not been completed.”

8VAC20-780-270-A Complaint related: Yes

“Based on interviews, and observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. Interview with staff #9 revealed that the gates on the playground were not latching properly. 2. Observations confirmed that the gates in between the preschool playground and the toddler playground were not latching properly.”

8VAC20-780-400-B Complaint related: Yes

“Based on interviews, and written statements, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Interviews with staff #1, staff #4, staff #5. staff #6, staff #7, staff #8, staff #9, and staff #10, revealed that staff #3 was witnessed on multiple occasions yelling at the children, making comments such as ?I hate working in this classroom?, and using profanity in front of and directed towards the children. 2. Written statements and interviews with staff #4, staff #7, and staff #12 revealed that staff #3 was observed on June 7, 2023, using her foot to redirect child #1, age 8 months, to prevent the child from hurting another infant. This caused the 8-month-old child to fall backwards into a boppy pillow. 3. Interview with Director revealed that staff #3 was issued a ?final coaching? on June 7, 2023 for tone of voice and using inappropriate child guidance.”

8VAC20-770-60-C-2 Complaint related: No

“Based on records review, and interview, the center failed to obtain the results of a Central Registry Search by the end of the 30th day of employment. Evidence: The record for staff #5, date of employment 3/1/23, did not contain the results of a Central Registry Search. The Director confirmed that a Central Registry Search had not been conducted.”

8VAC20-780-240-A

“Based on records review, and interview, the center failed to ensure that the Virginia Department of Education (VDOE) sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: The record for staff #2, date of employment 02/14/2023, did not contain documentation of the VDOE course being completed. The Director acknowledged that staff #2, did not complete the VDOE course.”

8VAC20-780-40-E

“Based on documentation review and interviews, the center failed to follow their own policies related to behavior guidance. Evidence: 1. Interviews, and written statements from staff #1, staff #2, and staff #3, revealed that staff #4 was witnessed on multiple occasions reacting aggressively towards the children, age 16 months to 24 months, by yelling at them, hitting them on the top of their heads and on their hands with items such as pens and highlighters, and rubber gloves, as well as slapping the children in the back of the head. Staff #4 was also witnessed pulling a child’s hair to demonstrate ?how it feels? to the child after the child pulled another child’s hair. 2. Review of document titled ?Guidance Protection of and Respect for Children? OP-300 states that ?employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from any unacceptable measures while caring for children. ?Unacceptable measures include any type of physical discipline or corporal punishment, including but not limited to hitting, pinching, pushing, biting, or grabbing a child is unacceptable. Employees may not use physical actions to punish or humiliate children in any way or to demonstrate to a child what it ?feels like? to be the victim of aggression.?”

8VAC20-780-400-B

“Based on interviews, and documentation review, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: Interviews, and written statements from staff #1, staff #2, and staff #3, revealed that staff #4 was witnessed on multiple occasions reacting aggressively towards the children, ages 16 months to 24 months, by yelling at them, hitting them on the top of their heads and on their hands with items such as pens and highlighters, and in the face with rubber gloves, as well as slapping the children in the back of the head. Staff #4 was also witnessed pulling a child’s hair to demonstrate ?how it feels? to the child after the child pulled another child’s hair.”

8VAC20-780-410-1

“Based on interviews, the center failed to ensure that physical punishment such as roughly handling a child is not used. Evidence: Interviews with staff #2 and staff #3 revealed that on May 2, 2023, staff #1, grabbed child #1, age 2 years, by the arm and pulled the child into the bathroom. The child was heard crying and stating ?ow, I want my mommy.? Interview with the parent revealed that the child stated that her head was hit on the toilet.”

8VAC20-780-410-4

“Based on interviews, the center failed to ensure that children are not separated from the group so that the child is away from the hearing and vision of a staff member. Evidence: Interviews with staff #2 and staff #3 revealed that on May 2, 2023 at approximately 10:00 am, staff #1 put child #1, age 2 years, in the bathroom alone and shut the door, as a behavior guidance technique.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: Interviews with staff #2, and staff #3, revealed that on May 2, 2023 at approximately 10:00 am, staff #1 yelled ?I can?t deal with this today? and then yelled at child #1, age 2 years ?that’s enough! You can stay in here!? as she grabbed child #1, age 2 years, by the arm and pulled the child into the bathroom. The child was left alone in the bathroom with the door shut and the lights off for approximately 1 minute.”

8VAC20-780-40-E

“Based on documentation review and interviews, the center failed to follow their own policies related to behavior guidance. Evidence: 1) Interviews with staff #2, and staff #3, revealed that on May 2, 2023 at approximately 10:00 am, staff #1 yelled ?I can?t deal with this today? and then yelled at child #1, age 2 years ?that’s enough! You can stay in here!? as she grabbed child #1, age 2 years, by the arm and pulled the child into the bathroom. The child was left alone in the bathroom with the door shut and the lights off. 2) Review of document titled ?Guidance, Protection of and Respect for Children? OP-300 states that ?employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from any unacceptable measures while caring for children. Unacceptable measures include separation techniques as punishment, physical discipline, verbal or emotional abuse, lack of supervision and child endangerment, etc.?”

8VAC20-780-400-B

“Based on interviews, the center failed to ensure that behavioral guidance shall be constructive in nature, age and state appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: Interviews with staff #2 and staff #3 revealed that on May 2, 2023 at approximately 10:00 am, staff #1 was overheard saying ?I can?t deal with this today!" and then yelled at child #1 saying ?that’s enough! You can stay in here!? as she put child #1, age 2 years, in the bathroom alone and shut the door, as a behavior guidance technique.”

8VAC20-780-340-A

“Based on interviews, and documentation review, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: Interviews with staff #1, staff #2, staff #3, staff #4, staff #5, and the Director, and documentation review of Child Supervision (CSR Name to Face) tracking sheets of classroom #1, classroom #2, and classroom #3 revealed that on the morning of 4/19/23 two toddler children walked through one gate located on the toddler playground, down a corridor on the side of the building, through another gate located on the preschool playground and were found alone on the preschool playground on equipment designed for children age 2-4 years old. The children were unsupervised for approximately 13 minutes.”

8VAC20-780-270-A

“Based on interviews, and documentation review, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1) Interviews with staff #1, staff #2, staff #3, staff #4, and the Director revealed that the two gates on the playground were not operating properly. 2) Review of the ?Daily Playground Inspection? checklist dated for the week of April 17th indicated that the gates were not latching properly. 3) The Director confirmed that a work order was put in to fix the gates on April 15th.”

8VAC20-780-350-B-2

“Based on documentation review, and interviews, the center failed to follow the staff-to-children ratio for toddlers of 1 staff to 5 children. Evidence: 1) Review of Child Supervision (CSR Name to Face) tracking sheets revealed that on the morning of 04/19/2023 classroom #1, with children aged 16 months to 2 years, was out of ratio for approximately 22 minutes. 2) Review of Child Supervision (CSR Name to Face) tracking sheet for Classroom #2, with children aged 16 months to 2 years, revealed that it was out of ratio for approximately 6 minutes. 3) The Director confirmed that classroom #1 was out of ratio for approximately 22 minutes and classroom #2 was out of ratio for approximately 6 minutes.”

8VAC20-780-340-F

“Based on documentation review, and interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1) Review of Child Supervision (CSR Name to Face) tracking sheet revealed that classroom #1, with a group of 11 toddlers and 2 staff, went outside to the toddler playground at approximately 9:40 am. 2) Interview with staff #5, revealed that she found two toddler children, alone on the preschool playground at approximately 9:53 am while she was taking her class outside to play. Staff #5 brought the two toddler children back to the toddler class on the toddler playground. 3) Review of Child Supervision (CSR Name to Face) tracking sheet revealed that classroom #3 went outside at approximately 9:53 am. 4) Interviews with staff #1, staff #2, staff #3, and staff #4 revealed that staff #5 brought the two toddlers back to the toddler playground at approximately 9:54 am. 5) The Director confirmed that the two toddler children were out of sight and sound supervision for approximately 13 minutes.”

8VAC20-780-40-E

“Based on documentation review, and interview, the center failed to ensure that the center’s own policies and procedures are followed. Evidence: 1) Review of the centers ?Playground Safety? policy states ?supervision with appropriate staff/child ratios is maintained at all times while on the playground.? It also states ?name to face attendance using the CSR is conducted on a regular basis so that every child is accounted for at all times.? 2) Interviews with staff #1, staff #2, staff #3, staff #4, and the Director revealed that there were 16 children ages 16 months to 2 years with 3 staff outside on the playground. The ratio for this age group is 1 staff to 5 children. 3) Review of the ?Child Supervision Record (CSR) standard operating procedures states ?as children arrive, one of the teachers in the room should sign them in by writing their full legal name and age. This should be done as soon as the child enters the classroom.? It also states ?when transitioning from one location to another, teachers will use the name-to-face transitions section of the CSR to confirm all children are accounted for.? 4) Review of Child Supervision (CSR Name to Face) tracking sheets revealed that on 04/19/23 classroom #2 signed two children out of the CSR and sent them to classroom #1 at approximately 9:18 am. Review of the CSR for classroom #1 did not show that the 2 children were signed in. 5) Review of the Child Supervision (CSR Name to Face tracking sheet revealed that classroom #1 transitioned outside at 9:40 am. Review of the CSR for classroom #2 did not show the transition outside. Interview with staff #1, staff #2, and staff #3, revealed that classroom #2 went outside at approximately 9:45 am. 6) Review of the ?playground schedule? indicated that classroom #1 has an assigned outside time of 10:30-11:00 and that classroom #2 has an assigned outside time of 11:00-11:30. Interviews with staff and the Director revealed that the classes are not allowed to go outside together and that only one class at a time is allowed on the playground. Documentation review and interviews revealed that both classes went outside prior to their assigned time and were on the playground at the same time.”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on documentation review, and interviews, the center failed to follow the staff-to-children ratio specified for 2-year-olds. For two year old children the required ratio isf 1 staff to 8 children. Evidence: 1) Review of Child Supervision (CSR Name to Face) tracking sheets revealed that on the morning of 04/28/2023 classroom #1, with children aged two years, was out of ratio for approximately 48 minutes. There was 1 staff alone from approximately 7:21 am until approximately 8:32 am. At 7:44 am child #9 arrived. Between 7:44 and 8:30am 8 more children arrived bringing the ratio to 17 children, aged 2 to 3 years, with one staff in classroom #1. 2) Review of CSR for classroom #2, with children aged two years, was out of ratio for approximately 9 minutes. There was 1 staff alone from approximately 8:51 am to 9:00 am with 9 children aged 2 years. 3) Interviews with parent #1 revealed that she witnessed 1 staff alone in classroom #1 with approximately 15 children at 8:20 am. 4) The CSR revealed that staff #2 arrived in classroom #1 at approximately 8:32 am. At that time there were 17 children. 5) The Director confirmed that classroom #1 was out of ratio for approximately 48 minutes and classroom #2 was out of ratio for approximately 9 minutes.”

8VAC20-780-340-A

“Based on interviews, and documentation review, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: Interviews with staff #1, staff #2, staff #3, staff #4, staff #5, and the Director, and documentation review of Child Supervision (CSR Name to Face) tracking sheets of classroom #1, classroom #2, and classroom #3 revealed that on the morning of 4/19/23 two toddler children walked through one gate located on the toddler playground, down a corridor on the side of the building, through another gate located on the preschool playground and were found alone on the preschool playground on equipment designed for children age 2-4 years old. The children were unsupervised for approximately 13 minutes.”

8VAC20-780-270-A

“Based on interviews, and documentation review, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1) Interviews with staff #1, staff #2, staff #3, staff #4, and the Director revealed that the two gates on the playground were not operating properly. 2) Review of the ?Daily Playground Inspection? checklist dated for the week of April 17th indicated that the gates were not latching properly. 3) The Director confirmed that a work order was put in to fix the gates on April 15th.”

8VAC20-780-350-B-2

“Based on documentation review, and interviews, the center failed to follow the staff-to-children ratio for toddlers of 1 staff to 5 children. Evidence: 1) Review of Child Supervision (CSR Name to Face) tracking sheets revealed that on the morning of 04/19/2023 classroom #1, with children aged 16 months to 2 years, was out of ratio for approximately 22 minutes. 2) Review of Child Supervision (CSR Name to Face) tracking sheet for Classroom #2, with children aged 16 months to 2 years, revealed that it was out of ratio for approximately 6 minutes. 3) The Director confirmed that classroom #1 was out of ratio for approximately 22 minutes and classroom #2 was out of ratio for approximately 6 minutes.”

8VAC20-780-340-F

“Based on documentation review, and interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1) Review of Child Supervision (CSR Name to Face) tracking sheet revealed that classroom #1, with a group of 11 toddlers and 2 staff, went outside to the toddler playground at approximately 9:40 am. 2) Interview with staff #5, revealed that she found two toddler children, alone on the preschool playground at approximately 9:53 am while she was taking her class outside to play. Staff #5 brought the two toddler children back to the toddler class on the toddler playground. 3) Review of Child Supervision (CSR Name to Face) tracking sheet revealed that classroom #3 went outside at approximately 9:53 am. 4) Interviews with staff #1, staff #2, staff #3, and staff #4 revealed that staff #5 brought the two toddlers back to the toddler playground at approximately 9:54 am. 5) The Director confirmed that the two toddler children were out of sight and sound supervision for approximately 13 minutes.”

8VAC20-780-40-E

“Based on documentation review, and interview, the center failed to ensure that the center’s own policies and procedures are followed. Evidence: 1) Review of the centers ?Playground Safety? policy states ?supervision with appropriate staff/child ratios is maintained at all times while on the playground.? It also states ?name to face attendance using the CSR is conducted on a regular basis so that every child is accounted for at all times.? 2) Interviews with staff #1, staff #2, staff #3, staff #4, and the Director revealed that there were 16 children ages 16 months to 2 years with 3 staff outside on the playground. The ratio for this age group is 1 staff to 5 children. 3) Review of the ?Child Supervision Record (CSR) standard operating procedures states ?as children arrive, one of the teachers in the room should sign them in by writing their full legal name and age. This should be done as soon as the child enters the classroom.? It also states ?when transitioning from one location to another, teachers will use the name-to-face transitions section of the CSR to confirm all children are accounted for.? 4) Review of Child Supervision (CSR Name to Face) tracking sheets revealed that on 04/19/23 classroom #2 signed two children out of the CSR and sent them to classroom #1 at approximately 9:18 am. Review of the CSR for classroom #1 did not show that the 2 children were signed in. 5) Review of the Child Supervision (CSR Name to Face tracking sheet revealed that classroom #1 transitioned outside at 9:40 am. Review of the CSR for classroom #2 did not show the transition outside. Interview with staff #1, staff #2, and staff #3, revealed that classroom #2 went outside at approximately 9:45 am. 6) Review of the ?playground schedule? indicated that classroom #1 has an assigned outside time of 10:30-11:00 and that classroom #2 has an assigned outside time of 11:00-11:30. Interviews with staff and the Director revealed that the classes are not allowed to go outside together and that only one class at a time is allowed on the playground. Documentation review and interviews revealed that both classes went outside prior to their assigned time and were on the playground at the same time.”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on documentation review, and interviews, the center failed to follow the staff-to-children ratio specified for 2-year-olds. For two year old children the required ratio isf 1 staff to 8 children. Evidence: 1) Review of Child Supervision (CSR Name to Face) tracking sheets revealed that on the morning of 04/28/2023 classroom #1, with children aged two years, was out of ratio for approximately 48 minutes. There was 1 staff alone from approximately 7:21 am until approximately 8:32 am. At 7:44 am child #9 arrived. Between 7:44 and 8:30am 8 more children arrived bringing the ratio to 17 children, aged 2 to 3 years, with one staff in classroom #1. 2) Review of CSR for classroom #2, with children aged two years, was out of ratio for approximately 9 minutes. There was 1 staff alone from approximately 8:51 am to 9:00 am with 9 children aged 2 years. 3) Interviews with parent #1 revealed that she witnessed 1 staff alone in classroom #1 with approximately 15 children at 8:20 am. 4) The CSR revealed that staff #2 arrived in classroom #1 at approximately 8:32 am. At that time there were 17 children. 5) The Director confirmed that classroom #1 was out of ratio for approximately 48 minutes and classroom #2 was out of ratio for approximately 9 minutes.”

8VAC20-780-160-C

“Based on review of staff records, and interview, the center failed to ensure that staff obtain and submit 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 record for staff #6, date of employment 4/19/21, contained an original TB screening dated 4/6/21. The record did not contain a follow-up TB test or screening. The Director acknowledged that the record did not contain a follow-up TB screening or test.”

8VAC20-780-240-A

“Based on records review, the center failed to ensure that The Virginia Department of Education (VDOE) sponsored orientation course is completed within 90 calendar days of employment. Evidence: The record for staff #6, date of employment 4/19/21, and the record for staff #7, date of employment, 09/07/21, did not contain documentation of the VDOE training being completed”

8VAC20-780-70

“Based on interview, the center failed to keep at the center the name, address, and telephone number of a person to be notified in an emergency for all staff. Evidence: When asked to see the record for staff #10, the Director stated that it was not at the center because staff #10 had transferred over from another center. The Director stated that the center did not have emergency contact information for staff #10.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence:1) Classroom #6 contained an approximately 8 inch by 2 inch area of exposed drywall and peeling paint. 2) Classroom #6 had a broken counter edge that was sharp to the touch.”

8VAC20-780-280-B

“Based on observation the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Classroom #7 had an unlocked cabinet which contained 2 cans of Barbasol shaving cream with labels that read ?keep out of reach of children? and ?warning?. 2) The Kitchen door was unlocked and had a piece of tape over the door latch that prevented it from closing. The kitchen contained unlocked cleaning agents.”

8VAC20-780-150-B

“Based on records review, the center did not ensure that the original physical examination was signed and dated by a physician. Evidence: Child #2 had a physical that was not signed or dated by a physician.”

63.2(17)-1720.1-B-4

“Based on a review of staff records and interview, the center did not ensure to obtain a copy of the results of a criminal history record check and sex offender registry check prior to the first day of employment from any state in which the applicant has resided in the preceding five years. Evidence: 1. The record of Staff #1 (DOH 9/7/21) contained documentation of results of the criminal history check and sex offender registry check dated 9/15/21. 2. Administration acknowledged they were not complete prior to hire.”