KinderCare Education LLC - Pump Road

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #4 completed the course over 9 months late.”

22.1-289.035-A

“REPEAT VIOLATION The center is required to have employees undergo a background check every five years. Staff #5's repeat sworn statement was completed over 5 months late and their repeat national criminal background check was completed two weeks late.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record for child #7 was received 25 days after the first date of attendance.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #4 completed the course over 9 months late.”

22.1-289.035-A

“REPEAT VIOLATION The center is required to have employees undergo a background check every five years. Staff #5's repeat sworn statement was completed over 5 months late and their repeat national criminal background check was completed two weeks late.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record for child #7 was received 25 days after the first date of attendance.”

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

“COMPLAINT RELATED The center shall ensure that their activities and services are maintained in compliance with the standards and the center's own policies and procedures that are required by the standards. On 06/04/25, the center was in violation of their discipline policy when Staff #1 yelled at Child #1 to shut up. The center's discipline policies state that positive guidance techniques shall be used. "Employees should use only positive guidance such as redirection, praise and-modeling of pro-social behavior, setting clear expectations and classroom rules, and verbal interventions. The Company defines pro-social behavior skills to be those that children use to interact with others in a respectful and socially appropriate manner resulting in a positive environment and community. Administration acknowledged that Staff #1 did not follow their policy.”

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

“COMPLAINT RELATED Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On June 4, 2025, Staff #1 yelled at Child #1, age two, to shut up. At the time of the incident, witnesses reported that Child #1 was fussing for Staff #1's attention.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Child #10 had two incomplete reports that were missing the second signature and documentation on how the parent was notified.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The plastic mulch border located in the preschool playground was cracked/broken in 5 places. The chain link gate in the two year old playground had unraveled metal wire pieces along the bottom that exposed sharp edges.”

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department's health and safety update course. Staff #3's annual update was missing and over 2 months late. Staff # 6's annual update was missing and 5 days late. Staff #8's annual update was missing and over 2 months late.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Child #10 had two incomplete reports that were missing the second signature and documentation on how the parent was notified.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The plastic mulch border located in the preschool playground was cracked/broken in 5 places. The chain link gate in the two year old playground had unraveled metal wire pieces along the bottom that exposed sharp edges.”

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department's health and safety update course. Staff #3's annual update was missing and over 2 months late. Staff # 6's annual update was missing and 5 days late. Staff #8's annual update was missing and over 2 months late.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #1 was overdue by over 1 month.”

8VAC20-780-160-A

“Based on a review of eight staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children. The documentation must have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record of staff #3 (date of employment: 9/9/2024) contained a TB screening dated 7/30/2024. 2. Administration acknowledged that the TB screening had not been completed within the last 30 calendar days of the date of employment.”

8VAC20-780-60-A-8

“Based on a review of 8 child records and interview, the center did not ensure to have a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. The record of child #8 (date of attendance: 3/15/2023) contained an official medical record where the physician indicated that the child had diagnosed food allergies. The parent also documented the food allergies. The record did not contain a written care plan. 2. Administration acknowledged that the center did not have an allergy care plan for the child.”

8VAC20-780-550-G

“Based on a review of documentation and interview, the center did not ensure to maintain documentation of emergency evacuation drills as required. Evidence: 1. An evacuation drill was not documented in August of 2024. 2. Administration stated that the drill was conducted but not documented.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation and interview, 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. A rusted metal lock was observed on a shed in the preschool playground. The shed also had an area of chipped paint and splintering wood. 2. Administration acknowledged that the area required maintenance.”

8VAC20-780-240-I

“Based on a review of eight staff records and interview, the center did not ensure that documentation of orientation training was kept by the center for one staff in a manner that allows for identification by individual staff member, is considered part of the staff member's record, and shall include: 1. Name of staff; 2. Training topics; 3. Training delivery method; 4. The entity or individual providing training; and 5. The date of training. Evidence: 1. The record of staff #4 (date of employment: 8/28/2024) contained a blank orientation template form. 2. Administration stated that orientation was completed but not documented.”

8VAC20-780-70

“Based on a review of eight staff records and interview, the center did not ensure that one record contained information to be kept at the center about any health problems that may interfere with fulfilling the job responsibilities and a name, address, and telephone number of a person to be notified in an emergency Evidence: 1. the record of staff #4 (date of employment: 8/28/2024) did not contain the health information and emergency contact. 2. Administration acknowledged that the information was missing from the record.”

8VAC20-780-160-A

“Based on a review of eight staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children. The documentation must have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record of staff #3 (date of employment: 9/9/2024) contained a TB screening dated 7/30/2024. 2. Administration acknowledged that the TB screening had not been completed within the last 30 calendar days of the date of employment.”

8VAC20-780-60-A-8

“Based on a review of 8 child records and interview, the center did not ensure to have a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. The record of child #8 (date of attendance: 3/15/2023) contained an official medical record where the physician indicated that the child had diagnosed food allergies. The parent also documented the food allergies. The record did not contain a written care plan. 2. Administration acknowledged that the center did not have an allergy care plan for the child.”

8VAC20-780-550-G

“Based on a review of documentation and interview, the center did not ensure to maintain documentation of emergency evacuation drills as required. Evidence: 1. An evacuation drill was not documented in August of 2024. 2. Administration stated that the drill was conducted but not documented.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation and interview, 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. A rusted metal lock was observed on a shed in the preschool playground. The shed also had an area of chipped paint and splintering wood. 2. Administration acknowledged that the area required maintenance.”

8VAC20-780-240-I

“Based on a review of eight staff records and interview, the center did not ensure that documentation of orientation training was kept by the center for one staff in a manner that allows for identification by individual staff member, is considered part of the staff member's record, and shall include: 1. Name of staff; 2. Training topics; 3. Training delivery method; 4. The entity or individual providing training; and 5. The date of training. Evidence: 1. The record of staff #4 (date of employment: 8/28/2024) contained a blank orientation template form. 2. Administration stated that orientation was completed but not documented.”

8VAC20-780-70

“Based on a review of eight staff records and interview, the center did not ensure that one record contained information to be kept at the center about any health problems that may interfere with fulfilling the job responsibilities and a name, address, and telephone number of a person to be notified in an emergency Evidence: 1. the record of staff #4 (date of employment: 8/28/2024) did not contain the health information and emergency contact. 2. Administration acknowledged that the information was missing from the record.”

8VAC20-780-160-A

“Based on a review of eight staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children. The documentation must have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record of staff #3 (date of employment: 9/9/2024) contained a TB screening dated 7/30/2024. 2. Administration acknowledged that the TB screening had not been completed within the last 30 calendar days of the date of employment.”

8VAC20-780-60-A-8

“Based on a review of 8 child records and interview, the center did not ensure to have a written care plan for one child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. The record of child #8 (date of attendance: 3/15/2023) contained an official medical record where the physician indicated that the child had diagnosed food allergies. The parent also documented the food allergies. The record did not contain a written care plan. 2. Administration acknowledged that the center did not have an allergy care plan for the child.”

8VAC20-780-550-G

“Based on a review of documentation and interview, the center did not ensure to maintain documentation of emergency evacuation drills as required. Evidence: 1. An evacuation drill was not documented in August of 2024. 2. Administration stated that the drill was conducted but not documented.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation and interview, 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. A rusted metal lock was observed on a shed in the preschool playground. The shed also had an area of chipped paint and splintering wood. 2. Administration acknowledged that the area required maintenance.”

8VAC20-780-240-I

“Based on a review of eight staff records and interview, the center did not ensure that documentation of orientation training was kept by the center for one staff in a manner that allows for identification by individual staff member, is considered part of the staff member's record, and shall include: 1. Name of staff; 2. Training topics; 3. Training delivery method; 4. The entity or individual providing training; and 5. The date of training. Evidence: 1. The record of staff #4 (date of employment: 8/28/2024) contained a blank orientation template form. 2. Administration stated that orientation was completed but not documented.”

8VAC20-780-70

“Based on a review of eight staff records and interview, the center did not ensure that one record contained information to be kept at the center about any health problems that may interfere with fulfilling the job responsibilities and a name, address, and telephone number of a person to be notified in an emergency Evidence: 1. the record of staff #4 (date of employment: 8/28/2024) did not contain the health information and emergency contact. 2. Administration acknowledged that the information was missing from the record.”

8VAC20-780-270-A

“Based on observation and interview, 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. Over 10 areas of chipped and peeling paint were observed in the two year old classroom and bathroom doorway. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-780-40-M

“Based on a review of documentation and interview, the center did not ensure to maintain in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The record of child #2 (date of attendance: 2/5/24) included food restrictions due to a suspected food allergy. The food restrictions were listed in two areas of the enrollment paperwork under food allergies. Child #2's restrictions were not included on the list of children's allergies, sensitivities, and dietary restrictions kept in each room. 2. Administration acknowledged that the food restriction was not included on the center's list.”

8VAC20-780-270-A

“Based on observation and interview, 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. Over 10 areas of chipped and peeling paint were observed in the two year old classroom and bathroom doorway. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-780-40-M

“Based on a review of documentation and interview, the center did not ensure to maintain in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. The record of child #2 (date of attendance: 2/5/24) included food restrictions due to a suspected food allergy. The food restrictions were listed in two areas of the enrollment paperwork under food allergies. Child #2's restrictions were not included on the list of children's allergies, sensitivities, and dietary restrictions kept in each room. 2. Administration acknowledged that the food restriction was not included on the center's list.”

8VAC20-780-340-A

“REPEAT VIOLATION Based on observation and interview, the center did not ensure that when staff are supervising children, they always ensure their care and protection. Evidence: 1. On 2/14/2024, staff #1 (date of employment: 6/27/2022) gave child #1 (date of enrollment: 6/5/2023) a 9 oz bottle of formula. Staff # 2 reported she saw child #1's bottle unattended on the floor with approximately one ounce remaining. Staff #2 stated that she was busy at the time but when she looked back she saw child #2 (date of enrollment: 9/18/2023) drinking from the bottle. When the bottle was obtained from child #2 it was empty. Multiple staff reported that they believed child #2 consumed about an ounce of child #1's formula. 2. Administration acknowledged that staff #1 did not adequately supervise child #1 after giving the child the bottle which led to child #2 consuming unauthorized formula.”

8VAC20-780-570-C

“Based on a review of documentation and interview, the center did not ensure that the record of each child on formula contained the brand of formula as required. Evidence: 1. The record of child #2 (date of enrollment: 9/18/2023)did not contain the brand of formula. 2. Administration and staff acknowledged the information was not in the record.”

8VAC20-780-530-A-1 Complaint related: No

“REPEAT VIOLATION Based on observation, review of documentation and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care as required. Evidence: 1. The record of staff #1 (date of employment: 10/5/2023) contained a CPR certification dated 1/23/2024. 2. Administration and staff #1 acknowledged that staff #1 had supervised children independently prior to being CPR certified.”

8VAC20-780-530-A-2 Complaint related: No

“REPEAT VIOLATION Based on observation, review of documentation and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in first aid as required. Evidence: 1. The record of staff #1 (date of employment: 10/5/2023) contained a first aid certification dated 1/23/2024. 2. Administration and staff #1 acknowledged that staff #1 had supervised children independently prior to being first aid certified.”

8VAC20-790-600-F

“Based on a review of nine staff records and interview, the vendor did not ensure that three staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #6 contained a course certificate dated 9/20/2022. The record of staff #8 contained a certificate dated 11/12/2022 and the record of staff #9 contained a certificate dated 8/14/2022. 2. The vendor acknowledged that the courses had not been completed annually as required.”

8VAC20-780-530-A-1

“Based on observation, review of documentation and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care as required. Evidence: 1. In the three year old classroom, staff #1 was observed independently supervising a group of children during nap. The record of staff #1 did not contain a CPR certification. 2. Administration acknowledged that staff #1 did not have a current certification and that there was not a certified staff in the room at all times.”

8VAC20-780-440-E

“Based on observation and interview, the center did not ensure there was at least 12 inches of space between occupied cots as required. Evidence: 1. Children were observed sleeping on cots in the two and three year old classrooms. Six cots were observed to be spaced less than 12 inches apart. 2. Administration acknowledged that the cots were not spaced correctly.”

8VAC20-780-530-A-2

“Based on observation, review of documentation and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in first aid as required. Evidence: 1. In the three year old classroom, staff #1 was observed independently supervising a group of children during nap. The record of staff #1 did not contain a first aid certification. 2. Administration acknowledged that staff #1 did not have a current certification and that there was not a certified staff in the room at all times.”

8VAC20-790-600-F

“Based on a review of nine staff records and interview, the vendor did not ensure that three staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #6 contained a course certificate dated 9/20/2022. The record of staff #8 contained a certificate dated 11/12/2022 and the record of staff #9 contained a certificate dated 8/14/2022. 2. The vendor acknowledged that the courses had not been completed annually as required.”

8VAC20-780-530-A-1

“Based on observation, review of documentation and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care as required. Evidence: 1. In the three year old classroom, staff #1 was observed independently supervising a group of children during nap. The record of staff #1 did not contain a CPR certification. 2. Administration acknowledged that staff #1 did not have a current certification and that there was not a certified staff in the room at all times.”

8VAC20-780-440-E

“Based on observation and interview, the center did not ensure there was at least 12 inches of space between occupied cots as required. Evidence: 1. Children were observed sleeping on cots in the two and three year old classrooms. Six cots were observed to be spaced less than 12 inches apart. 2. Administration acknowledged that the cots were not spaced correctly.”

8VAC20-780-530-A-2

“Based on observation, review of documentation and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in first aid as required. Evidence: 1. In the three year old classroom, staff #1 was observed independently supervising a group of children during nap. The record of staff #1 did not contain a first aid certification. 2. Administration acknowledged that staff #1 did not have a current certification and that there was not a certified staff in the room at all times.”

8VAC20-780-340-A

“Based on interviews conducted on July 11, 2023, the center failed to ensure care and protection for an infant in care who received another child's formula. Evidence: 1. The center's representative and staff #1 reported the following: On 07/6/2023, staff #1 fed child #1 four ounces of formula belonging to child #2. The interviews also revealed that child #1 and child #2 do not drink the same infant formula. 2. When referring to child #1 and child #2 during an interview on July 11, 2023 staff #1 stated, ?They look alike and it was a bad mistake on my part.?”

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

“Based on documentation review and interviews, the center did not maintain compliance with their own policies and procedures required by standards. Evidence: The center's policies and procedures regarding discipline were not followed when the following occurred: a. Staff #1 pulled children’s ears and pinched children. b. Staff #2 admitted that she [staff #2] ?slightly tapped? child #3 and child #4, mostly on the forearm. Staff #3 observed Staff #2 lift child #3 by the arm and ?pop? the child’s bottom; the child screamed and cried. The center’s policies and procedures for guidance, protection of and respect for children 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 on behalf of the Company. Unacceptable measures include: Any kind 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. Employees may not threaten or imply that physical punishment may occur as the result of a child's behavior.? These policies and procedures were not followed by staff #1 and staff #2.”

8VAC20-780-80-B Complaint related: No

“Based on an interview, the center did not ensure any suspected incident of child abuse be reported in accordance with ?63.2-1509 of the Code of Virginia. Evidence: 1. On June 22, 2023, staff #3 reported the following: When staff #2 worked at the center previously, she observed staff #2 pinch and ?flick? children on the back of the head. 2. Staff #3 stated that she, ?did not want to label it as abuse but it is abusive.? 3. Staff #3 failed to report suspected child abuse accordance with ? 63.2-1509 of the Code of Virginia.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews, the center failed to always ensure the care, protection, and guidance of children in care. Evidence: 1. Staff #2 observed staff #1 pinching children and pulling the children’s ears. Staff #2 reported that it gets overwhelming sometimes. Staff #2 chose not to say anything and stated, ?I mind my business and figured you will eventually get caught?. 2. Staff #3 observed staff #1 raising her voice at child #1 and pulling the child’s ear. Staff #3 reported that the child ran to where he was directed while crying. Staff #3 stated, ?It felt like it wasn?t the first time.? 3. Staff #3 observed Staff #2 lift child #3, who is mostly non-verbal, by the arm and ?pop? the child’s bottom; the child screamed and cried. Staff #3 also reported previously witnessing Staff #2 flick children in the back of the head. Staff #3 stated, ?Did not want to label it as abuse, but it is abusive.? 4. Child #2 told staff #5 that staff #2 pinched his neck because he would not go play. Child #2 also told staff #5 that staff #1 pulled him by his ear; staff #5 reported that the child’s ear was visibly red.”

8VAC20-780-410-1 Complaint related: Yes

“Based on interviews, the facility did not ensure the forbidden action of physical punishment, striking and roughly handling a child did not occur. Evidence: On June 22, 2023, the center representative, staff #2, staff #3 and a witness stated the following: 1. The center representative stated that on June 1, 2023, staff #3 reported that staff #1 was pulling children’s ears and staff #2 was observed ?swatting? child #3 on the bottom. Later on June 1, 2023, staff #1 confirmed that she was pulling children’s ears. 2. Staff #2 worked with staff #1 in the Preschool classroom. Staff #2 stated, ?[Staff #1] would pull some of the [children’s] ears.? Staff #2 also stated that staff #1 would sometimes get overwhelmed and staff #1 would proceed to pinch the children. Additionally, staff #2 confirmed that she [staff #2] ?slightly tapped? child #3 and child #4. Staff #2 also stated that most of the time she [staff #2] ?taps? child #3 and child #4 on the forearm. 3. Staff #3 observed staff #1 pull child #1?s ear. Child #1 was then observed crying. Additionally, staff #3 observed staff #2 ?pop? child #3 on the bottom while lifting the child by the arm, child #3 was then observed screaming and crying. In the past, staff #3 also observed staff #2 pinch and ?flick? children on the back of the head. 5. Staff #5 stated that child #2 reported, ?[Staff #1] yanked and pulled me by my ear mommy.? Child #2 also stated that staff #2 pinched him behind his neck because he would not go play. Staff #5 stated that child #2?s ear was visibly red. Child #2 has been crying and not wanting to go to the center. Additionally, staff #5 stated that they previously observed staff #1 hit child #1 on the head with a paper plate.”

8VAC20-780-570-D

“Based on interviews conducted on June 22, 2023, the center failed to ensure an infant was fed on demand or in accordance with the parental instructions. Evidence: 1. The center's representative and staff #1 reported the following: On 06/15/2023, staff #1 fed child #1 (Age 5 months) a bottle between approximately 9:58am and 10:30am. Staff #1 did not feed child #1 for the rest of the day. The interviews also revealed that a parent picked up child #1 between approximately 4:00pm and 4:15pm. 2. The parents of child #1 instructed the center staff to feed child #1 two bottles, four hours apart. 3. Staff #1 stated that she mixed up child #1?s feeding schedule with another child’s feeding schedule.”

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

“Based on documentation review and interviews, the center did not maintain compliance with their own policies and procedures required by standards. Evidence: The center's policies and procedures regarding discipline were not followed when the following occurred: a. Staff #1 pulled children’s ears and pinched children. b. Staff #2 admitted that she [staff #2] ?slightly tapped? child #3 and child #4, mostly on the forearm. Staff #3 observed Staff #2 lift child #3 by the arm and ?pop? the child’s bottom; the child screamed and cried. The center’s policies and procedures for guidance, protection of and respect for children 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 on behalf of the Company. Unacceptable measures include: Any kind 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. Employees may not threaten or imply that physical punishment may occur as the result of a child's behavior.? These policies and procedures were not followed by staff #1 and staff #2.”

8VAC20-780-80-B Complaint related: No

“Based on an interview, the center did not ensure any suspected incident of child abuse be reported in accordance with ?63.2-1509 of the Code of Virginia. Evidence: 1. On June 22, 2023, staff #3 reported the following: When staff #2 worked at the center previously, she observed staff #2 pinch and ?flick? children on the back of the head. 2. Staff #3 stated that she, ?did not want to label it as abuse but it is abusive.? 3. Staff #3 failed to report suspected child abuse accordance with ? 63.2-1509 of the Code of Virginia.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews, the center failed to always ensure the care, protection, and guidance of children in care. Evidence: 1. Staff #2 observed staff #1 pinching children and pulling the children’s ears. Staff #2 reported that it gets overwhelming sometimes. Staff #2 chose not to say anything and stated, ?I mind my business and figured you will eventually get caught?. 2. Staff #3 observed staff #1 raising her voice at child #1 and pulling the child’s ear. Staff #3 reported that the child ran to where he was directed while crying. Staff #3 stated, ?It felt like it wasn?t the first time.? 3. Staff #3 observed Staff #2 lift child #3, who is mostly non-verbal, by the arm and ?pop? the child’s bottom; the child screamed and cried. Staff #3 also reported previously witnessing Staff #2 flick children in the back of the head. Staff #3 stated, ?Did not want to label it as abuse, but it is abusive.? 4. Child #2 told staff #5 that staff #2 pinched his neck because he would not go play. Child #2 also told staff #5 that staff #1 pulled him by his ear; staff #5 reported that the child’s ear was visibly red.”

8VAC20-780-410-1 Complaint related: Yes

“Based on interviews, the facility did not ensure the forbidden action of physical punishment, striking and roughly handling a child did not occur. Evidence: On June 22, 2023, the center representative, staff #2, staff #3 and a witness stated the following: 1. The center representative stated that on June 1, 2023, staff #3 reported that staff #1 was pulling children’s ears and staff #2 was observed ?swatting? child #3 on the bottom. Later on June 1, 2023, staff #1 confirmed that she was pulling children’s ears. 2. Staff #2 worked with staff #1 in the Preschool classroom. Staff #2 stated, ?[Staff #1] would pull some of the [children’s] ears.? Staff #2 also stated that staff #1 would sometimes get overwhelmed and staff #1 would proceed to pinch the children. Additionally, staff #2 confirmed that she [staff #2] ?slightly tapped? child #3 and child #4. Staff #2 also stated that most of the time she [staff #2] ?taps? child #3 and child #4 on the forearm. 3. Staff #3 observed staff #1 pull child #1?s ear. Child #1 was then observed crying. Additionally, staff #3 observed staff #2 ?pop? child #3 on the bottom while lifting the child by the arm, child #3 was then observed screaming and crying. In the past, staff #3 also observed staff #2 pinch and ?flick? children on the back of the head. 5. Staff #5 stated that child #2 reported, ?[Staff #1] yanked and pulled me by my ear mommy.? Child #2 also stated that staff #2 pinched him behind his neck because he would not go play. Staff #5 stated that child #2?s ear was visibly red. Child #2 has been crying and not wanting to go to the center. Additionally, staff #5 stated that they previously observed staff #1 hit child #1 on the head with a paper plate.”

8VAC20-780-570-D

“Based on interviews conducted on June 22, 2023, the center failed to ensure an infant was fed on demand or in accordance with the parental instructions. Evidence: 1. The center's representative and staff #1 reported the following: On 06/15/2023, staff #1 fed child #1 (Age 5 months) a bottle between approximately 9:58am and 10:30am. Staff #1 did not feed child #1 for the rest of the day. The interviews also revealed that a parent picked up child #1 between approximately 4:00pm and 4:15pm. 2. The parents of child #1 instructed the center staff to feed child #1 two bottles, four hours apart. 3. Staff #1 stated that she mixed up child #1?s feeding schedule with another child’s feeding schedule.”

8VAC20-780-550-P

“Based on record review, the center did not ensure that the written record of children's serious and minor injuries contained the required information. Evidence: 1. One of the five injury records reviewed did not contain two signatures. 2. Three of the five injury records reviewed did not contain the date the parent was notified. 3. Four of the five injury records reviewed did not contain the method of parent notification. 4. Five of the five injury records reviewed did not contain the time when parents were notified.”

8VAC20-780-60-A

“Based on record review, the center did not ensure three of eight children's records contained all of the required information. Evidence: 1. The record of child #4 (enrollment date: 10/12/2018) did not contain documentation of the annual parent confirmation that the required information in the child's record is up to date. 2. The record of child #6 (enrollment date: 3/21/2022) did not contain documentation of the annual parent confirmation that the required information in the child's record is up to date. 3. The record of child #7 (enrollment date: 8/22/2021) did not have documentation of all required information until 3/17/2023. The center representative stated that the center could not locate the child's record and had to create a record for the child dated 3/17/2023.”

8VAC20-780-550-D

“Based on a review of documents and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1) The licensing inspector observed the emergency drill log for the year 2022. An evacuation drill was not documented for April or May 2022. 2) During interview, management reported the drills were not practiced during those months. The center shall implement a monthly practice evacuation drill.”

8VAC20-780-60-A

“Based on a review of six children's records and interview, the center did not ensure four children's records contained the required information. Evidence: 1) The following records did not contain a work phone number for each parent who has custody: Child #2 (enrolled 08/29/22), Child #3 (enrolled 08/29/22), and Child #6 (enrolled 10/31/22). 2) The record for Child #1, enrolled 06/24/18, did not contain documentation that the parents were provided at least semiannually in writing information on their child's development, behavior, adjustment, and needs. 3) During interview, management reported the record for Child #1 did not have documentation related to child updates and confirmation of up-to-date information in the child's record as required by 8VAC20-780-420 E 3.”

8VAC20-780-160-A

“Based on a review of six staff records, the center did not ensure one staff member submitted documentation of a negative tuberculosis screening within the required timeframe. Evidence: The tuberculosis screening in the record for Staff #6, employed 06/06/22, was dated 08/10/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

8VAC20-780-550-D

“Based on a review of documents and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1) The licensing inspector observed the emergency drill log for the year 2022. An evacuation drill was not documented for April or May 2022. 2) During interview, management reported the drills were not practiced during those months. The center shall implement a monthly practice evacuation drill.”

8VAC20-780-60-A

“Based on a review of six children's records and interview, the center did not ensure four children's records contained the required information. Evidence: 1) The following records did not contain a work phone number for each parent who has custody: Child #2 (enrolled 08/29/22), Child #3 (enrolled 08/29/22), and Child #6 (enrolled 10/31/22). 2) The record for Child #1, enrolled 06/24/18, did not contain documentation that the parents were provided at least semiannually in writing information on their child's development, behavior, adjustment, and needs. 3) During interview, management reported the record for Child #1 did not have documentation related to child updates and confirmation of up-to-date information in the child's record as required by 8VAC20-780-420 E 3.”

8VAC20-780-160-A

“Based on a review of six staff records, the center did not ensure one staff member submitted documentation of a negative tuberculosis screening within the required timeframe. Evidence: The tuberculosis screening in the record for Staff #6, employed 06/06/22, was dated 08/10/22. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.”

8VAC20-780-280-B

“Based on observations at the center on 08/17/2022, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed bottles of cleaning solution in an unlocked cabinet in the Preschool classroom.”

8VAC20-790-600-D-2

“Based on a review of records and interview, the vendor did not ensure all staff who work directly with children had current certification in first aid appropriate to the ages of children in care. Evidence: 1) The record for Staff #5, hired on 08/05/19, had a first aid certification that expired on 09/04/2021. 2) During interview, a member of management confirmed the first aid certification for Staff #5 was expired.”

8VAC20-790-600-D-1

“Based on a review of records and interview, the vendor did not ensure all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1) The record for Staff #5, hired on 08/05/19, had a CPR certification that expired on 09/04/2021. 2) During interview, a member of management confirmed the CPR certification for Staff #5 was expired.”

8VAC20-790-600-F

“Based on a review of eight staff records and interview, the vendor did not ensure three staff members who work directly with children completed the department's health and safety update course annually. Evidence: 1) The record for Staff #3, hired on 01/05/21, did not have documentation of the department's health and safety update course. 2) The record for Staff #4, hired on 05/29/18, did not contain documentation of the department's health and safety update course for 2021 or 2022. 3) The most recent health and safety update course in the record for Staff #5, hired on 08/05/19, was dated 02/20/20. 4) During interview, a member of management confirmed the staff members did not complete the required training annually.”

22.1-289.035-B-4

“Based on a review of eight staff records, the center did not obtain the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #1, hired on 03/30/22, indicated the staff had resided in two states outside of Virginia within the last five years. For one of the states, the record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the state. 2) The record for Staff #2, hired on 02/07/22, indicated the staff had resided in two states outside of Virginia within the last five years. The record did not contain a search of the child abuse and neglect registry from the other states. 3) During interview, a member of management confirmed the required out-of-state checks were not obtained for Staff #1 or Staff #2 within the required time frames. The out-of-state criminal history record information check is required to be obtained prior to hire and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

8VAC20-780-160-A-1

“Based on observations and interviews, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1) The record for Staff #2, hired on 02/07/22, did not contain documentation of a negative TB test or screening. 2) During interviews, a member of management reported Staff #2 did not have documentation of a negative TB test or screening on file.”

8VAC20-780-160-C

“Based on a review of eight staff records and interviews, the center did not ensure that one staff resubmit tuberculosis (TB) test results at least every two years from the date of the first initial screening or testing. Evidence: 1) The most recent TB screening in the record for Staff #5, hired on 08/05/19, was dated 08/01/19. The TB screening expired on 08/01/21. 2) During interview, a member of management reported the TB screening for Staff #5 expired on 08/01/21 and a new one has not been obtained.”

8VAC20-780-60-A

“Based on a review of seven children’s records and interview, the center did not ensure two children’s records contained all the required information. Evidence: 1) The record for Child #2, enrolled on 01/10/22, did not contain a second emergency contacts. 2) The record for Child #5, enrolled on 03/21/22, did not contain a second emergency contact. 3) During interview, a member of management confirmed the records were missing two emergency contacts. The record for each child enrolled should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-245-A

“Based on a review of eight staff records and interview, the center did not ensure three staff members completed 16 hours of annual training. Evidence: 1) The record for Staff #3, hired on 01/05/21, contained two hours of annual training. 2) The record for Staff #4, hired on 05/29/18, contained two hours of annual training. 3) The record for Staff #5, hired on 08/05/19, did not contain documentation of annual training between 8/2020-08/2021. 4) During interview, a member of management confirmed Staff #3, Staff #4, and Staff #5 did not have documentation of the required 16 hours of annual training. Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.”

8VAC20-780-280-B

“Based on observations at the center on 04/26/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed bottles of cleaning solution in unlocked cabinets in the DPS1 classroom (2 years old), in the Toddlers classrooms, and in the Preschool classroom. 2) The licensing inspector observed an open box that contained 4 bleach bottles and hand sanitizer in the hallway outside of the Preschool and School Age classrooms.”

8VAC20-780-280-H

“Based on observations at the center on 04/26/22, the center did not ensure purses were not accessible to children. Evidence: 1) The licensing inspector observed a staff members? purse on a child’s table in the DPS 2 classroom. The children were observed playing near the table and the purse was accessible to the children.”

8VAC20-780-290-A-3

“Based on observation at the center on 04/26/22, the center did not ensure all electrical outlets had protective covers. Evidence: 1) During the inspection, the licensing inspector observed one outlet without a protective cover in the DPS 1 (2 years old) classroom and one outlet without a protective cover in the DPS 2 classroom. 2) During the inspection, the licensing inspector observed two outlets without a protective cover in the Toddlers' classroom. 3) During the inspection, the licensing inspector observed three outlets without a protective cover in the Preschool classroom. Electrical outlets shall have protective covers that are a size that cannot be swallowed by children.”

8VAC20-780-350-B-2

“Based on observations, interviews and documentation reviewed, the center did not maintain the required ratios for children birth up to 16 months of one staff member for every four children. Evidence: 1) During interview on 04/26/22, a member of management reported the Infants classroom would be out-of-ratio from 2:45pm until approximately 5pm. 2) At approximately 3:00pm, the licensing inspectors observed 18 children with 3 three staff members. 3) A review of the attendance records for 04/26/22 confirmed the classroom was out-of-ratio from approximately 2:30pm until 5:00pm.”

8VAC20-770-60-C-2

“Based on a review of eight 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 #3, hired on 01/05/21, did not contain the results of a central registry finding 2) During interview, a member of management confirmed the record for Staff #3 did not contain the results of a central registry finding.”

8VAC20-790-600-D-2

“Based on a review of records and interview, the vendor did not ensure all staff who work directly with children had current certification in first aid appropriate to the ages of children in care. Evidence: 1) The record for Staff #5, hired on 08/05/19, had a first aid certification that expired on 09/04/2021. 2) During interview, a member of management confirmed the first aid certification for Staff #5 was expired.”

8VAC20-790-600-D-1

“Based on a review of records and interview, the vendor did not ensure all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1) The record for Staff #5, hired on 08/05/19, had a CPR certification that expired on 09/04/2021. 2) During interview, a member of management confirmed the CPR certification for Staff #5 was expired.”

8VAC20-790-600-F

“Based on a review of eight staff records and interview, the vendor did not ensure three staff members who work directly with children completed the department's health and safety update course annually. Evidence: 1) The record for Staff #3, hired on 01/05/21, did not have documentation of the department's health and safety update course. 2) The record for Staff #4, hired on 05/29/18, did not contain documentation of the department's health and safety update course for 2021 or 2022. 3) The most recent health and safety update course in the record for Staff #5, hired on 08/05/19, was dated 02/20/20. 4) During interview, a member of management confirmed the staff members did not complete the required training annually.”

22.1-289.035-B-4

“Based on a review of eight staff records, the center did not obtain the results of a criminal history record information check and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff members had resided in the preceding five years within the required time frame. Evidence: 1) The record for Staff #1, hired on 03/30/22, indicated the staff had resided in two states outside of Virginia within the last five years. For one of the states, the record did not contain a criminal history record information check or a search of the child abuse and neglect registry from the state. 2) The record for Staff #2, hired on 02/07/22, indicated the staff had resided in two states outside of Virginia within the last five years. The record did not contain a search of the child abuse and neglect registry from the other states. 3) During interview, a member of management confirmed the required out-of-state checks were not obtained for Staff #1 or Staff #2 within the required time frames. The out-of-state criminal history record information check is required to be obtained prior to hire and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired.”

8VAC20-780-160-A-1

“Based on observations and interviews, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1) The record for Staff #2, hired on 02/07/22, did not contain documentation of a negative TB test or screening. 2) During interviews, a member of management reported Staff #2 did not have documentation of a negative TB test or screening on file.”

8VAC20-780-160-C

“Based on a review of eight staff records and interviews, the center did not ensure that one staff resubmit tuberculosis (TB) test results at least every two years from the date of the first initial screening or testing. Evidence: 1) The most recent TB screening in the record for Staff #5, hired on 08/05/19, was dated 08/01/19. The TB screening expired on 08/01/21. 2) During interview, a member of management reported the TB screening for Staff #5 expired on 08/01/21 and a new one has not been obtained.”

8VAC20-780-60-A

“Based on a review of seven children’s records and interview, the center did not ensure two children’s records contained all the required information. Evidence: 1) The record for Child #2, enrolled on 01/10/22, did not contain a second emergency contacts. 2) The record for Child #5, enrolled on 03/21/22, did not contain a second emergency contact. 3) During interview, a member of management confirmed the records were missing two emergency contacts. The record for each child enrolled should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-245-A

“Based on a review of eight staff records and interview, the center did not ensure three staff members completed 16 hours of annual training. Evidence: 1) The record for Staff #3, hired on 01/05/21, contained two hours of annual training. 2) The record for Staff #4, hired on 05/29/18, contained two hours of annual training. 3) The record for Staff #5, hired on 08/05/19, did not contain documentation of annual training between 8/2020-08/2021. 4) During interview, a member of management confirmed Staff #3, Staff #4, and Staff #5 did not have documentation of the required 16 hours of annual training. Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.”

8VAC20-780-280-B

“Based on observations at the center on 04/26/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed bottles of cleaning solution in unlocked cabinets in the DPS1 classroom (2 years old), in the Toddlers classrooms, and in the Preschool classroom. 2) The licensing inspector observed an open box that contained 4 bleach bottles and hand sanitizer in the hallway outside of the Preschool and School Age classrooms.”

8VAC20-780-280-H

“Based on observations at the center on 04/26/22, the center did not ensure purses were not accessible to children. Evidence: 1) The licensing inspector observed a staff members? purse on a child’s table in the DPS 2 classroom. The children were observed playing near the table and the purse was accessible to the children.”

8VAC20-780-290-A-3

“Based on observation at the center on 04/26/22, the center did not ensure all electrical outlets had protective covers. Evidence: 1) During the inspection, the licensing inspector observed one outlet without a protective cover in the DPS 1 (2 years old) classroom and one outlet without a protective cover in the DPS 2 classroom. 2) During the inspection, the licensing inspector observed two outlets without a protective cover in the Toddlers' classroom. 3) During the inspection, the licensing inspector observed three outlets without a protective cover in the Preschool classroom. Electrical outlets shall have protective covers that are a size that cannot be swallowed by children.”

8VAC20-780-350-B-2

“Based on observations, interviews and documentation reviewed, the center did not maintain the required ratios for children birth up to 16 months of one staff member for every four children. Evidence: 1) During interview on 04/26/22, a member of management reported the Infants classroom would be out-of-ratio from 2:45pm until approximately 5pm. 2) At approximately 3:00pm, the licensing inspectors observed 18 children with 3 three staff members. 3) A review of the attendance records for 04/26/22 confirmed the classroom was out-of-ratio from approximately 2:30pm until 5:00pm.”

8VAC20-770-60-C-2

“Based on a review of eight 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 #3, hired on 01/05/21, did not contain the results of a central registry finding 2) During interview, a member of management confirmed the record for Staff #3 did not contain the results of a central registry finding.”

22.1-289.035-B-2

“Based on a review of five staff records and interview, the center did not ensure that two staff members obtained fingerprint results prior to hire. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 2) The record for Staff #5, hired on 12/27/21, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 3) During interview, a member of management confirmed the fingerprint-based background check results for Staff #1 and Staff #5 have not been received.”

8VAC20-780-510-F

“Based on a review of records, medications and interviews, the center did not ensure that one medication authorization was available to staff during the entire time it was effective for one out of three children. Evidence: 1) A prescription medication was observed for Child #6 and no written parental authorization was present for this medication. 2) During interview, a member of management reported the written parental authorization for this medication was not present.”

8VAC20-780-70

“Based on a review of five staff records and interview, the center did not ensure that one record contained the required information. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2) The record for Staff #1 did not contain written documentation that the individual had orientation training. Staff #1 was hired prior to 10/13/21 and was required to have such documentation by the end of the first day of assuming job responsibilities. 3) During interview, a member of management reported there was no documentation on file to show that Staff #1 completed orientation training. 4) The record for Staff #1 did not contain a negative tuberculosis (TB) screening. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.”

8VAC20-780-280-B

“Based on observations during the virtual inspection and interview, the center did not ensure to keep hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The inspector observed bottles of cleaning supplies in an unlocked cabinet in the Preschool classroom. 2) The inspector observed bottles of cleaning supplies in an unlocked cabinet in the Toddlers classroom. 3) The inspector observed bottles of cleaning supplies in an unlocked cabinet shared by the DPS A & B classrooms. 4) During interview, a member of management confirmed the cleaning supplies were in unlocked cabinets because the locks were broken. Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.”

8VAC20-780-510-P

“Based on a review of medications, records and interview, the center did not notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days and did not dispose of the medication that was not picked up within the required time frame. Evidence: 1) A medication authorization, for a nonprescription medication, was observed for Child #7. The center had written authorization from the child's parent to administer the medication, but the written authorization expired on 04/30/21. The medication was still on site at the time of inspection. 2) A medication authorization, for a nonprescription medication, was observed for Child #8. The center had written authorization from the child's parent to administer the medication, but the written authorization from the child's physician expired on 07/04/21. The medication was still on site at the time of inspection. 3) During interview, a member of management acknowledged the parents were not notified that the authorizations were expired and that the medications had not been properly disposed of. When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

8VAC20-780-550-E

“Based on a review of documents and interview, the center did not practice shelter in place procedures a minimum of twice per year. Evidence: 1) There were no shelter in place practice drills documented for the year 2021. 2) During interview, a member of management reported there have been no shelter in place drills practiced in 2021. Shelter in place procedures shall be practiced a minimum of twice per year.”

8VAC20-780-550-D

“Based on a review of documents and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1) The licensing inspector observed the emergency drill log for the year 2021. An evacuation drill has not been documented since February 2021 2) During interview, a member of management reported there have been no monthly evacuation drills practiced since February 2021. The center shall implement a monthly practice evacuation drill.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interviews, the center did not ensure that two staff members had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain the results of a central registry finding. 2) The results of the central registry finding in the record for Staff #2, hired on 12/02/21, was dated 01/12/22. 3) During interviews, a member of management confirmed the results of the central registry finding for Staff #1 and Staff #2 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff members had been continuously employed.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contained documentation of current certification in CPR. 2) During interview, a member of management confirmed the record for Staff #1 did not contain documentation of current certification in CPR.”

22VAC40-665-580-B

“Based on a review of five staff records and interviews, the vendor did not ensure that within the first 90 days of employment, one staff who works directly with children, completed the Virginia Preservice Training for Child Care Staff. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain a certificate of completion of the VA Preservice Training for Child Care Staff. Staff hired prior to 10/13/21 were required to complete the training within the first 90 days of employment. 2) During interview, a member of management confirmed Staff #1 has not completed the training.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of current certification in first aid within 90 days of the date of employment. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain documentation of current certification in first aid. 2) During interview, a member of management confirmed the record for Staff #1 does not contain documentation of current certification in first aid.”

22VAC40-665-540-A

“Based on a review of five staff records and interview, the vendor did not ensure one staff was evaluated by a health professional and was issued a statement that the individual is determined to be free of communicable tuberculosis (TB) within the required time frame. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain documentation of a completed TB screening. 2) During interview, a member of management acknowledged the TB screening in the record for Staff #1 was incomplete, the form was not signed by a physician, physician's designee, or an official of the local health department. For staff hired prior to 10/13/21, documentation of the screening was to be submitted at the time of employment and prior to coming into contact with children.”

22.1-289.035-B-2

“Based on a review of five staff records and interview, the center did not ensure that two staff members obtained fingerprint results prior to hire. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 2) The record for Staff #5, hired on 12/27/21, did not contain a fingerprint-based background check determination letter from the Office of Background Investigation prior to employment. 3) During interview, a member of management confirmed the fingerprint-based background check results for Staff #1 and Staff #5 have not been received.”

8VAC20-780-510-F

“Based on a review of records, medications and interviews, the center did not ensure that one medication authorization was available to staff during the entire time it was effective for one out of three children. Evidence: 1) A prescription medication was observed for Child #6 and no written parental authorization was present for this medication. 2) During interview, a member of management reported the written parental authorization for this medication was not present.”

8VAC20-780-70

“Based on a review of five staff records and interview, the center did not ensure that one record contained the required information. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2) The record for Staff #1 did not contain written documentation that the individual had orientation training. Staff #1 was hired prior to 10/13/21 and was required to have such documentation by the end of the first day of assuming job responsibilities. 3) During interview, a member of management reported there was no documentation on file to show that Staff #1 completed orientation training. 4) The record for Staff #1 did not contain a negative tuberculosis (TB) screening. Staff hired prior to 10/13/2021 were required to obtain TB results within 21 days of beginning employment and such documentation was to be retained in the staff record.”

8VAC20-780-280-B

“Based on observations during the virtual inspection and interview, the center did not ensure to keep hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The inspector observed bottles of cleaning supplies in an unlocked cabinet in the Preschool classroom. 2) The inspector observed bottles of cleaning supplies in an unlocked cabinet in the Toddlers classroom. 3) The inspector observed bottles of cleaning supplies in an unlocked cabinet shared by the DPS A & B classrooms. 4) During interview, a member of management confirmed the cleaning supplies were in unlocked cabinets because the locks were broken. Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.”

8VAC20-780-510-P

“Based on a review of medications, records and interview, the center did not notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days and did not dispose of the medication that was not picked up within the required time frame. Evidence: 1) A medication authorization, for a nonprescription medication, was observed for Child #7. The center had written authorization from the child's parent to administer the medication, but the written authorization expired on 04/30/21. The medication was still on site at the time of inspection. 2) A medication authorization, for a nonprescription medication, was observed for Child #8. The center had written authorization from the child's parent to administer the medication, but the written authorization from the child's physician expired on 07/04/21. The medication was still on site at the time of inspection. 3) During interview, a member of management acknowledged the parents were not notified that the authorizations were expired and that the medications had not been properly disposed of. When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

8VAC20-780-550-E

“Based on a review of documents and interview, the center did not practice shelter in place procedures a minimum of twice per year. Evidence: 1) There were no shelter in place practice drills documented for the year 2021. 2) During interview, a member of management reported there have been no shelter in place drills practiced in 2021. Shelter in place procedures shall be practiced a minimum of twice per year.”

8VAC20-780-550-D

“Based on a review of documents and interview, the center did not implement a monthly practice evacuation drill. Evidence: 1) The licensing inspector observed the emergency drill log for the year 2021. An evacuation drill has not been documented since February 2021 2) During interview, a member of management reported there have been no monthly evacuation drills practiced since February 2021. The center shall implement a monthly practice evacuation drill.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interviews, the center did not ensure that two staff members had a central registry finding within 30 days of employment. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain the results of a central registry finding. 2) The results of the central registry finding in the record for Staff #2, hired on 12/02/21, was dated 01/12/22. 3) During interviews, a member of management confirmed the results of the central registry finding for Staff #1 and Staff #2 were not received within 30 days of employment. The records did not contain documentation of any further contact and the staff members had been continuously employed.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contained documentation of current certification in CPR. 2) During interview, a member of management confirmed the record for Staff #1 did not contain documentation of current certification in CPR.”

22VAC40-665-580-B

“Based on a review of five staff records and interviews, the vendor did not ensure that within the first 90 days of employment, one staff who works directly with children, completed the Virginia Preservice Training for Child Care Staff. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain a certificate of completion of the VA Preservice Training for Child Care Staff. Staff hired prior to 10/13/21 were required to complete the training within the first 90 days of employment. 2) During interview, a member of management confirmed Staff #1 has not completed the training.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure one staff had documentation of current certification in first aid within 90 days of the date of employment. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain documentation of current certification in first aid. 2) During interview, a member of management confirmed the record for Staff #1 does not contain documentation of current certification in first aid.”

22VAC40-665-540-A

“Based on a review of five staff records and interview, the vendor did not ensure one staff was evaluated by a health professional and was issued a statement that the individual is determined to be free of communicable tuberculosis (TB) within the required time frame. Evidence: 1) The record for Staff #1, hired on 08/30/21, did not contain documentation of a completed TB screening. 2) During interview, a member of management acknowledged the TB screening in the record for Staff #1 was incomplete, the form was not signed by a physician, physician's designee, or an official of the local health department. For staff hired prior to 10/13/21, documentation of the screening was to be submitted at the time of employment and prior to coming into contact with children.”

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

“Based on information obtained during interviews and documentation reviewed, the center did not maintain the required ratios for children 16 months old to two years of one staff member for every five children. Evidence: 1) The Toddlers classroom Child Supervision Record (CSR) for 09/08/21, 10/13/21, 10/19/21, and 10/27/21, were reviewed. The following was determined: a) On 10/13/21, there were 15 children present and one staff member from 9:00am until 9:30am when a second staff member arrived. The classroom remained out-of-ratio until approximately 11am when five children were moved to another classroom. c) On 10/19/21, there were six children present and one staff member from approximately 2:00pm until 4:18pm. 2) Staff interviewed on 10/27/21 confirmed the Toddlers classroom is often out of ratios in the mornings and in the afternoons. The staff-to child ratios for children 16 months old to two years is one staff member for every five children.”

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

“Based on observations, documentation reviewed, and interviews, the center did not maintain the staff-to-child ratios for children two years of age of one staff member to eight children whenever children are in care. Evidence: 1) At approximately 9:38am, the licensing inspector observed nine children (2 years old) and one staff in the DPS 1 classroom and 11 children (2-3 years old) and one staff in the DPS 2 classroom. 2) A member of management acknowledged there were a total of 20 children present and only two staff members. A third staff member was asked to assist and arrived in the classroom at approximately 9:45am. A fourth staff member arrived at 10:00am. 3) The staff interviewed reported the DPS 1 and DPS 2 classrooms are out of ratio on a regular basis. The staff-to-child ratios for children two years of age is one staff member to eight children.”

8VAC20-780-350-B-1 Complaint related: Yes

“Based on information obtained during interviews and documentation reviewed, the center did not maintain the required ratios for children birth up to 16 months of one staff member for every four children. Evidence: 1) The Infants classroom Child Supervision Record (CSR) for 09/08/21, 10/13/21, 10/19/21, and 10/27/21, were reviewed. The following was determined: a) On 09/08/21, there were six children and one staff member present at 8:45am. The fifth child arrived at 8:21am and the sixth child arrived at 8:25am. Two additional staff members were documented as being present at approximately 10:30am. b) On 09/08/21, there were 10 children and two staff members present at 3:35pm. One additional staff member was documented as being present at approximately 4:30pm. c) On 10/13/21, there were five children and one staff member present at 8:00am. A second staff member was documented as being present at approximately 9:15am. 2) Staff interviewed on 10/27/21 confirmed the Infants classroom is often out of ratios in the mornings and in the afternoons. The staff-to child ratios for children birth up to 16 months is one staff member for every four children.”