KinderCare Learning Center - Chester

8VAC20-780-410-1

“Physical punishment, striking a child, roughly handling are forbidden actions. During a diaper change in the toddler room on 7/1/2024, Staff 1 and Staff 2 saw Staff 3 hit Child 3 in the face and on the bare stomach with a diaper wipe. On 7/1/2024, Child 1 and Child 2 were in a play tunnel. Staff 3 picked up one side of the play tunnel and the two children fell out the other side on top of each other. Child 1 hit the side of his face on the floor.”

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. In the toddler room on July 1, 2024, Child 2 accidentally spilled milk on another child's arm. Staff 1 and Staff 2 saw Staff 3 pour milk from a sippy cup onto Child 2's head and heard Staff 3 say, "You don't like that, do you?"”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Child 1 (age 4 years) asked to go to the bathroom. Staff told the child to wait because the class had just gone to the bathroom 15 minutes earlier. The child relieved their (self) and soiled their clothes in the classroom. Staff stated that the room would have been out of ratio if they took him to the restroom.”

8VAC20-770-60-C-2

“Based on review of three staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 9/5/2023) did not have a completed search of the central registry on file.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Child 1 (age 4 years) asked to go to the bathroom. Staff told the child to wait because the class had just gone to the bathroom 15 minutes earlier. The child relieved their (self) and soiled their clothes in the classroom. Staff stated that the room would have been out of ratio if they took him to the restroom.”

8VAC20-770-60-C-2

“Based on review of three staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 9/5/2023) did not have a completed search of the central registry on file.”

8VAC20-780-70

“Repeat violation. Based on review of seven staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 1 (date of employment 1/09/2024) and Staff 2 (date of employment 10/2021) did not have documentation of two references on file.”

8VAC20-770-60-C-2

“Repeat violation. Based on review of seven staff records, the facility failed to have a central registry finding ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff 1 (date of employment 1/13/2024) , Staff 4 (date of employment 11/13/2023), and Staff 7 (date of employment 9/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-770-60-B

“Repeat violation. Based on review of seven staff records, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 4 (date of employment 11/13/2023) did not have a completed sworn disclosure statement on file.”

8VAC20-780-510-L

“Based on observation and staff interview, the facility failed to keep medication in a locked place that prevents access by children. Evidence: In the infant room, there was a bag on the counter with at least 10 bottles of medication, unlocked. Staff stated that a parent left the bag at the center accidentally.”

22.1-289.035-B-4

“Repeat violation. Based on review of seven staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: Staff 4 (date of employment 11/13/2023), Staff 5 (date of employment (3/18/2022), and Staff 6 (date of employment 10/20/2022) lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required.”

8VAC20-780-280-D

“Repeat violation. Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the threes room stored a spray bottle containing disinfectant and a spray bottle with soap alongside with food and juice boxes.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the threes classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

8VAC20-780-240-B

“Repeat violation. Based on review of seven staff records, the facility failed to ensure staff complete orientation prior to working alone with children. Evidence: Staff 4 (date of employment 11/13/2023) did not have documentation of having completed orientation.”

8VAC20-780-80-A

“Based on staff interview and documentation review, the facility failed to maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: the toddler room attendance showed 8 children in attendance, but 9 were actually present.”

8VAC20-780-60-A

“Repeat violation Based on review of six children's records, the facility failed to have required information in each child's file. Evidence: 1. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 did not have the name and phone number of employment for each parent/guardian. There is not a place on the registration form to collect this information for a second parent/guardian.”

8VAC20-780-70

“Repeat violation. Based on review of seven staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 1 (date of employment 1/09/2024) and Staff 2 (date of employment 10/2021) did not have documentation of two references on file.”

8VAC20-770-60-C-2

“Repeat violation. Based on review of seven staff records, the facility failed to have a central registry finding ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff 1 (date of employment 1/13/2024) , Staff 4 (date of employment 11/13/2023), and Staff 7 (date of employment 9/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-770-60-B

“Repeat violation. Based on review of seven staff records, the facility failed to have a completed sworn disclosure statement for each staff at the first day of employment. Evidence: Staff 4 (date of employment 11/13/2023) did not have a completed sworn disclosure statement on file.”

8VAC20-780-510-L

“Based on observation and staff interview, the facility failed to keep medication in a locked place that prevents access by children. Evidence: In the infant room, there was a bag on the counter with at least 10 bottles of medication, unlocked. Staff stated that a parent left the bag at the center accidentally.”

22.1-289.035-B-4

“Repeat violation. Based on review of seven staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: Staff 4 (date of employment 11/13/2023), Staff 5 (date of employment (3/18/2022), and Staff 6 (date of employment 10/20/2022) lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required.”

8VAC20-780-280-D

“Repeat violation. Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the threes room stored a spray bottle containing disinfectant and a spray bottle with soap alongside with food and juice boxes.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the threes classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

8VAC20-780-240-B

“Repeat violation. Based on review of seven staff records, the facility failed to ensure staff complete orientation prior to working alone with children. Evidence: Staff 4 (date of employment 11/13/2023) did not have documentation of having completed orientation.”

8VAC20-780-80-A

“Based on staff interview and documentation review, the facility failed to maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: the toddler room attendance showed 8 children in attendance, but 9 were actually present.”

8VAC20-780-60-A

“Repeat violation Based on review of six children's records, the facility failed to have required information in each child's file. Evidence: 1. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 did not have the name and phone number of employment for each parent/guardian. There is not a place on the registration form to collect this information for a second parent/guardian.”

22.1-289.035-B-4

“Repeat violation Based on review of eleven staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: 1. Staff 7 (date of employment (3/18/2022) indicated on the sworn disclosure statement dated 3/21/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required. 2. Staff 9 (date of employment 10/20/2022) indicated on the sworn disclosure statement dated 10/20/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required.”

8VAC20-780-240-A

“Repeat violation Based on review of eleven staff records, the center did not ensure staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: Staff 1 (date of employment 12/1/2022),did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 days of employment.”

8VAC20-770-60-C-2

“Repeat violation Based on review of eleven staff records, the facility failed to have a central registry finding ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff 10 (date of employment 9/5/2023) and Staff 11 (date of employment 9/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-780-60-A

“(Repeat violation) Based on review of six children's records, the facility failed to have required information in each child's file. Evidence: 1. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 did not have the name and phone number of employment for each parent/guardian. There is not a place on the registration form to collect this information for a second parent/guardian.”

22.1-289.035-A

“Repeat violation Based on review of eleven staff records, the facility failed to have employees complete background checks in accordance with the Code of Virginia every five years. Evidence: 1. The record for Staff 2 contained a sworn disclosure statement dated 01/31/2018. A repeat sworn disclosure statement was not on file.”

8VAC20-780-510-P

“Repeat violation Based on review of 2 medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Authorizations that are completed by parents shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. Evidence: The medication authorization for Child A expired 10 work days after the parent completed a short term form on 4/18/2023 and the medication was on site on 1/29/2024.”

22.1-289.035-B-4

“Repeat violation Based on review of eleven staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: 1. Staff 7 (date of employment (3/18/2022) indicated on the sworn disclosure statement dated 3/21/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required. 2. Staff 9 (date of employment 10/20/2022) indicated on the sworn disclosure statement dated 10/20/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required.”

8VAC20-780-240-A

“Repeat violation Based on review of eleven staff records, the center did not ensure staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: Staff 1 (date of employment 12/1/2022),did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 days of employment.”

8VAC20-770-60-C-2

“Repeat violation Based on review of eleven staff records, the facility failed to have a central registry finding ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff 10 (date of employment 9/5/2023) and Staff 11 (date of employment 9/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-780-60-A

“(Repeat violation) Based on review of six children's records, the facility failed to have required information in each child's file. Evidence: 1. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 did not have the name and phone number of employment for each parent/guardian. There is not a place on the registration form to collect this information for a second parent/guardian.”

22.1-289.035-A

“Repeat violation Based on review of eleven staff records, the facility failed to have employees complete background checks in accordance with the Code of Virginia every five years. Evidence: 1. The record for Staff 2 contained a sworn disclosure statement dated 01/31/2018. A repeat sworn disclosure statement was not on file.”

8VAC20-780-510-P

“Repeat violation Based on review of 2 medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Authorizations that are completed by parents shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. Evidence: The medication authorization for Child A expired 10 work days after the parent completed a short term form on 4/18/2023 and the medication was on site on 1/29/2024.”

8VAC20-790-600-D-1

“Based on staff interview and review of eleven staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR). Evidence: Staff 1 (date of employment 12/1/2022), Staff 5 (date of employment 10/18/2022), Staff 6 (date of employment 10/28/2022), Staff 7 (date of employment 3/18/2022), Staff 8 (date of employment 3/30/2021), Staff 9 (date of employment 10/20/2022) did not have documentation of cardiopulmonary resuscitation (CPR) on file. The CPR training for Staff 2 and Staff 4 expired.”

8VAC20-790-600-D-2

“Based on staff interview and review of eleven staff records, the facility failed to have each staff current in first aid certification. Evidence: Staff 1 (date of employment 12/1/2022), Staff 5 (date of employment 10/18/2022), Staff 6 (date of employment 10/28/2022), Staff 7 (date of employment 3/18/2022), Staff 8 (date of employment 3/30/2021), Staff 9 (date of employment 10/20/2022) did not have documentation of first aid certification on file. The first aid training for Staff 2 and Staff 4 expired.”

22.1-289.035-A

“Repeat violation Based on review of eleven staff records, the facility failed to have employees complete background checks in accordance with the Code of Virginia every five years. Evidence: 1. The record for Staff 2 contained the results of a fingerprint national criminal record check dated 03/26/2018 and a sworn disclosure statement dated 01/31/2018. 2. Staff 2 was observed working and being counted in the staff-to-child ratio during the inspection.”

22.1-289.035-B-2

“(Repeat violation) Based on review of eleven staff records, the facility failed to have applicants undergo a national criminal background check prior to employment. Evidence: Staff 10 (date of employment 9/5/2023) and Staff 11 (date of employment 9/5/2023) did not have documentation of a completed national criminal (fingerprint based) background check.”

22.1-289.035-B-4

“Based on review of four staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: 1. Staff 7 (date of employment (3/18/2022) indicated on the sworn disclosure statement dated 3/21/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required. 2. Staff 9 (date of employment 10/20/2022) indicated on the sworn disclosure statement dated 10/20/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required.”

8VAC20-770-60-B

“Based on review of eleven staff records, the facility employed staff without having the person’s completed sworn disclosure statement. Evidence: Staff 1 (date of employment 12/1/2022) did not complete a sworn disclosure statement until 3/28/2023. Staff 3 (date of employment 11/11/2022) did not complete a sworn disclosure statement until 3/28/2023. Staff 6 (date of employment 10/28/2022) did not complete a sworn disclosure statement until 11/15/2022.”

8VAC20-770-60-C-2

“(Repeat violation) Based on review of eleven staff records, the facility failed to have a central registry finding ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff 1 (date of employment 12/1/2022), Staff 3 (date of employment 11/11/2022), Staff 10 (date of employment 9/5/2023), and Staff 11 (date of employment 9/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required. 2. Staff 6 (date of employment 10/28/2022) did not have a completed search of the central registry until 7/7/2023.”

8VAC20-780-160-A

“Based on review of eleven staff records, the facility failed to ensure each staff member submits documentation of a negative tuberculosis (TB) screening from each staff at the time of employment and prior to direct contact with children. Evidence: Staff 3 (date of employment 11/11/2022) did not have documentation of a TB screening.”

8VAC20-780-160-C

“Based on review of eleven staff records, the facility failed to ensure staff members obtain and submit documentation of a TB screening at least every two years from the date of the initial screening. Evidence: Staff 2 had a TB screening dated 06/19/2019. Staff 4 had a TB test dated 1/22/2021. Staff 8 had a TB test dated 3/29/2021.”

8VAC20-780-60-A

“(Repeat violation) Based on review of six children’s records, the facility failed to have required information in each child's file. Evidence: 1. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 did not have the name and phone number of employment for each parent/guardian. There is not a place on the registration form to collect this information for a second parent/guardian. 2. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 have diagnosed food allergies, but do not have documentation of a written allergy action plan completed by the physician on file. The written care plan should 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. Each child is listed on the Master Allergy List located in the facility - dated November 2023.”

8VAC20-780-70

“Based on review of eleven staff records, the facility failed to keep required records for each staff person. Two references as to character, reputation, and competence should be checked before employment. Evidence: Staff 3 (date of employment 11/11/2022) did not have documentation of a second reference on file.”

8VAC20-780-240-A

“Based on review of eleven staff records, the center did not ensure staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: Staff 1 (date of employment 12/1/2022), Staff 3 (date of employment 11/11/2022), Staff 5 (date of employment 10/18/2022), Staff 6 (date of employment 10/28/2022), Staff 7 (date of employment 3/18/2022), and Staff 9 (date of employment 10/20/2022) did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 days of employment.”

8VAC20-780-240-B

“Based on review of eleven staff records, the facility failed ensure staff complete orientation prior to the staff member working alone with children. Evidence: Staff 6 (date of employment 10/28/2022), Staff 10 (date of employment 9/5/2023), and Staff 11 (date of employment 9/5/2023) did not have documentation of having completed orientation.”

8VAC20-780-245-J

“Based on documentation review and staff interview, the facility failed to ensure that any child for whom medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements as described in 8VAC20-780-245.J.1 for medication administration. Evidence: Child A (date of enrollment 11/13/2023) has diabetes medications to be administered on site. None of the staff caring for the child are certified in Medication Administration Training - Diabetes. Management stated that none of the staff have MAT ? Diabetes certification.”

8VAC20-780-260-A

“Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 11/18/2021.”

8VAC20-780-260-B

“Based on review of inspection reports, the facility failed to ensure that an annual health inspection was conducted by the appropriate health official having jurisdiction. Evidence: The last health inspection on file was dated 6/3/2022.”

8VAC20-780-280-D

“Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the toddler room stored a spray bottle containing disinfectant and a spray bottle with soap alongside with bagged food and snacks.”

8VAC20-780-510-I

“Based on review of 18 medications, the facility failed to ensure medication is administered by a staff member or an independent contractor who meets the requirements in 8VAC20-780-245 J. Evidence. Two medications had been administered to Child A by staff who do not have Medication Administration Training ? Diabetes on 11/13/2023, 11/14/2023, 11/15/2023, and 11/16/2023.”

8VAC20-780-510-P

“Based on review of 19 medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Authorizations that are completed by parents shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. Evidence: 1. The following medication authorizations expired after 10 work days and the medications were not returned for: Child B ? completed by parent only 6/14/2023, Child C - completed by parent only 8/31/2023, Child D - completed by parent only 10/9/2023, Child E - completed by parent only 4/18/2023, Child F - completed by parent only 4/21/2023, Child G - completed by parent only 4/28/2023, Child H - completed by parent only for 6/12/2023 to 6/16/2023, Child I - completed by parent only 6/23/2022, Child J - completed by parent only completed 3/8/2023, Child K - completed by parent only 1/26/2023, Child L - completed by parent only 4/11/2023, Child M - completed by parent only 4/4/2022, Child N - completed by parent only 8/7/2021, and Child O - completed by parent only 1/27/2023. 2. Child D, Child F, Child G, Child I, Child J, Child K, Child L, Child M, and Child O no longer attend the center and the medication was not returned or destroyed as required. The medications were on site. 3. The medication for Child C expired 1/2023, the medication for Child K expired 12/2022, and the medication for Child M expired 2/2023”

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1 and Staff 7 were alone with 5 infants, but neither have documentation of current CPR on file. Staff 5 and Staff 10 were alone with 5 toddlers, but neither have documentation of current CPR on file.”

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 and Staff 7 were alone with 5 infants, but neither have documentation of current first aid on file. Staff 5 and Staff 10 were alone with 5 toddlers, but neither have documentation of current first aid on file.”

8VAC20-780-550-G

“Based on review of the emergency drill log, the facility failed to conduct evacuation drills monthly. Evidence: the facility did not have documentation of an evacuation drill in October 2023.”

8VAC20-780-510-E

“Based on review of 18 medications, the facility failed to have procedures for administration of nonprescription medications, consistent with the manufacturer's instructions, for age, duration, and dosage. Evidence: Child B, age 2, has a non-prescription medication that states ?do not use unless directed by a doctor?. There was no physician authorization on file.”

8VAC20-790-600-D-1

“Based on staff interview and review of eleven staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR). Evidence: Staff 1 (date of employment 12/1/2022), Staff 5 (date of employment 10/18/2022), Staff 6 (date of employment 10/28/2022), Staff 7 (date of employment 3/18/2022), Staff 8 (date of employment 3/30/2021), Staff 9 (date of employment 10/20/2022) did not have documentation of cardiopulmonary resuscitation (CPR) on file. The CPR training for Staff 2 and Staff 4 expired.”

8VAC20-790-600-D-2

“Based on staff interview and review of eleven staff records, the facility failed to have each staff current in first aid certification. Evidence: Staff 1 (date of employment 12/1/2022), Staff 5 (date of employment 10/18/2022), Staff 6 (date of employment 10/28/2022), Staff 7 (date of employment 3/18/2022), Staff 8 (date of employment 3/30/2021), Staff 9 (date of employment 10/20/2022) did not have documentation of first aid certification on file. The first aid training for Staff 2 and Staff 4 expired.”

22.1-289.035-A

“Repeat violation Based on review of eleven staff records, the facility failed to have employees complete background checks in accordance with the Code of Virginia every five years. Evidence: 1. The record for Staff 2 contained the results of a fingerprint national criminal record check dated 03/26/2018 and a sworn disclosure statement dated 01/31/2018. 2. Staff 2 was observed working and being counted in the staff-to-child ratio during the inspection.”

22.1-289.035-B-2

“(Repeat violation) Based on review of eleven staff records, the facility failed to have applicants undergo a national criminal background check prior to employment. Evidence: Staff 10 (date of employment 9/5/2023) and Staff 11 (date of employment 9/5/2023) did not have documentation of a completed national criminal (fingerprint based) background check.”

22.1-289.035-B-4

“Based on review of four staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: 1. Staff 7 (date of employment (3/18/2022) indicated on the sworn disclosure statement dated 3/21/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required. 2. Staff 9 (date of employment 10/20/2022) indicated on the sworn disclosure statement dated 10/20/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state criminal history record check and a sex offender registry check had been completed prior to employment or that a search of the child abuse and neglect registry was submitted within 30 days as required.”

8VAC20-770-60-B

“Based on review of eleven staff records, the facility employed staff without having the person’s completed sworn disclosure statement. Evidence: Staff 1 (date of employment 12/1/2022) did not complete a sworn disclosure statement until 3/28/2023. Staff 3 (date of employment 11/11/2022) did not complete a sworn disclosure statement until 3/28/2023. Staff 6 (date of employment 10/28/2022) did not complete a sworn disclosure statement until 11/15/2022.”

8VAC20-770-60-C-2

“(Repeat violation) Based on review of eleven staff records, the facility failed to have a central registry finding ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff 1 (date of employment 12/1/2022), Staff 3 (date of employment 11/11/2022), Staff 10 (date of employment 9/5/2023), and Staff 11 (date of employment 9/5/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required. 2. Staff 6 (date of employment 10/28/2022) did not have a completed search of the central registry until 7/7/2023.”

8VAC20-780-160-A

“Based on review of eleven staff records, the facility failed to ensure each staff member submits documentation of a negative tuberculosis (TB) screening from each staff at the time of employment and prior to direct contact with children. Evidence: Staff 3 (date of employment 11/11/2022) did not have documentation of a TB screening.”

8VAC20-780-160-C

“Based on review of eleven staff records, the facility failed to ensure staff members obtain and submit documentation of a TB screening at least every two years from the date of the initial screening. Evidence: Staff 2 had a TB screening dated 06/19/2019. Staff 4 had a TB test dated 1/22/2021. Staff 8 had a TB test dated 3/29/2021.”

8VAC20-780-60-A

“(Repeat violation) Based on review of six children’s records, the facility failed to have required information in each child's file. Evidence: 1. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 did not have the name and phone number of employment for each parent/guardian. There is not a place on the registration form to collect this information for a second parent/guardian. 2. Child 1, Child 2, Child 3, Child 4, Child 5, and Child 6 have diagnosed food allergies, but do not have documentation of a written allergy action plan completed by the physician on file. The written care plan should 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. Each child is listed on the Master Allergy List located in the facility - dated November 2023.”

8VAC20-780-70

“Based on review of eleven staff records, the facility failed to keep required records for each staff person. Two references as to character, reputation, and competence should be checked before employment. Evidence: Staff 3 (date of employment 11/11/2022) did not have documentation of a second reference on file.”

8VAC20-780-240-A

“Based on review of eleven staff records, the center did not ensure staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: Staff 1 (date of employment 12/1/2022), Staff 3 (date of employment 11/11/2022), Staff 5 (date of employment 10/18/2022), Staff 6 (date of employment 10/28/2022), Staff 7 (date of employment 3/18/2022), and Staff 9 (date of employment 10/20/2022) did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 days of employment.”

8VAC20-780-240-B

“Based on review of eleven staff records, the facility failed ensure staff complete orientation prior to the staff member working alone with children. Evidence: Staff 6 (date of employment 10/28/2022), Staff 10 (date of employment 9/5/2023), and Staff 11 (date of employment 9/5/2023) did not have documentation of having completed orientation.”

8VAC20-780-245-J

“Based on documentation review and staff interview, the facility failed to ensure that any child for whom medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements as described in 8VAC20-780-245.J.1 for medication administration. Evidence: Child A (date of enrollment 11/13/2023) has diabetes medications to be administered on site. None of the staff caring for the child are certified in Medication Administration Training - Diabetes. Management stated that none of the staff have MAT ? Diabetes certification.”

8VAC20-780-260-A

“Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 11/18/2021.”

8VAC20-780-260-B

“Based on review of inspection reports, the facility failed to ensure that an annual health inspection was conducted by the appropriate health official having jurisdiction. Evidence: The last health inspection on file was dated 6/3/2022.”

8VAC20-780-280-D

“Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the toddler room stored a spray bottle containing disinfectant and a spray bottle with soap alongside with bagged food and snacks.”

8VAC20-780-510-I

“Based on review of 18 medications, the facility failed to ensure medication is administered by a staff member or an independent contractor who meets the requirements in 8VAC20-780-245 J. Evidence. Two medications had been administered to Child A by staff who do not have Medication Administration Training ? Diabetes on 11/13/2023, 11/14/2023, 11/15/2023, and 11/16/2023.”

8VAC20-780-510-P

“Based on review of 19 medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Authorizations that are completed by parents shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. Evidence: 1. The following medication authorizations expired after 10 work days and the medications were not returned for: Child B ? completed by parent only 6/14/2023, Child C - completed by parent only 8/31/2023, Child D - completed by parent only 10/9/2023, Child E - completed by parent only 4/18/2023, Child F - completed by parent only 4/21/2023, Child G - completed by parent only 4/28/2023, Child H - completed by parent only for 6/12/2023 to 6/16/2023, Child I - completed by parent only 6/23/2022, Child J - completed by parent only completed 3/8/2023, Child K - completed by parent only 1/26/2023, Child L - completed by parent only 4/11/2023, Child M - completed by parent only 4/4/2022, Child N - completed by parent only 8/7/2021, and Child O - completed by parent only 1/27/2023. 2. Child D, Child F, Child G, Child I, Child J, Child K, Child L, Child M, and Child O no longer attend the center and the medication was not returned or destroyed as required. The medications were on site. 3. The medication for Child C expired 1/2023, the medication for Child K expired 12/2022, and the medication for Child M expired 2/2023”

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1 and Staff 7 were alone with 5 infants, but neither have documentation of current CPR on file. Staff 5 and Staff 10 were alone with 5 toddlers, but neither have documentation of current CPR on file.”

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 and Staff 7 were alone with 5 infants, but neither have documentation of current first aid on file. Staff 5 and Staff 10 were alone with 5 toddlers, but neither have documentation of current first aid on file.”

8VAC20-780-550-G

“Based on review of the emergency drill log, the facility failed to conduct evacuation drills monthly. Evidence: the facility did not have documentation of an evacuation drill in October 2023.”

8VAC20-780-510-E

“Based on review of 18 medications, the facility failed to have procedures for administration of nonprescription medications, consistent with the manufacturer's instructions, for age, duration, and dosage. Evidence: Child B, age 2, has a non-prescription medication that states ?do not use unless directed by a doctor?. There was no physician authorization on file.”

8VAC20-780-410-1

“On July 6, 2023, Staff 1 stated she observed Child A crying on her cot. Staff 1 asked Child A what was wrong, and she stated Staff 2 "hit her with a bucket". Staff 1 asked Child A where did Staff 2 hit her and the child said "on my back". A photo taken the day of the injury shows raised red marks on the child's lower back. 2. Staff 3 stated she was in the room next door when she heard Staff 2 telling Child A to "shut up, shut up!" and "Get on your cot!" She heard 4 loud bangs, saw Staff 2 standing over the child who was on her cot, and saying "If you think that hurt..." 3. Staff 4 stated she was in the room next door and heard Staff 2 yelling and heard loud bangs. 3. Staff 2 stated she was upset the day of the incident and did raise her voice at the students during nap time. Staff 2 stated Child A pulled something off of a nearby cubby and a bucket fell onto her.”

8VAC20-780-160-A

“Based on review of six staff records, observation, and documentation review, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening that had been completed within the last 30 calendar days prior of the date of employment. Evidence: 1. The record for Staff #6 (date of employment 11/15/2022) did not contain documentation of a negative TB screening. 2. Staff #6 was counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

22.1-289.035-A

“Based on a review of six staff records, observation, and documentation review, the center did not ensure one staff obtained background checks every five years. Evidence: 1. The record for Staff #2 (date of employment 10/13/2008) contained the results of a fingerprint national criminal record check dated 03/26/2018 and a sworn statement dated 01/31/2018. 2. Staff #2 was observed working and being counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-780-60-A-8

“Based on review of seven children’s records, observation and documentation review, the center did not ensure documentation of 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 #4 (first date of attendance 10/10/2022) did not have documentation of a written care plan 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. 2. The record of Child #4 had documentation of a diagnosed food allergy. 3. The Master Allergy List located in the center and dated March 2023, listed Child #4 as having a food allergy.”

8VAC20-780-500-B

“Based on observation, the center did not ensure bottles are not propped or used while a child is in a designated sleeping location. Evidence: Child #2 was observed drinking a bottle while laying on a cot while the classroom was transitioning into naptime during the inspection.”

8VAC20-780-270-A

“Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a clean, safe, and operable condition. Evidence: 1. Four tricycles located on the side outdoor playground, were missing the pedals, leaving the metal spokes exposed. 2. The metal gate separating the School Age playground and the Preschool playground was broken and hanging off the top hinge, creating components that could tangle clothing or snag skin.”

8VAC20-780-70

“Based on review of six staff records, observation, and documentation review, the center did not keep the required records for three staff. Evidence: 1. The records for Staff #2 (Date of Employment 10/13/2008), Staff #3 (Date of Employment 01/21/2021), and Staff #4 (Date of Employment 03/01/2020) did not contain documentation of staff completing a minimum of 16 hours of annual training appropriate to the age of children in care, for the prior year. 2. Staff #3 was identified as a program leader during the inspection. The record of Staff #3 (Date of Employment 01/21/2021) did not contain documentation of education required for the job position. 3. Staff #2, Staff #3 and Staff #4 were observed working and being counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-780-240-A

“Based on review of six staff records, observation, and documentation review, the center did not ensure two staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: 1. The records of Staff #5 (date of employment 11/30/2022) and Staff #6 (date of employment 11/15/2022) did not contain documentation of completing the Virginia Department of Education-sponsored orientation course within 90 days of employment. 2. Staff #5 and Staff #6 was observed working and counting in staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

22.1-289.035-B-2

“Based on review of six staff records, observation, and documentation review, the center did not ensure staff underwent a fingerprint based national criminal prior to employment for one staff member. Evidence: 1. The record of Staff #1 (date of employment 02/21/2023) did not contain documentation of a fingerprint based national criminal background check. 2. Staff #1 was observed working and being counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-770-60-C-2

“Based on review of six staff records observation, and documentation review, the center did not obtain documentation of central registry findings within 30 days of employment for two staff members. Evidence: 1. The record of Staff #1 (date of employment 02/21/2023) did not contain documentation of central registry findings. Documentation in the record indicated the central registry findings was requested on 03/06/2023. Staff #1 was observed working and counting in the staff-to-child ratio during the inspection. 2. The record of Staff #5 (date of employment 11/30/2022) did not contain documentation of central registry findings. There was no documentation of the central registry findings being requested. Staff #5 was observed working and counting in the staff-to-child ratio during the inspection. 3. The record of Staff #6 (date of employment 11/15/2022) did not contain documentation of central registry findings. Documentation in the record indicated the central registry findings was requested on 02/06/2023. Staff #6 was observed working and counting in the staff-to-child ratio during the inspection. 4. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-780-130-E

“Based on review of seven children’s records and observation, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years. Evidence: 1. The record for Child #3 (first date of attendance 01/22/2021) contained immunization documentation dated 01/21/2021. Child #3 turned two years of age in May 2022. 2. Child #3 was observed present and counted in the staff-to-child ratio during the inspection.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure electrical outlets had protective covers. Evidence: Two outlets located on the walls of the Two’s classroom did not contain protective outlet covers. There were 18 children (two and three years of age) in the classroom during the inspection.”

8VAC20-780-340-A

“Based on observations, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: From approximately 12:10pm until 12:35pm, Staff #1, Staff #3 and Staff #6 were observed changing diapers, cleaning up after lunch, and laying out cots for naptime with 18 children present in the Two’s classroom (Two’s and Three’s classrooms were combined for the day). The following was observed in the classroom during this approximate time frame: 1. Four children jumped off seven stacked cots (total height approximately 18 inches) at least seven times onto the tile floor. 2. Three cots were leaned against the exterior door leading to the playground. Two children ran up the inclined cots, jumping onto the tile floor at least five times. Child #1 fell and began to cry. Child #1 was comforted by Child #3. 3. Two children were observed climbing on top of a toy shelf (total height approximately 24 inches) and jumping onto a child size couch approximately two feet away at least four times. 4. Three children were observed in the classroom’s bathroom, playing with a plunger in the toilets and hitting each other with the wet plunger.”

8VAC20-780-500-A

“Based on observation, the center failed to follow required diapering procedures. Evidence: The following observations were made on March 28, 2023 in the Two’s classroom (Two’s and Three’s classrooms were combined for the day). 1. Staff #1 was observed changing five children’s diapers. After completing the diaper changes, Staff #1 was observed using her hands to lift the trash can lid to dispose of the soiled diapers. Staff are to ensure the diaper disposal system was either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touched an exterior surface of the storage system during disposal. 2. Staff #1 was observed changing five children in the Two’s classroom. Staff #1 did not clean and sanitize the diaper changing table after each use.”

8VAC20-780-160-C

“Based on review of six staff records, observation and documentation review, the center did not ensure three staff members obtained and submitted documentation of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening. Evidence: 1. The record for Staff #2 (Date of Employment 10/13/2008) contained a TB screening dated 06/19/2019. 2. The record for Staff #3 (Date of Employment 01/21/2021) contained a TB screening dated 01/21/2021. 3. The record for Staff #4 (Date of Employment 03/01/2020) contained a TB screening dated 03/12/2020. 4. Staff #2, Staff #3, and Staff #4 was observed working and counting in the staff-to-child ratio during the inspection. 5. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-780-160-A

“Based on review of six staff records, observation, and documentation review, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening that had been completed within the last 30 calendar days prior of the date of employment. Evidence: 1. The record for Staff #6 (date of employment 11/15/2022) did not contain documentation of a negative TB screening. 2. Staff #6 was counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

22.1-289.035-A

“Based on a review of six staff records, observation, and documentation review, the center did not ensure one staff obtained background checks every five years. Evidence: 1. The record for Staff #2 (date of employment 10/13/2008) contained the results of a fingerprint national criminal record check dated 03/26/2018 and a sworn statement dated 01/31/2018. 2. Staff #2 was observed working and being counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-780-60-A-8

“Based on review of seven children’s records, observation and documentation review, the center did not ensure documentation of 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 #4 (first date of attendance 10/10/2022) did not have documentation of a written care plan 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. 2. The record of Child #4 had documentation of a diagnosed food allergy. 3. The Master Allergy List located in the center and dated March 2023, listed Child #4 as having a food allergy.”

8VAC20-780-500-B

“Based on observation, the center did not ensure bottles are not propped or used while a child is in a designated sleeping location. Evidence: Child #2 was observed drinking a bottle while laying on a cot while the classroom was transitioning into naptime during the inspection.”

8VAC20-780-270-A

“Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a clean, safe, and operable condition. Evidence: 1. Four tricycles located on the side outdoor playground, were missing the pedals, leaving the metal spokes exposed. 2. The metal gate separating the School Age playground and the Preschool playground was broken and hanging off the top hinge, creating components that could tangle clothing or snag skin.”

8VAC20-780-70

“Based on review of six staff records, observation, and documentation review, the center did not keep the required records for three staff. Evidence: 1. The records for Staff #2 (Date of Employment 10/13/2008), Staff #3 (Date of Employment 01/21/2021), and Staff #4 (Date of Employment 03/01/2020) did not contain documentation of staff completing a minimum of 16 hours of annual training appropriate to the age of children in care, for the prior year. 2. Staff #3 was identified as a program leader during the inspection. The record of Staff #3 (Date of Employment 01/21/2021) did not contain documentation of education required for the job position. 3. Staff #2, Staff #3 and Staff #4 were observed working and being counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-780-240-A

“Based on review of six staff records, observation, and documentation review, the center did not ensure two staff completed the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: 1. The records of Staff #5 (date of employment 11/30/2022) and Staff #6 (date of employment 11/15/2022) did not contain documentation of completing the Virginia Department of Education-sponsored orientation course within 90 days of employment. 2. Staff #5 and Staff #6 was observed working and counting in staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

22.1-289.035-B-2

“Based on review of six staff records, observation, and documentation review, the center did not ensure staff underwent a fingerprint based national criminal prior to employment for one staff member. Evidence: 1. The record of Staff #1 (date of employment 02/21/2023) did not contain documentation of a fingerprint based national criminal background check. 2. Staff #1 was observed working and being counted in the staff-to-child ratio during the inspection. 3. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-770-60-C-2

“Based on review of six staff records observation, and documentation review, the center did not obtain documentation of central registry findings within 30 days of employment for two staff members. Evidence: 1. The record of Staff #1 (date of employment 02/21/2023) did not contain documentation of central registry findings. Documentation in the record indicated the central registry findings was requested on 03/06/2023. Staff #1 was observed working and counting in the staff-to-child ratio during the inspection. 2. The record of Staff #5 (date of employment 11/30/2022) did not contain documentation of central registry findings. There was no documentation of the central registry findings being requested. Staff #5 was observed working and counting in the staff-to-child ratio during the inspection. 3. The record of Staff #6 (date of employment 11/15/2022) did not contain documentation of central registry findings. Documentation in the record indicated the central registry findings was requested on 02/06/2023. Staff #6 was observed working and counting in the staff-to-child ratio during the inspection. 4. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-780-130-E

“Based on review of seven children’s records and observation, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years. Evidence: 1. The record for Child #3 (first date of attendance 01/22/2021) contained immunization documentation dated 01/21/2021. Child #3 turned two years of age in May 2022. 2. Child #3 was observed present and counted in the staff-to-child ratio during the inspection.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure electrical outlets had protective covers. Evidence: Two outlets located on the walls of the Two’s classroom did not contain protective outlet covers. There were 18 children (two and three years of age) in the classroom during the inspection.”

8VAC20-780-340-A

“Based on observations, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: From approximately 12:10pm until 12:35pm, Staff #1, Staff #3 and Staff #6 were observed changing diapers, cleaning up after lunch, and laying out cots for naptime with 18 children present in the Two’s classroom (Two’s and Three’s classrooms were combined for the day). The following was observed in the classroom during this approximate time frame: 1. Four children jumped off seven stacked cots (total height approximately 18 inches) at least seven times onto the tile floor. 2. Three cots were leaned against the exterior door leading to the playground. Two children ran up the inclined cots, jumping onto the tile floor at least five times. Child #1 fell and began to cry. Child #1 was comforted by Child #3. 3. Two children were observed climbing on top of a toy shelf (total height approximately 24 inches) and jumping onto a child size couch approximately two feet away at least four times. 4. Three children were observed in the classroom’s bathroom, playing with a plunger in the toilets and hitting each other with the wet plunger.”

8VAC20-780-500-A

“Based on observation, the center failed to follow required diapering procedures. Evidence: The following observations were made on March 28, 2023 in the Two’s classroom (Two’s and Three’s classrooms were combined for the day). 1. Staff #1 was observed changing five children’s diapers. After completing the diaper changes, Staff #1 was observed using her hands to lift the trash can lid to dispose of the soiled diapers. Staff are to ensure the diaper disposal system was either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touched an exterior surface of the storage system during disposal. 2. Staff #1 was observed changing five children in the Two’s classroom. Staff #1 did not clean and sanitize the diaper changing table after each use.”

8VAC20-780-160-C

“Based on review of six staff records, observation and documentation review, the center did not ensure three staff members obtained and submitted documentation of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening. Evidence: 1. The record for Staff #2 (Date of Employment 10/13/2008) contained a TB screening dated 06/19/2019. 2. The record for Staff #3 (Date of Employment 01/21/2021) contained a TB screening dated 01/21/2021. 3. The record for Staff #4 (Date of Employment 03/01/2020) contained a TB screening dated 03/12/2020. 4. Staff #2, Staff #3, and Staff #4 was observed working and counting in the staff-to-child ratio during the inspection. 5. A member of management confirmed this information by email on 03/31/2023.”

8VAC20-780-240-A

“Based on review of five staff records and interview, the center did not ensure the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: 1. The record for Staff #5 (date of employment 03/18/2022) did not contain documentation of the completion of the Virginia Department of Education-sponsored orientation course. 2. A member of management stated Staff #5 had not completed the Virginia Department of Education-sponsored orientation course as of 11/15/2022.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking mechanism that prevented access by the children. Evidence: 1. In the Toddler Classroom, a cabinet contained containers of cleaning substances. The cabinet was unlocked. There were eight Toddlers in the classroom when the unlocked cabinet containing cleaning chemicals was observed by the licensing inspector. 2. In the Pre-K Classroom, a cabinet contained containers of cleaning substances. The cabinet was unlocked. There were 20 Pre-K children in the classroom when the unlocked cabinet containing cleaning chemicals was observed by the licensing inspector. 3. The kitchen door was observed propped open during the inspection. Three containers of cleaning chemicals were observed sitting unlocked on the kitchen counter. 4. A wire shelf located in the hallway, outside of the Infant B classroom, was observed having cleaning chemicals sitting on the top shelf.”

8VAC20-780-60-A-8

“Based on documentation review and interview, the center did not have a written allergy action care plan for three children diagnosed with a food allergy, to include instructions from a physician regarding the steps to take in the event of an allergic reaction. Evidence: The dated allergy list indicated Child #7, Child #8 and Child #9 have a diagnosed food allergy. A member of management stated an allergy action care plan has not been obtained for the three children listed on the allergy list.”

8VAC20-780-270-A

“Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a clean, safe, and operable condition. Evidence: Four tricycles located on the side outdoor playground, were missing the pedals, leaving the metal spokes exposed.”

8VAC20-780-140-A

“Based on review of six children’s records, the center did not obtain a physical exam within the required time frame. Evidence: The record for Child #1 (first date of attendance 07/05/2022) did not contain documentation of a physical exam”

8VAC20-780-240-A

“Based on review of five staff records and interview, the center did not ensure the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment. Evidence: 1. The record for Staff #5 (date of employment 03/18/2022) did not contain documentation of the completion of the Virginia Department of Education-sponsored orientation course. 2. A member of management stated Staff #5 had not completed the Virginia Department of Education-sponsored orientation course as of 11/15/2022.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking mechanism that prevented access by the children. Evidence: 1. In the Toddler Classroom, a cabinet contained containers of cleaning substances. The cabinet was unlocked. There were eight Toddlers in the classroom when the unlocked cabinet containing cleaning chemicals was observed by the licensing inspector. 2. In the Pre-K Classroom, a cabinet contained containers of cleaning substances. The cabinet was unlocked. There were 20 Pre-K children in the classroom when the unlocked cabinet containing cleaning chemicals was observed by the licensing inspector. 3. The kitchen door was observed propped open during the inspection. Three containers of cleaning chemicals were observed sitting unlocked on the kitchen counter. 4. A wire shelf located in the hallway, outside of the Infant B classroom, was observed having cleaning chemicals sitting on the top shelf.”

8VAC20-780-60-A-8

“Based on documentation review and interview, the center did not have a written allergy action care plan for three children diagnosed with a food allergy, to include instructions from a physician regarding the steps to take in the event of an allergic reaction. Evidence: The dated allergy list indicated Child #7, Child #8 and Child #9 have a diagnosed food allergy. A member of management stated an allergy action care plan has not been obtained for the three children listed on the allergy list.”

8VAC20-780-270-A

“Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a clean, safe, and operable condition. Evidence: Four tricycles located on the side outdoor playground, were missing the pedals, leaving the metal spokes exposed.”

8VAC20-780-140-A

“Based on review of six children’s records, the center did not obtain a physical exam within the required time frame. Evidence: The record for Child #1 (first date of attendance 07/05/2022) did not contain documentation of a physical exam”

8VAC20-780-550-P Complaint related: No

“Based on interviews, the center did not maintain a written record of a child’s serious and minor injuries in which entries are made the day of the occurrence. Evidence: 1. Staff #1 stated 9/29/2022, Child A (eight months old) scooted on the floor into the base of the rocking chair, creating a mark on the forehead and cheek of Child A, 2. Staff #1 stated staff in the Infant Room informed the parent of the injury but a written record documenting the details of the injury was not completed.”

8VAC20-790-600-D-1

“Based on review of three staff records, the vendor did not ensure two staff members obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of beginning employment. Evidence: The records for Staff #1 (date of hire: 10/18/2021) and Staff #2 (date of hire: 10/18/2021) did not contain documentation of current CPR certification. Staff #3 stated staff had not finished the required training as of 02/16/2022.”

8VAC20-790-600-D-2

“Based on review of three staff records, the vendor did not ensure two staff members obtained current certification in first aid appropriate to the ages of children in care within 90 days of beginning employment. Evidence: The records for Staff #1 (date of hire: 10/18/2021) and Staff #2 (date of hire: 10/18/2021) did not contain documentation of current first aid certification. Staff #3 stated staff had not finished the required training as of 02/16/2022.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevented access by children. Evidence: The door to the room across the main office was propped open. Multiple cleaning containers was sitting on a shelf in the room. The cleaning products were not locked. Staff #3 confirmed this during the inspection.”

8VAC20-780-510-G

“Based on review of one medication, medication authorization and interview, the center did not ensure one medication was labeled with the child's name, the name of medication, the dosage amount and the time or times to be given. Evidence: The prescription medication was present at the center for one child attending the center. The prescription medication was observed in a clear zip lock bag and did not have pharmacy label attached. The director confirmed the pharmacy label was not present at the center.”

8VAC20-780-240-A

“Based on review of three staff records, the center did not ensure two staff members completed the Virginia Department of Education-sponsored orientation course with 90 calendar day of beginning employment. Evidence: The records for Staff #1 and Staff #2 indicated staff were hired on 10/18/2021. The record did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. Staff #3 stated Staff #1 and Staff #2 had not completed the course as of February 16, 2022.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment were maintained in a clean, safe and operable condition. Evidence: 1. Three tricycles on the playground were missing pedals, leaving a metal spoke protruding approximately three inches which could entangle clothing or snag skin. 2. The playground fence on the right side of the building was missing the top rail. The chain link fence was bent forward creating components that could entangle clothing and snag skin. 2. The playground fence on the right side of the building was missing the top rail. The chain link fence was bent forward creating components that could entangle clothing and snag skin.”

8VAC20-780-60-A-8

“Based on record review and interview, the center did not obtain a written allergy action care plan for two children with a diagnosed food allergy. Evidence: The records for Child #1 and Child #3 indicated each child had been diagnosed food allergy. The records did not contain a written care plan for each diagnosed food allergy, including 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. Staff #3 confirmed this information during the inspection.”

8VAC20-780-160-C

“Based on review of three staff records, the center did not ensure one staff member updated submitted results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: The record for Staff #3 (08/17/2015) contained documentation of a tuberculosis screening dated 04/05/2018. Staff #3 confirmed the documentation of the tuberculosis screening dated 04/15/2018 is the most current tuberculosis screening.”

8VAC20-790-600-D-1

“Based on review of three staff records, the vendor did not ensure two staff members obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of beginning employment. Evidence: The records for Staff #1 (date of hire: 10/18/2021) and Staff #2 (date of hire: 10/18/2021) did not contain documentation of current CPR certification. Staff #3 stated staff had not finished the required training as of 02/16/2022.”

8VAC20-790-600-D-2

“Based on review of three staff records, the vendor did not ensure two staff members obtained current certification in first aid appropriate to the ages of children in care within 90 days of beginning employment. Evidence: The records for Staff #1 (date of hire: 10/18/2021) and Staff #2 (date of hire: 10/18/2021) did not contain documentation of current first aid certification. Staff #3 stated staff had not finished the required training as of 02/16/2022.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevented access by children. Evidence: The door to the room across the main office was propped open. Multiple cleaning containers was sitting on a shelf in the room. The cleaning products were not locked. Staff #3 confirmed this during the inspection.”

8VAC20-780-510-G

“Based on review of one medication, medication authorization and interview, the center did not ensure one medication was labeled with the child's name, the name of medication, the dosage amount and the time or times to be given. Evidence: The prescription medication was present at the center for one child attending the center. The prescription medication was observed in a clear zip lock bag and did not have pharmacy label attached. The director confirmed the pharmacy label was not present at the center.”

8VAC20-780-240-A

“Based on review of three staff records, the center did not ensure two staff members completed the Virginia Department of Education-sponsored orientation course with 90 calendar day of beginning employment. Evidence: The records for Staff #1 and Staff #2 indicated staff were hired on 10/18/2021. The record did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course. Staff #3 stated Staff #1 and Staff #2 had not completed the course as of February 16, 2022.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment were maintained in a clean, safe and operable condition. Evidence: 1. Three tricycles on the playground were missing pedals, leaving a metal spoke protruding approximately three inches which could entangle clothing or snag skin. 2. The playground fence on the right side of the building was missing the top rail. The chain link fence was bent forward creating components that could entangle clothing and snag skin. 2. The playground fence on the right side of the building was missing the top rail. The chain link fence was bent forward creating components that could entangle clothing and snag skin.”

8VAC20-780-60-A-8

“Based on record review and interview, the center did not obtain a written allergy action care plan for two children with a diagnosed food allergy. Evidence: The records for Child #1 and Child #3 indicated each child had been diagnosed food allergy. The records did not contain a written care plan for each diagnosed food allergy, including 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. Staff #3 confirmed this information during the inspection.”

8VAC20-780-160-C

“Based on review of three staff records, the center did not ensure one staff member updated submitted results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: The record for Staff #3 (08/17/2015) contained documentation of a tuberculosis screening dated 04/05/2018. Staff #3 confirmed the documentation of the tuberculosis screening dated 04/15/2018 is the most current tuberculosis screening.”