KinderCare Learning Center - Forest

8VAC20-780-70

“REPEAT VIOLATION, SYSTEMIC VIOLATION Staff records shall be kept for each person that contain all the required information. The record for Staff #3 (employed 3 weeks) was missing two required components.”

8VAC20-780-500-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. 24 children in Classroom A class did not wash hands with soap and water after eating snack.”

8VAC20-780-160-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION The center is required to obtain documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Staff #2 (employed 3 weeks) TB screening was 38 days prior to the first day of employment.”

8VAC20-780-160-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION The center is required to obtain documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Staff #1, employed for five months, TB screening was 48 days prior to the first day of employment.”

8VAC20-780-90-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The record for Child #1 (enrolled 17 months) did not have documentation of the agreement signed by a parent.”

8VAC20-780-130-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION 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. Child #1 (enrolled for 17 months) did not have documentation of an immunization record on file.”

8VAC20-780-60-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1 (enrolled 17 months) was missing the following required component: proof of identity.”

8VAC20-780-140-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #1 (enrolled for 17 months).”

8VAC20-780-510-E

“Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. The centers policy states the child’s parent or guardian must complete and sign a medication authorization form. The form for Child 1 did not have authorization from a parent.”

8VAC20-780-350-B-1

“The required ratio for children birth to sixteen months is one staff per 4 children. On 12/19/2025, Staff #1 was alone supervising 5 children, age 5 months to 12 months, for approximately 15 minutes.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 12/4/2025, were not posted in a conspicuous place on the premises.”

22.1-289.035-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION The center is required to have employees undergo a background check every five years. The most recent sworn statement for staff #1 was overdue by eighteen months. The most recent criminal background check for staff #1 was overdue by eleven months.”

8VAC20-790-600-B

“Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training. Staff #1, employed for 8 months, did not have Preservice training.”

8VAC20-780-500-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. A child in the Classroom A class did not wash hands with soap and water after using the restroom.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #6 was onsite; one medication authorization expired over 11 months ago and another medication authorization expired 5 months ago. The medication was not administered and was not returned or disposed of as required.”

8VAC20-780-550-D

“The center shall implement monthly practice evacuation drills. Monthly evacuation drills did not occur during January 2025 thru September 2025.”

22.1-289.035-B-4

“REPEAT VIOLATION, SYSTEMIC VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for 4 months, did not have documentation of requesting a criminal background check from another state.”

22.1-289.035-A

“REPEAT VIOLATION, SYSTEMIC VIOLATION The center is required to have employees undergo a background check every five years. The most recent sworn statement and central registry check for Staff #4 was overdue by 11 months. The most recent criminal history check for Staff #4 was overdue by 9 months.”

8VAC20-780-130-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION 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. Child #2 (enrolled over one month) and Child #3 (enrolled 18 months) did not have documentation of an immunization record on file.”

8VAC20-780-140-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #2 (enrolled over one month) or Child #3 (enrolled 18 months).”

8VAC20-780-60-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The records for Child 2, Child 3, and Child 4 were missing several of the required components.”

8VAC20-780-70

“REPEAT VIOLATION, SYSTEMIC VIOLATION Staff records shall be kept for each person that contain all the required information. The record for Staff #1 (employed 8 months) did not contain documentation to demonstrate education required by the job position. The records for Staff #2 (employed two weeks) and Staff #3 (employed 4 months) did not have 2 references checked prior to employment.”

8VAC20-790-600-B

“Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training. Staff #1, employed for 8 months, did not have Preservice training.”

8VAC20-780-500-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. A child in the Classroom A class did not wash hands with soap and water after using the restroom.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #6 was onsite; one medication authorization expired over 11 months ago and another medication authorization expired 5 months ago. The medication was not administered and was not returned or disposed of as required.”

8VAC20-780-550-D

“The center shall implement monthly practice evacuation drills. Monthly evacuation drills did not occur during January 2025 thru September 2025.”

22.1-289.035-B-4

“REPEAT VIOLATION, SYSTEMIC VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for 4 months, did not have documentation of requesting a criminal background check from another state.”

22.1-289.035-A

“REPEAT VIOLATION, SYSTEMIC VIOLATION The center is required to have employees undergo a background check every five years. The most recent sworn statement and central registry check for Staff #4 was overdue by 11 months. The most recent criminal history check for Staff #4 was overdue by 9 months.”

8VAC20-780-130-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION 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. Child #2 (enrolled over one month) and Child #3 (enrolled 18 months) did not have documentation of an immunization record on file.”

8VAC20-780-140-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #2 (enrolled over one month) or Child #3 (enrolled 18 months).”

8VAC20-780-60-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The records for Child 2, Child 3, and Child 4 were missing several of the required components.”

8VAC20-780-70

“REPEAT VIOLATION, SYSTEMIC VIOLATION Staff records shall be kept for each person that contain all the required information. The record for Staff #1 (employed 8 months) did not contain documentation to demonstrate education required by the job position. The records for Staff #2 (employed two weeks) and Staff #3 (employed 4 months) did not have 2 references checked prior to employment.”

8VAC20-780-160-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION The center is required to obtain documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Staff #3, employed for five months, TB screening was 51 days prior to the first day of employment.”

22.1-289.035-B-4 Complaint related: No

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for 18 months, did not have documentation of requesting a central registry check and child abuse and neglect search from another state.”

8VAC20-780-130-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION 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. Child #1, enrolled for 5 months, did not have documentation of an immunization record on file.”

8VAC20-780-140-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #1, enrolled for 5 months.”

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

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The incident report for Child #1 did not include the following: any future action to prevent recurrence of the injury; staff and parent signatures.”

8VAC20-780-60-A Complaint related: No

“REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1 was missing the following required component: parents work number”

8VAC20-780-160-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION The center is required to obtain documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Staff #3, employed for five months, TB screening was 51 days prior to the first day of employment.”

22.1-289.035-B-4 Complaint related: No

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for 18 months, did not have documentation of requesting a central registry check and child abuse and neglect search from another state.”

8VAC20-780-130-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION 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. Child #1, enrolled for 5 months, did not have documentation of an immunization record on file.”

8VAC20-780-140-A Complaint related: No

“REPEAT VIOLATION; SYSTEMIC VIOLATION Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #1, enrolled for 5 months.”

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

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The incident report for Child #1 did not include the following: any future action to prevent recurrence of the injury; staff and parent signatures.”

8VAC20-780-60-A Complaint related: No

“REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1 was missing the following required component: parents work number”

8VAC20-790-600-D-2

“REPEAT VIOLATION, SYSTEMIC VIOLATION All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #1, employed for one year, did not have current first aid appropriate to the ages of children in care.”

8VAC20-790-600-D-1

“REPEAT VIOLATION, SYSTEMIC VIOLATION All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR appropriate to the ages of children in care. Staff #1, employed for one year, did not have current CPR training appropriate to ages of children in care.”

8VAC20-790-600-B

“All staff who work directly with children shall complete within the first 90 days of employment Virginia Preservice Training for Child Care Staff. Staff #1, employed for one year, did not have Preservice training.”

8VAC20-780-90-A

“SYSTEMIC VIOLATION A written agreement between the parent and the center shall be in each child's record by the first day of the child’s attendance that addresses the policy to follow regarding communicable diseases. There was no agreement in the record of Child #3, in care for 2 years, that addresses this issue.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1, employed 1 year, completed orientation training 15 days after assuming job responsibilities.”

8VAC20-780-340-F

“REPEAT VIOLATION, SYSTEMIC VIOLATION Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 9/23/2025, 3 children age 2 years and 3 years old, opened an unlocked gate on the playground and exited to the fenced in area behind the center. The children were out of sight and sound supervision for approximately 1-2 minutes. The center was previously cited on 8/29/2024, 10/21/2024 and 3/20/2025 for leaving a child alone and unsupervised.”

8VAC20-780-130-E

“SYSTEMIC VIOLATION The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #1, in care for 2 years, did not contain documentation of additional immunizations under the age of two years.”

8VAC20-780-40-E

“REPEAT VIOLATION, SYSTEMIC VIOLATION Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s supervision policy is that children shall remain under supervision of staff at all times. On 9/23/2025, 3 children age 2 years and 3 years old, opened an unlocked gate on the playground and exited to the fenced in area behind the center. The children were out of sight and sound supervision for approximately 1-2 minutes. The center was previously cited on 8/29/2024, 10/21/2024 and 3/20/2025 for leaving a child alone and unsupervised.”

8VAC20-780-70

“REPEAT VIOLATION, SYSTEMIC VIOLATION The following staff records shall be kept for each person. The record for Staff #1, employed for over a month, did not contain documentation of 2 references checked prior to employment. The record for Staff #2, employed for over a month, did not contain job title; date of employment; documentation of 2 references checked prior to employment; documentation to demonstrate education required by the job position.”

8VAC20-780-60-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4 was missing the following required component: first date of attendance.”

8VAC20-790-600-D-2

“REPEAT VIOLATION, SYSTEMIC VIOLATION All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #1, employed for one year, did not have current first aid appropriate to the ages of children in care.”

8VAC20-790-600-D-1

“REPEAT VIOLATION, SYSTEMIC VIOLATION All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR appropriate to the ages of children in care. Staff #1, employed for one year, did not have current CPR training appropriate to ages of children in care.”

8VAC20-790-600-B

“All staff who work directly with children shall complete within the first 90 days of employment Virginia Preservice Training for Child Care Staff. Staff #1, employed for one year, did not have Preservice training.”

8VAC20-780-90-A

“SYSTEMIC VIOLATION A written agreement between the parent and the center shall be in each child's record by the first day of the child’s attendance that addresses the policy to follow regarding communicable diseases. There was no agreement in the record of Child #3, in care for 2 years, that addresses this issue.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1, employed 1 year, completed orientation training 15 days after assuming job responsibilities.”

8VAC20-780-340-F

“REPEAT VIOLATION, SYSTEMIC VIOLATION Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 9/23/2025, 3 children age 2 years and 3 years old, opened an unlocked gate on the playground and exited to the fenced in area behind the center. The children were out of sight and sound supervision for approximately 1-2 minutes. The center was previously cited on 8/29/2024, 10/21/2024 and 3/20/2025 for leaving a child alone and unsupervised.”

8VAC20-780-130-E

“SYSTEMIC VIOLATION The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #1, in care for 2 years, did not contain documentation of additional immunizations under the age of two years.”

8VAC20-780-40-E

“REPEAT VIOLATION, SYSTEMIC VIOLATION Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s supervision policy is that children shall remain under supervision of staff at all times. On 9/23/2025, 3 children age 2 years and 3 years old, opened an unlocked gate on the playground and exited to the fenced in area behind the center. The children were out of sight and sound supervision for approximately 1-2 minutes. The center was previously cited on 8/29/2024, 10/21/2024 and 3/20/2025 for leaving a child alone and unsupervised.”

8VAC20-780-70

“REPEAT VIOLATION, SYSTEMIC VIOLATION The following staff records shall be kept for each person. The record for Staff #1, employed for over a month, did not contain documentation of 2 references checked prior to employment. The record for Staff #2, employed for over a month, did not contain job title; date of employment; documentation of 2 references checked prior to employment; documentation to demonstrate education required by the job position.”

8VAC20-780-60-A

“REPEAT VIOLATION; SYSTEMIC VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4 was missing the following required component: first date of attendance.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR appropriate to the ages of children in care. Staff #1, employed for 16 months, did not have current CPR training appropriate to ages of children in care.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #1, employed for 16 months, did not have current first aid appropriate to the ages of children in care.”

8VAC20-780-350-B-4 Complaint related: No

“The required ratio for children age 3 years up to school age eligible is one staff per 10 children. On 9/5/2025, Staff #3 was alone supervising 16 children, age 3 years, for approximately 20 minutes.”

8VAC20-780-160-C Complaint related: No

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 was due for an updated screening 8 months ago.”

8VAC20-780-245-A Complaint related: No

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Two staff did not complete the required 16 hours of annual training.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR appropriate to the ages of children in care. Staff #1, employed for 16 months, did not have current CPR training appropriate to ages of children in care.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #1, employed for 16 months, did not have current first aid appropriate to the ages of children in care.”

8VAC20-780-350-B-4 Complaint related: No

“The required ratio for children age 3 years up to school age eligible is one staff per 10 children. On 9/5/2025, Staff #3 was alone supervising 16 children, age 3 years, for approximately 20 minutes.”

8VAC20-780-160-C Complaint related: No

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 was due for an updated screening 8 months ago.”

8VAC20-780-245-A Complaint related: No

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Two staff did not complete the required 16 hours of annual training.”

8VAC20-780-500-B

“Repeat violation The diapering surface shall be used only for diapering or cleaning children. In the toddlers A classroom a child was observed on the changing table drinking a bottle.”

8VAC20-780-500-A

“Repeat violation Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff were observed changing a child’s diaper in the toddler A room. The staff did not wash the child's hands with soap and water.”

8VAC20-780-560-F

“A menu listing foods to be served for meals and snacks during the current one- week period shall be dated, and posted in a location conspicuous to parents. There was no menu posted in the center listing meals or snacks.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In the pre-k room, one side of the cabinet where cleaning supplies were located could not lock, the locking mechanism was broken.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3, who had been employed for nine days, did not have a central registry search requested until 16 days after employment.”

8VAC20-780-130-A

“Repeat violation, Systemic violation 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. Child #1, who had been attending for over a year, did not have documentation of an immunization record on file. Child #2, who had been attending for three months, did not have documentation of an immunization record on file. Child #4, who had been attending for over a year, had immunizations on file that were 7 months past required timeframe.”

8VAC20-780-140-A

“Systemic violation Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for over a year. The physical examination in the record of child #4 was 6 months past required timeframes.”

8VAC20-780-40-M

“Systemic violation The center shall 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. In each classroom there was an allergy list in their binders. The list had not been updated with new enrolled children since February 2025.”

8VAC20-780-70

“Repeat violation, Systemic violation Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2, who have been actively working at the center for the past 11 days, only had one complete reference verification on file.”

8VAC20-780-270-A

“Repeat violation Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The thermostats boxes in three of the classrooms were exposed with the cover off. These boxes were within the reach of the children in the classrooms.”

8VAC20-780-500-B

“Repeat violation The diapering surface shall be used only for diapering or cleaning children. In the toddlers A classroom a child was observed on the changing table drinking a bottle.”

8VAC20-780-500-A

“Repeat violation Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff were observed changing a child’s diaper in the toddler A room. The staff did not wash the child's hands with soap and water.”

8VAC20-780-560-F

“A menu listing foods to be served for meals and snacks during the current one- week period shall be dated, and posted in a location conspicuous to parents. There was no menu posted in the center listing meals or snacks.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In the pre-k room, one side of the cabinet where cleaning supplies were located could not lock, the locking mechanism was broken.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3, who had been employed for nine days, did not have a central registry search requested until 16 days after employment.”

8VAC20-780-130-A

“Repeat violation, Systemic violation 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. Child #1, who had been attending for over a year, did not have documentation of an immunization record on file. Child #2, who had been attending for three months, did not have documentation of an immunization record on file. Child #4, who had been attending for over a year, had immunizations on file that were 7 months past required timeframe.”

8VAC20-780-140-A

“Systemic violation Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for over a year. The physical examination in the record of child #4 was 6 months past required timeframes.”

8VAC20-780-40-M

“Systemic violation The center shall 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. In each classroom there was an allergy list in their binders. The list had not been updated with new enrolled children since February 2025.”

8VAC20-780-70

“Repeat violation, Systemic violation Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2, who have been actively working at the center for the past 11 days, only had one complete reference verification on file.”

8VAC20-780-270-A

“Repeat violation Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The thermostats boxes in three of the classrooms were exposed with the cover off. These boxes were within the reach of the children in the classrooms.”

8VAC20-780-420-E-1 Complaint related: Yes

“For each infant, the center shall post a daily record which can be easily accessed by both the parent and staff working with the child. The record shall contain a description and time of bowel movements. The infants record for a child (age 14 month) did not have recorded bowl movements for approximately 2 weeks.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for over a year, was missing the following required components: Addresses for both emergency contacts.”

22.1-289.035-B-2

“Repeat violation Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2, who had been employed for over 5 years, did not have a completed national criminal background check on file.”

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. Child #1, who had been attending for over a year, had an immunization record on file that was 3 weeks past the required timeframe.”

8VAC20-780-420-E-1 Complaint related: Yes

“For each infant, the center shall post a daily record which can be easily accessed by both the parent and staff working with the child. The record shall contain a description and time of bowel movements. The infants record for a child (age 14 month) did not have recorded bowl movements for approximately 2 weeks.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for over a year, was missing the following required components: Addresses for both emergency contacts.”

22.1-289.035-B-2

“Repeat violation Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2, who had been employed for over 5 years, did not have a completed national criminal background check on file.”

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. Child #1, who had been attending for over a year, had an immunization record on file that was 3 weeks past the required timeframe.”

8VAC20-780-270-A

“Repeat violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In numerous classrooms the paint has been picked from the wall. In some classrooms the children have picked holes in the drywall of the wall.”

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child In the Infant 3 room, there were 2 unlabeled cribs. Staff confirmed that these two cribs were the only ones used daily for children.”

8VAC20-780-500-A

“Repeat violation Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children were observed eating in two different classes. There was no handwashing after the meal.”

8VAC20-780-270-A

“Repeat violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In numerous classrooms the paint has been picked from the wall. In some classrooms the children have picked holes in the drywall of the wall.”

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child In the Infant 3 room, there were 2 unlabeled cribs. Staff confirmed that these two cribs were the only ones used daily for children.”

8VAC20-780-500-A

“Repeat violation Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children were observed eating in two different classes. There was no handwashing after the meal.”

8VAC20-780-70

“Repeat violation, Systemic violation Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2 had reference checks completed 7 days after their employment.”

22.1-289.035-B-2

“Repeat Violation Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2 had an eligibility letter dated 9 days after their first day of employment. Staff #3, employed for seven months, did not have a completed national criminal background check.”

8VAC20-780-340-F

“Repeat violation Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 2/28/2025, Child 1 (age 2 years) was left alone and unsupervised in a classroom for up to approximately 2 minutes. The center was previously cited on 8/29/2024 and 10/21/2024 for leaving a child alone and unsupervised.”

8VAC20-780-40-E

“Repeat violation, Systemic violation Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s supervision policy is that children shall remain under supervision of staff at all times. On 2/28/2025, Child 1 (age 2 years) was left unattended in the classroom for approximately up to 2 minutes. The center was previously cited on 8/29/2024 and 10/21/2024 for leaving a child alone and unsupervised.”

8VAC20-780-240-A

“Repeat violation Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #2, employed for six months, has not yet completed the required course.”

8VAC20-780-160-A

“Repeat violation, Systemic violation The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2, employed for six months, had no documentation of a TB screening. The TB screening for Staff #3 was completed 2 days after hire.”

8VAC20-780-70 Complaint related: No

“Repeat violation Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who had been working at the center for 4 months, had references on file that were 4 days after first day of employment.”

8VAC20-780-500-A Complaint related: Yes

“Staff shall wash their hands with soap and running water before and after a diaper change Staff 2 was observed in the bathroom changing a diaper. When the staff was done, she removed her gloves and assisted the next child with changing soiled clothing. No handwashing was observed before helping the second child.”

8VAC20-780-500-B Complaint related: Yes

“Repeat violation A nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designed for changing. In the mixed ages classroom, teachers were observed changing the diaper of a child under the age of three. Staff stated they do not use a changing table or designed area for changing.”

22.1-289.035-B-2 Complaint related: No

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #1, who had been employed for four months, had a national criminal background check completed 6 days after first day of employment.”

8VAC20-780-160-A Complaint related: No

“Repeat violation Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for Staff #1 was completed 3 days after hire.”

8VAC20-780-160-A Complaint related: No

“Repeat violation Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for staff #1 was completed one year after hire. The screening for staff #2 was completed one year after hire.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 1?s certification in CPR was not current. It was overdue by 1 years. Staff 3 had no certification in the record. Staff 4 had no certification in the record. Staff 5 had no certification in the record.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care. Staff 1?s certification in first aid was not current. It was overdue by 1 years. Staff 3 had no certification in the record. Staff 4 had no certification in the record. Staff 5 had no certification in the record.”

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. In each classroom, the wall had paint peeling on the children’s level.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 2 years, did not have documentation of requesting a central registry check from a state. Staff #3, employed for more than 2 years, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or criminal history check from a different state.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation. There was no documentation for emergency evacuation for the month of September and October.”

8VAC20-780-500-B

“Disposable diapers shall be disposed on a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the DS Preschool 3 classroom, the trashcan used for diapering had no lid. In the Infant C classroom, the trashcan used for diapering was not foot operable.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff 1, who had been employed 3 years, had not yet completed the required course. Staff 3, who had been employed 2 years, had not completed the required course Staff 5, who had been employed 8 months, had not completed the required course.”

8VAC20-780-160-A Complaint related: No

“Repeat violation Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for staff #1 was completed one year after hire. The screening for staff #2 was completed one year after hire.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 1?s certification in CPR was not current. It was overdue by 1 years. Staff 3 had no certification in the record. Staff 4 had no certification in the record. Staff 5 had no certification in the record.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care. Staff 1?s certification in first aid was not current. It was overdue by 1 years. Staff 3 had no certification in the record. Staff 4 had no certification in the record. Staff 5 had no certification in the record.”

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. In each classroom, the wall had paint peeling on the children’s level.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 2 years, did not have documentation of requesting a central registry check from a state. Staff #3, employed for more than 2 years, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or criminal history check from a different state.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation. There was no documentation for emergency evacuation for the month of September and October.”

8VAC20-780-500-B

“Disposable diapers shall be disposed on a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the DS Preschool 3 classroom, the trashcan used for diapering had no lid. In the Infant C classroom, the trashcan used for diapering was not foot operable.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff 1, who had been employed 3 years, had not yet completed the required course. Staff 3, who had been employed 2 years, had not completed the required course Staff 5, who had been employed 8 months, had not completed the required course.”

8VAC20-780-160-A Complaint related: No

“Repeat violation Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for staff #1 was completed one year after hire. The screening for staff #2 was completed one year after hire.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 1?s certification in CPR was not current. It was overdue by 1 years. Staff 3 had no certification in the record. Staff 4 had no certification in the record. Staff 5 had no certification in the record.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care. Staff 1?s certification in first aid was not current. It was overdue by 1 years. Staff 3 had no certification in the record. Staff 4 had no certification in the record. Staff 5 had no certification in the record.”

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. In each classroom, the wall had paint peeling on the children’s level.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 2 years, did not have documentation of requesting a central registry check from a state. Staff #3, employed for more than 2 years, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or criminal history check from a different state.”

8VAC20-780-550-G

“Documentation shall be maintained of emergency evacuation. There was no documentation for emergency evacuation for the month of September and October.”

8VAC20-780-500-B

“Disposable diapers shall be disposed on a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the DS Preschool 3 classroom, the trashcan used for diapering had no lid. In the Infant C classroom, the trashcan used for diapering was not foot operable.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff 1, who had been employed 3 years, had not yet completed the required course. Staff 3, who had been employed 2 years, had not completed the required course Staff 5, who had been employed 8 months, had not completed the required course.”

8VAC20-780-160-A

“Systemic violation The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 had no documentation of a TB screening and had been employed for three months.”

8VAC20-780-70

“Systemic Violation Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2, who has been actively working at the center for the past 4 months, did not have any completed reference verifications on file. Staff #3, who has been actively working at the center for the past 3 years, did not have any completed reference verifications on file.”

8VAC20-780-340-F

“Repeat violation Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 10/9/2024, Child 1 (age 2 years) was left alone and unsupervised in a classroom for up to approximately 2 minutes. The center was previously cited on 8/29/2024 for leaving a child alone and unsupervised.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #2 and Staff #3, did not have central registry search results during the inspection. Staff #2 has been working at the center for the past 4 months and Staff #3 has been working at the center for the past 3 years.”

8VAC20-780-40-E

“Repeat violation, Systemic violation Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s supervision policy is that children shall remain under supervision of staff at all times. On 10/9/2024, child #1 (age 2 years) was left unattended in the classroom for approximately up to 2 minutes. The center was previously cited on 8/29/2024 for leaving a child alone and unsupervised.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Staff 1?s certification in first aid was not current. It was overdue by 2 years. Staff 3?s certification in first aid was not current. It was overdue by 10 months.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 1?s certification in CPR was not current. It was overdue by 2 years. Staff 3?s certification in CPR was not current. It was overdue by 10 months.”

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 2 was overdue by two weeks and their national criminal background check was overdue by three weeks. The most recent central registry check for Staff 3 was overdue by one week.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 1?s updated screening was due 5 months ago and Staff 2?s updated screening was due 11 months ago. The updated screenings have not yet been completed.”

8VAC20-780-40-E

“Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s supervision policy is that children shall remain under supervision of staff at all times. Child 1 (age 2 years) was left alone and unsupervised in the classroom for approximately 5 minutes.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 8/16/2024, Child 1 (age 2 years) was left alone and unsupervised in a classroom for approximately 5 minutes.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Staff 1?s certification in first aid was not current. It was overdue by 2 years. Staff 3?s certification in first aid was not current. It was overdue by 10 months.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 1?s certification in CPR was not current. It was overdue by 2 years. Staff 3?s certification in CPR was not current. It was overdue by 10 months.”

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 2 was overdue by two weeks and their national criminal background check was overdue by three weeks. The most recent central registry check for Staff 3 was overdue by one week.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 1?s updated screening was due 5 months ago and Staff 2?s updated screening was due 11 months ago. The updated screenings have not yet been completed.”

8VAC20-780-40-E

“Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s supervision policy is that children shall remain under supervision of staff at all times. Child 1 (age 2 years) was left alone and unsupervised in the classroom for approximately 5 minutes.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 8/16/2024, Child 1 (age 2 years) was left alone and unsupervised in a classroom for approximately 5 minutes.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Staff 1?s certification in first aid was not current. It was overdue by 2 years. Staff 3?s certification in first aid was not current. It was overdue by 10 months.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 1?s certification in CPR was not current. It was overdue by 2 years. Staff 3?s certification in CPR was not current. It was overdue by 10 months.”

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 2 was overdue by two weeks and their national criminal background check was overdue by three weeks. The most recent central registry check for Staff 3 was overdue by one week.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 1?s updated screening was due 5 months ago and Staff 2?s updated screening was due 11 months ago. The updated screenings have not yet been completed.”

8VAC20-780-40-E

“Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s supervision policy is that children shall remain under supervision of staff at all times. Child 1 (age 2 years) was left alone and unsupervised in the classroom for approximately 5 minutes.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 8/16/2024, Child 1 (age 2 years) was left alone and unsupervised in a classroom for approximately 5 minutes.”

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

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: On the outdoor playground, the door knob was missing from the door leading into the building. This created a hole in the metal where the knob would be.”

8VAC20-780-500-A Complaint related: No

“Based on observation, the center failed to ensure children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Children were observed coming in from the playground to have breakfast. There was no handwashing for the children before they ate.”

8VAC20-780-450-A

“Based on observation, the center failed to ensure that cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover. Evidence: In the preschool classroom, the children’s cots had no top bottom sheet on them”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that there is a nonabsorbent surface for diapering or changing. Also, that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot- operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the system during disposal. Evidence: In the Preschool 2 classroom there was a trashcan beside the changing table. The trashcan had no lid on it. Diapers were visible in the trashcan.”

8VAC20-780-280-B

“Based on observations, the center failed to ensure that 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. Evidence: The following hazardous substances were observed in an unlocked cabinet in the DPS B room: ?Dawn? dish detergent, ?glass and multi surface? cleaner, ?ClickSan? Disinfectant and ?TB Disinfectant? cleaner.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of a criminal record check from any state in which the individual has resided in the preceding five years prior to hire. Evidence: The record for Staff 6 contained documentation that Staff 6 has resided outside of the state of Virginia within the preceding five years. There was not an out of state criminal record check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 6. The documented hire date in the Record for Staff 6 was 10/17/2023.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 9 was dated 05/23/2021: there was not a follow-up test/screening for 2023 available for review.”

8VAC20-780-60-A

“Based on observation, the center failed to maintain documentation of child updates and confirmation of up-to-date information in the child’s record. Evidence: There was no evidence of annual updates in any child’s file during the inspection on 09/06/2022.”

8VAC20-780-520-B

“Based on observation the center failed to keep all sunscreen inaccessible to children. Evidence: Observed a cabinet with multiple bottles of sunscreen inside, unlocked and within the reach of children.”

8VAC20-780-510-P

“Based on review of medication, the center failed to notify parent when an authorization for medication expires. Evidence: Child #10 had medication on site. The authorization from parent for this medication was dated 03/12/2021. The expiration for parent authorization was 03/22/2021. Child #11 had medication on site. The authorization from parent for this medication was dated 11/03/2021. The expiration for parent authorization was 11/13/2021.”

8VAC20-770-60-B

“Based on record review and interview, the center failed to obtain a copy of the person’s completed sworn statement or affirmation before employment. Evidence: Staff #1 which was hired on 07/26/2021, had no documentation of the Sworn Statement on file. There was no documentation present during inspection on 07/14/2022.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a copy of the results of a search of the central registry for any founded complaints of child abuse or neglect within 30 days of employment. Evidence: Staff #1 which was hired on 07/26/2021, had no documentation of the required Central Registry check on file. There was no documentation present during inspection on 07/14/2022.”

8VAC20-780-500-B

“Based on observation of the older infant room, the center failed to ensure that all the diapering procedures Evidence: 1. Observed in the older infant room, a staff person in training diapering two infants. The changing area did not have a barrier, and was not cleaned and sanitized the area after each infant as required by the standard.”

8VAC20-780-550-D

“Based on interviews and review of the evacuation log, the center failed to ensure that all required drills were documented and preformed. Evidence: 1. The log indicated that only one shelter in place was conducted in 2021. The only shelter in place drill was on 8/17/2021. The standard requires two shelter in place drill every year. The director confirmed that only one drill was conducted.”

8VAC20-780-70

“Based on review of five staff records, the center failed to ensure that all records were completed within the requirements of the standard. Evidence: 1. Staff #2 was hired on 1/22/2022 and one of the two required references was obtained on 1/27/2022. The reference was obtained after the staff person was hired.”

8VAC20-780-160-A-2

“Based on review of five staff's records, the center failed to ensure that a TB screening or test with in 30 days of employment. Evidence: 1. Staff # 1 was hire on 10/25/2021 and on the day of the inspection there was no documentation of a TB screening or test in the record. 2. Staff # 2 was hired on 1/22/2022 and the date of the TB test was 6/4/2021. This was not in the 30 days before employment.”

8VAC20-780-280-B

“Based on observation of the DPS2 classroom, the center failed to ensure that all chemicals were locked and not accessible to the children. 1. The cabinet under the sink where the chemicals are stored had a lock on door. The locking mechanism did not prevent the inspector from partially pulling out a bottle of chemical. The spray nozzle was out and was able to be sprayed.”

22.1-289-036-B-4

“Based on review of five staff's records, the center failed to ensure that all out of state required backgrounds were obtained. Evidence: 1. Staff # 1 was hired on 10/25/2021 and staff # 2 was hired on 1/22/2022. Both staff lived out side of the state of Virginia in the past five years. Both staff lived in states that participate in the NFF(National Fingerprint File). A sex offender check and an CPS check of the state is required. On the day of the inspection the there was no documentation that the out of state background checks have been initiated.”

8VAC20-780-570-E

“Based on observation of both infant room, the center failed to ensure that each bottle was dated and labeled with the owner's name. Evidence: 1. In the older infant room, two prepared bottles for child # 1 did not have a date on them. Child # 2 did not have name or a date on the two prepared bottles. 2. In the younger infant room, one prepared bottle for child # 3 was not dated of labeled.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that all hand washing procedures were followed according to the standard. Observed in the older infant room, a staff person in training diapering two infants. The staff's hands were not washed before of after each diaper change.”

8VAC20-770-40-D-1-a

“Based review of five staff's records, the center failed to ensure that all CPS background checks were completed and return with results within the 30 days of hire. Evidence: 1. Staff # 1 was hired on 10/25/2021 and on the day of the inspection a CPS back ground check was not returned. There was no documentation that OBI was contacted to verify the status of the CPS check which is required by the code. 2. Staff # 3 was hired on 12/7/2021 and the CPS check was returned on 3/11/2022. This was over the 30 days allowed for the return of the CPS check. There was no documentation of anyone contacting OBI to verify the status of the check.”