KinderCare Learning Center - Pocoshock

8VAC20-790-600-F

“Staff shall complete annually the department’s health and safety update course. The record for S5 did not contain documentation of this annual training since 09/20/2023.”

8VAC20-780-560-M

“Children shall not be allowed to drink or eat while walking around. Licensing inspector observed two children walking with a bottles in their mouths and drinking in the 16-month classroom. A child was observed picking up food from the floor while walking around and eating it.”

8VAC20-780-530-A

“At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid. S4 was observed in a 16-month old classroom supervising children without a current certification in CPR and first aid.”

8VAC20-780-260-A

“The center shall provide an annual fire inspection report. The last inspection for the center was more than 12 months ago. The last inspection was dated 04/09/2024.”

8VAC20-780-70

“Records shall be kept for each staff person that contains all of the required information. The records for S1, S2, S3, and S4 did not contain information about any health problems that may interfere with fulfilling the job responsibilities and contact information of a person to be notified in an emergency. The record for S4 contained 1 of 2 required references to character, reputation, and competency checked prior to employment.”

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 C4, enrolled for 5 months, was missing the documentation of viewing proof of the child’s identity and age.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for C3 was not signed.”

8VAC20-780-140-A

“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 C4, who has been enrolled for five months.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for a child under the age of two years. C5 under the age of 2 years old and enrolled for 10 months did not have documentation of additional immunizations in the file.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and water or wipes before and after eating. Multiple children were observed having finished eating their snacks in the 16-month classroom and no hands were washed afterwards.”

8VAC20-790-600-F

“Staff shall complete annually the department’s health and safety update course. The record for S5 did not contain documentation of this annual training since 09/20/2023.”

8VAC20-780-560-M

“Children shall not be allowed to drink or eat while walking around. Licensing inspector observed two children walking with a bottles in their mouths and drinking in the 16-month classroom. A child was observed picking up food from the floor while walking around and eating it.”

8VAC20-780-530-A

“At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid. S4 was observed in a 16-month old classroom supervising children without a current certification in CPR and first aid.”

8VAC20-780-260-A

“The center shall provide an annual fire inspection report. The last inspection for the center was more than 12 months ago. The last inspection was dated 04/09/2024.”

8VAC20-780-70

“Records shall be kept for each staff person that contains all of the required information. The records for S1, S2, S3, and S4 did not contain information about any health problems that may interfere with fulfilling the job responsibilities and contact information of a person to be notified in an emergency. The record for S4 contained 1 of 2 required references to character, reputation, and competency checked prior to employment.”

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 C4, enrolled for 5 months, was missing the documentation of viewing proof of the child’s identity and age.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for C3 was not signed.”

8VAC20-780-140-A

“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 C4, who has been enrolled for five months.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for a child under the age of two years. C5 under the age of 2 years old and enrolled for 10 months did not have documentation of additional immunizations in the file.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and water or wipes before and after eating. Multiple children were observed having finished eating their snacks in the 16-month classroom and no hands were washed afterwards.”

8VAC20-780-60-A Complaint related: Yes

“Each center shall maintain and keep at the center a separate record for each child. The center was unable to locate C1's file and injury report during the inspection and C1 had been enrolled for over 4 months.”

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

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. The center failed to notify the parent of C1 of an injury when it occurred on 10/24/2024. The injury was observed by the parent when the child was leaving the center for the day. S1 acknowledged not notifying the parent of C1 of the injury and the provision of first aid when it occurred. Center policy requires that parents be contacted about any injury more serious than a small scrape.”

8VAC20-780-410-5 Complaint related: Yes

“The following acts or threats are forbidden: withholding food and drink. S1 was observed by another staff withholding milk at breakfast from children because they were spilling it.”

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

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The infant room was observed to have: the diaper changing table was caked with unidentified debris; multiple crib sheets were stained, yellowed, torn, and had an unidentified debris on them; carpets were stained, and there was debris on top of carpet, dirt and bug carcasses between carpets; and a live bug was observed on floor near where the children’s dining table and chairs.”

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

“The following actions or threats thereof are forbidden: threatening physical punishment. S1 acknowledged threating children with physical punishment ?Do I need to go get your bottom?, and then slapping her own legs making spanking sounds.”

8VAC20-790-600-F

“Based on record review, the provider failed to ensure that staff receive annually the Department’s Health and Safety update course. Evidence: The record for S3 documented completion of the training on 03/11/2023 and 08/29/2024. The record for S4 documented completion of the training on 01/21/2020 and 08/31/2024. The record for S5 documented completion of the training on 06/06/2022 and 08/30/2024. The record for S6 documented completion of the training on 02/27/2023 and 08/30/2024.”

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that two of six staff shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S4 are dated 10/05/2021 and 01/19/2024. The TB screenings for S5 are dated 05/23/2022 and 08/26/2024.”

8VAC20-790-600-F

“Based on record review, the provider failed to ensure that staff receive annually the Department’s Health and Safety update course. Evidence: The record for S3 documented completion of the training on 03/11/2023 and 08/29/2024. The record for S4 documented completion of the training on 01/21/2020 and 08/31/2024. The record for S5 documented completion of the training on 06/06/2022 and 08/30/2024. The record for S6 documented completion of the training on 02/27/2023 and 08/30/2024.”

8VAC20-780-160-C

“Based on staff record review, the provider failed to ensure that two of six staff shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S4 are dated 10/05/2021 and 01/19/2024. The TB screenings for S5 are dated 05/23/2022 and 08/26/2024.”

8VAC20-780-550-P

“Repeat Violation Based on review of the center’s written record of children serious or minor injuries the center failed to document the date and time when parents were notified of the injuries. Evidence: The written record for serious or minor injuries for C6 dated 03/18/2024, did not document the time when the parent was notified of the injuries and how the parent was notified of the injury. The written record for serious or minor injuries for C7 dated 05/13/2024 did not document the time when the parent was notified of the injuries, how the parent was notified of the injury, and the staff and parent signatures. The written record for serious or minor injuries for C12 dated 03/01/2024, 03/13/2024, and 03/15/2024, did not document the time when the parent was notified of the injuries and how the parent was notified of the injury.”

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S6, employed 02/13/2024 contained a certificate of completion of the Virginia Preservice Training dated 06/08/2024.”

8VAC20-780-40-J

“Repeat Violation Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Staff, S8, reported that the injury prevention plan has not been updated.”

8VAC20-780-510-G

“Repeat Violation Based on observation and interview, the center failed to assure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Licensing inspector observed a bottle of liquid children’s allergy medication in the center’s medication box that did not contain a child’s name. S8 was unable to confirm the identify of the child to whom the medication was prescribed.”

8VAC20-780-160-A

“Based on staff record review, the provider failed to ensure staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S7, employed 04/04/2024 did not document a tuberculosis (TB) screening within the required time frame. The screenings were completed 01/27/2024 and 06/08/2024.”

8VAC20-780-140-A

“Based on child record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for C10, enrolled 04/01/2024, did not contain a physical examination. The record for C11, enrolled 02/05/2024, contained a physical examination dated 05/13/2024.”

8VAC20-780-130-A

“Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C11, enrolled 02/05/2024 documented immunizations on 06/03/2024.”

8VAC20-780-550-G

“Repeat Violation Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated February, March, April, and May 2024 did not document: the method used for notification of the drill; the number of staff participating; and special conditions simulated; problems encountered, if any; and weather conditions for emergency evacuation drills.”

8VAC20-780-270-A

“Repeat Violation Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: Discovery Preschool room: diaper changing table cracked and splintered. Toddlers? room: wooden chair rail missing a section exposing raw wood. Preschool room: peeling paint on windowsill and stains on area rug. Infant room: siding outside the window shattered with sharp edges.”

8VAC20-790-600-D-1

“Based on a review of 5 staff records (S1 through S5) and interview with S6, administrator at the time of the inspection, the center failed to ensure that 2 staff (S1 and S3) received certification in first aid and CPR within 90 days of their employment. Evidence 1) The start date for S1 was documented on the ?Orientation Form? as being on 1/30/23. The start date for S3 was documented on the ?Staff File Sheet? as being on 6/30/23. 2) The staff files of S1 and S3 did not include documentation that they have certification in first aid and CPR. 3) S6 acknowledged that there was no documentation that the center ensured that S1 and S3 received certification in first aid and CPR.”

8VAC20-790-600-F

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to ensure that S5 received annual training to include the Department’s Health and Safety update course. Evidence 1) The staff file for S5 documented that the most recent Department Health and Safety update course was completed by S5 on 6/10/21. 2) The staff training in the file of S5 for 2023 was a 7 hour course completed on 2/20/23. 3) S6 acknowledged that the Department Health and Safety update course is overdue and that there is no way to verify if S5 completed 16 hours of training as required in 2023.”

8VAC20-780-160-A

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to obtain documentation that S2 had a negative tuberculosis screening within the last 30 days of employment. Evidence 1) The most recent TB test completed by S2 in the record was completed in Ohio on 4/28/22. 2) There is no start date in the record of S2; most of the onboarding paperwork is dated in June of 2023. 3) S6 acknowledged that there was no documentation that S2 had a negative tuberculosis screening within the last 30 days of the date of employment.”

8VAC20-780-40-J

“Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Staff, S6, the administrator on duty during the inspection reported that the injury prevention plan has not been updated.”

8VAC20-780-550-P

“Based on review of injury reports, the provider failed to document required information. Evidence: Licensing inspector reviewed incident reports dated July 2023 ? December 2023. Six of six injury reports for July 2023, six of six injury reports for August 2023, five of five injury reports for September, two of two in November, and one of one in December failed to document the date and time when parents were notified of the injury.”

8VAC20-780-550-G

“Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated August, October, and November 2023 did not document: the method used for notification of the drill; the number of staff participating; the number of children participating; problems encountered, if any; and weather conditions for emergency evacuation drills.”

8VAC20-780-550-D

“Based on review of the drill record, the provider failed to implement a monthly practice evacuation drill. Evidence: The drill record did not document practice evacuation drills between January ? July 2023.”

8VAC20-780-510-I

“Based on observation and interview, the center administered a prescription medication without written authorization of the parent and that was not maintained in the original labeled container from the pharmacy. Evidence: Licensing inspector observed a tube of ointment labeled by the manufacturer as a prescribed medication in the infant classroom. S7 indicated that the ointment was for child, C5 and that it had been administered to the child. Licensing inspector requested the written authorization signed by the parent for the prescribed medication and the original labeled container. S7 reported not knowing the ointment was a prescribed medication, did not have the labeled container, or a written authorization from the parent to administer the prescribed medication.”

22.1-289.035-B-4

“(Repeat Violation) Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to obtain a sex offender registry check and a child abuse and neglect registry search from the state other than Virginia that S2 resided in within the last 5 years. Evidence: 1) S2 completed a sworn disclosure statement on 6/13/23 documenting that they resided in a state other than Virginia within the last 5 years. 2) There was no documentation in the record of S2 of a sex offender registry check or a child abuse and neglect registry search from that state. 3) CR1 acknowledged that there was no documentation in the file of S2 of a sex offender registry check or a child abuse and neglect registry search from that state.”

8VAC20-770-40-D-1-b

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative (S6), the center failed to obtain searches of central registry for S1 and S4 before 30 days of employment ended. Evidence 1) The start date for S1 was documented on the ?Orientation Form? as 1/30/23. The central registry search for S1 was dated 4/28/23. 2) The start date for S4 was documented on the ?Staff File Sheet? as being on 10/09/23. There was no central registry search in the record of S4. 3) S6 acknowledged that the central registry search for S1 was dated outside the 30 day timeframe and that there was no central registry search for S4.”

8VAC20-780-510-G

“Based on observation and interview, the center failed to assure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Licensing inspector observed a plastic bag labeled with the name of child, C6, that contained an unlabeled prescribed emergency medication. The medication was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. S6 reported not having the pharmacy labeled box that contained this information.”

8VAC20-780-420-E-3

“Based on child record review, the provider failed to document at least annually parent confirmation that the required information in the child’s record is up to date. Evidence: The record for child, C1, C6, and C7 did not document annual confirmation of required information in the record. C1, enrolled 12/21/2028 the last annual confirmation of information was dated 11/30/2020; C6, enrolled 08/22/2022, no update noted in record; and C7, enrolled 12/31/2022, no update noted in record.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: Discovery Preschool room: laminate top of children’s bookshelf cracked and splintered; and dirt and debris under diaper changing pad. Toddlers? room: wooden chair rail missing a section exposing raw wood; laminate top of children’s bookshelf cracked and splintered. Preschool room: missing outlets covers on power strip; child’s tabletop cracked with sharp edges; peeling paint on windowsill; cracked outlet cover and exposed outlet; peeling paint near fire alarm pull; dirt and debris on children’s step stool by exterior door; and stains on area rug. School age room: multiple areas of peeling paint. Infant room: window observed open, and the screen torn from the frame; siding outside the window shattered with sharp edges. Large playground: child’s blue chair with broken plastic bottom; and piles of leaves around the fence base and children’s trikes. Small playground: sheets of plexiglass on the ground; and rolling trash can surrounded by trash and soiled and wet clothing.”

8VAC20-780-240-B

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to ensure that S1 and S2 completed orientation training that included elements listed under 8VAC20-780-240.C. Evidence 1) Documentation of the orientation training provided to S1 did not include required elements listed under 8VAC20-780-240.C.10. and 8VAC20-780-240.C.11. 2) There was no documentation of orientation training provided to S2 contained in the record. 3) S6 acknowledged that the orientation documentation for S1 was incomplete and that there was no orientation documentation for S2.”

8VAC20-780-70

“(Repeat Violation) Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to obtain and maintain information in 5 staff records (S1, S2, S3, S4, and S5). Evidence 1) The staff file of S1 did not include documentation that S1 was informed of the center’s information as required under 8VAC20-780-240.D.1. through 7. The staff file of S1 did not include documentation that S1 received orientation training in first aid and CPR. The staff file of S1 did not include documentation that S1 received training regarding precautions and procedures listed under 8VAC20-780-240.F.1. through 7. 2) The staff record for S2 did not include a date of employment, references, or documentation that the staff member has the experience required by the job position of Program Leader. 3) The staff record for S3 did not include information about any health problems that may interfere with job responsibilities. 4) The staff record for S4 did not include the telephone number of a person to be notified in the event of an emergency, information about any health problems that may interfere with job responsibilities or any documentation that the staff member has the experience required by the job position of Program Leader. 5) The staff record for S5 did not include any documentation that the staff member has the experience required by the job position of Program Leader. 6) S6 acknowledged that there was no documentation of the above items in 5 of the staff files.”

8VAC20-780-60-A

“(Repeat Violation) Based on child record review, the provider failed to ensure that one of six records contained the required information for each child enrolled. Evidence: The record for child, C4, enrolled 09/25/2023 did not document: viewing proof of the child’s identity and age; health information required by 8VAC20-780-130 (immunizations); and health information required by 8VAC20-780-140 (physical examination)”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C7, under the age of 2, enrolled 12/31/2022 did not contain additional immunizations due within six months of immunizations in the record dated 03/22/2023.”

8VAC20-780-150-B

“Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The immunizations for child, C7 dated 03/22/2023 were not signed by the licensed physician, the physician’s designee, or an official of a local health department.”

8VAC20-780-160-C

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to ensure that S5 obtained a follow up tuberculosis screening every two years. Evidence 1) The most recent tuberculosis screening contained in the file of S5 was dated 9/27/21. 2) S6 acknowledged that the tuberculosis screening for S-5 was more than two years old.”

8VAC20-780-160-A

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to obtain documentation that S2 had a negative tuberculosis screening within the last 30 days of employment. Evidence 1) The most recent TB test completed by S2 in the record was completed in Ohio on 4/28/22. 2) There is no start date in the record of S2; most of the onboarding paperwork is dated in June of 2023. 3) S6 acknowledged that there was no documentation that S2 had a negative tuberculosis screening within the last 30 days of the date of employment.”

8VAC20-780-40-J

“Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Staff, S6, the administrator on duty during the inspection reported that the injury prevention plan has not been updated.”

8VAC20-780-550-P

“Based on review of injury reports, the provider failed to document required information. Evidence: Licensing inspector reviewed incident reports dated July 2023 ? December 2023. Six of six injury reports for July 2023, six of six injury reports for August 2023, five of five injury reports for September, two of two in November, and one of one in December failed to document the date and time when parents were notified of the injury.”

8VAC20-780-550-G

“Based on review of emergency evacuation, shelter-in-place, and lockdown drills documentation, the provider failed to ensure the documentation contained all the required information. Evidence: The emergency drill documentation dated August, October, and November 2023 did not document: the method used for notification of the drill; the number of staff participating; the number of children participating; problems encountered, if any; and weather conditions for emergency evacuation drills.”

8VAC20-780-550-D

“Based on review of the drill record, the provider failed to implement a monthly practice evacuation drill. Evidence: The drill record did not document practice evacuation drills between January ? July 2023.”

8VAC20-780-510-I

“Based on observation and interview, the center administered a prescription medication without written authorization of the parent and that was not maintained in the original labeled container from the pharmacy. Evidence: Licensing inspector observed a tube of ointment labeled by the manufacturer as a prescribed medication in the infant classroom. S7 indicated that the ointment was for child, C5 and that it had been administered to the child. Licensing inspector requested the written authorization signed by the parent for the prescribed medication and the original labeled container. S7 reported not knowing the ointment was a prescribed medication, did not have the labeled container, or a written authorization from the parent to administer the prescribed medication.”

22.1-289.035-B-4

“(Repeat Violation) Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to obtain a sex offender registry check and a child abuse and neglect registry search from the state other than Virginia that S2 resided in within the last 5 years. Evidence: 1) S2 completed a sworn disclosure statement on 6/13/23 documenting that they resided in a state other than Virginia within the last 5 years. 2) There was no documentation in the record of S2 of a sex offender registry check or a child abuse and neglect registry search from that state. 3) CR1 acknowledged that there was no documentation in the file of S2 of a sex offender registry check or a child abuse and neglect registry search from that state.”

8VAC20-770-40-D-1-b

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative (S6), the center failed to obtain searches of central registry for S1 and S4 before 30 days of employment ended. Evidence 1) The start date for S1 was documented on the ?Orientation Form? as 1/30/23. The central registry search for S1 was dated 4/28/23. 2) The start date for S4 was documented on the ?Staff File Sheet? as being on 10/09/23. There was no central registry search in the record of S4. 3) S6 acknowledged that the central registry search for S1 was dated outside the 30 day timeframe and that there was no central registry search for S4.”

8VAC20-780-510-G

“Based on observation and interview, the center failed to assure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Licensing inspector observed a plastic bag labeled with the name of child, C6, that contained an unlabeled prescribed emergency medication. The medication was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. S6 reported not having the pharmacy labeled box that contained this information.”

8VAC20-780-420-E-3

“Based on child record review, the provider failed to document at least annually parent confirmation that the required information in the child’s record is up to date. Evidence: The record for child, C1, C6, and C7 did not document annual confirmation of required information in the record. C1, enrolled 12/21/2028 the last annual confirmation of information was dated 11/30/2020; C6, enrolled 08/22/2022, no update noted in record; and C7, enrolled 12/31/2022, no update noted in record.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: Discovery Preschool room: laminate top of children’s bookshelf cracked and splintered; and dirt and debris under diaper changing pad. Toddlers? room: wooden chair rail missing a section exposing raw wood; laminate top of children’s bookshelf cracked and splintered. Preschool room: missing outlets covers on power strip; child’s tabletop cracked with sharp edges; peeling paint on windowsill; cracked outlet cover and exposed outlet; peeling paint near fire alarm pull; dirt and debris on children’s step stool by exterior door; and stains on area rug. School age room: multiple areas of peeling paint. Infant room: window observed open, and the screen torn from the frame; siding outside the window shattered with sharp edges. Large playground: child’s blue chair with broken plastic bottom; and piles of leaves around the fence base and children’s trikes. Small playground: sheets of plexiglass on the ground; and rolling trash can surrounded by trash and soiled and wet clothing.”

8VAC20-780-240-B

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to ensure that S1 and S2 completed orientation training that included elements listed under 8VAC20-780-240.C. Evidence 1) Documentation of the orientation training provided to S1 did not include required elements listed under 8VAC20-780-240.C.10. and 8VAC20-780-240.C.11. 2) There was no documentation of orientation training provided to S2 contained in the record. 3) S6 acknowledged that the orientation documentation for S1 was incomplete and that there was no orientation documentation for S2.”

8VAC20-780-70

“(Repeat Violation) Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to obtain and maintain information in 5 staff records (S1, S2, S3, S4, and S5). Evidence 1) The staff file of S1 did not include documentation that S1 was informed of the center’s information as required under 8VAC20-780-240.D.1. through 7. The staff file of S1 did not include documentation that S1 received orientation training in first aid and CPR. The staff file of S1 did not include documentation that S1 received training regarding precautions and procedures listed under 8VAC20-780-240.F.1. through 7. 2) The staff record for S2 did not include a date of employment, references, or documentation that the staff member has the experience required by the job position of Program Leader. 3) The staff record for S3 did not include information about any health problems that may interfere with job responsibilities. 4) The staff record for S4 did not include the telephone number of a person to be notified in the event of an emergency, information about any health problems that may interfere with job responsibilities or any documentation that the staff member has the experience required by the job position of Program Leader. 5) The staff record for S5 did not include any documentation that the staff member has the experience required by the job position of Program Leader. 6) S6 acknowledged that there was no documentation of the above items in 5 of the staff files.”

8VAC20-780-60-A

“(Repeat Violation) Based on child record review, the provider failed to ensure that one of six records contained the required information for each child enrolled. Evidence: The record for child, C4, enrolled 09/25/2023 did not document: viewing proof of the child’s identity and age; health information required by 8VAC20-780-130 (immunizations); and health information required by 8VAC20-780-140 (physical examination)”

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C7, under the age of 2, enrolled 12/31/2022 did not contain additional immunizations due within six months of immunizations in the record dated 03/22/2023.”

8VAC20-780-150-B

“Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The immunizations for child, C7 dated 03/22/2023 were not signed by the licensed physician, the physician’s designee, or an official of a local health department.”

8VAC20-780-160-C

“Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to ensure that S5 obtained a follow up tuberculosis screening every two years. Evidence 1) The most recent tuberculosis screening contained in the file of S5 was dated 9/27/21. 2) S6 acknowledged that the tuberculosis screening for S-5 was more than two years old.”

8VAC20-780-340-A

“Based on review of documentation and interview, the center did not always provide care and protection to a child they were supervising. Evidence: 1. On June 15, 2023, at approximately 3:50pm, it was determined Staff #1 and Staff #2 left Child A (20-month-old child) alone in the Toddler’s classroom for approximately five to 10 minutes. 2. Child #A was found alone in the Toddler classroom by the child’s parent. 3. According to Collateral Contact, the child’s parent arrived at the school around 4:00pm and saw everyone outside and the fire alarm was going off. I did not see [Child A] with her class. The teachers were sitting in the shade on the playground and clearly had a chance to get settled. I went into the classroom and found [Child A] sitting at the table eating an apple slice. [Child A] does not walk and is not ambulatory. [Child A] was the only person in the classroom.?”

8VAC20-780-40-E

“Based on staff interviews and documentation review, the center failed to ensure that the center’s activities, services, and facilities are maintained in compliance with 1the center’s own policies and procedures that are required by these standards. Evidence: 1. The written center’s Standard Operating Procedures (SOP) for Child Supervision Record (CSR) states ?When transitioning from one location to another, teachers will use the Name-to-Face Transitions section of the CSR to confirm all children are accounted for during transitions, whether that be a transition within the classroom or across thresholds. 2. On June 15, 2023, at approximately 3:50pm, the center’s fire alarm was activated. Staff and children evacuated the building to playgrounds. 3. Staff #1 and Staff #2 along with eight Toddlers left the classroom through the door leading to the playground. 4. Child #A (20-month-old child) was found alone in the Toddler classroom by the child’s parent. 5. On June 16, 2023, management completed a ?Coaching Form? for Staff #1. The Coaching Form stated the following: ?During fire evauation (sic) a child in your care who is not ambulatory was left in the classroom unattended. Child was retriveed (sic) by her mother who arrived to pick up the child. It was further observed that your CSR was inaccurate. It was found no name to face was complete foloowing (sic) the transition to the play area. You were provided CSR training on several occasions. You werepreviously (sic) coached on 05/17/23 for a child in your care who was left in another classroom where the child was returned by another staff member.?”

8VAC20-780-340-F

“Based on review of documentation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Staff #1 and Staff #2 stated they were supervising 9 children in the Toddler classroom on June 15, 2023. A little before 4:00pm the fire alarm went off. Staff #1 and Staff #2 said they took the Toddlers outside to the playground to line up by the fence. Staff #1 stated she thought she had all the children but realized Child #A was not outside with them. Staff #1 and Staff #2 stated the parent of Child #A came out the door and said, ?Did you realize you left her inside?. 3. The parent of Child #A stated she went into the Toddler’s classroom and found Child #A sitting alone in the classroom with all the doors closed. No one else was in the classroom with Child A.”

22.1-289.035-B-4

“Based on review of six staff records and interview, the center did not request the results of a sex offender registry check and a search of founded complaints of child abuse or neglect within the required timeframes from all the states in which the one staff member had resided in the preceding five years. Evidence: 1. The record for Staff #6 (Date of employment 04/05/2023) indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain documentation of a sex offender registry check and documentation a request for an out of state child abuse and neglect search. 2. Staff #6 confirmed residing in another state outside of Virginia during the last five years and was observed working and being counted in the staff-to-child ratio during the inspection. 3. Documentation of an out of state sex offender registry is required to be obtained prior to being hired. Documentation of a requested for an out of state child abuse and neglect search by the end of the 30th day employment.”

8VAC20-780-60-A-8

“Based on review of six children’s records, the center did not have a written allergy action care plan for one child 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 record for Child #4 (first date of attendance 02/21/2023) indicated the child has a diagnosed food allergy. Two staff members stated the written allergy action care plan had been requested but the family has not provided the document as of 06/21/2023.”

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 #5 (Date of Employment 03/23/2023) and Staff #6 (Date of Employment 04/05/2023) did not contain documentation of staff completing required orientation. Staff #5 and Staff #6 were observed working and being counted in the staff-to-child ratio during the inspection. 2. Two members of management stated Staff #5 and Staff #6 completed the required orientation. The documents could not be located during the 06/21/2023 inspection. 3. Staff #1 (Date of Employment 07/11/2022) was identified as a program leader during the inspection. The record of Staff #3 did not contain documentation of education required for the job position. Staff #1 was observed working and being counted in the staff-to-child ratio during the inspection.”

8VAC20-780-60-A

“60-A Based on review of six children's records, the center did not obtain the required information for one child. Evidence: The record for Child #6 (first date of attendance 06/04/2023) did not contain written agreements between the parent and the center including authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds; a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. The record for Child #6 did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-340-A

“Based on review of documentation and interview, the center did not always provide care and protection to a child they were supervising. Evidence: 1. On June 15, 2023, at approximately 3:50pm, it was determined Staff #1 and Staff #2 left Child A (20-month-old child) alone in the Toddler’s classroom for approximately five to 10 minutes. 2. Child #A was found alone in the Toddler classroom by the child’s parent. 3. According to Collateral Contact, the child’s parent arrived at the school around 4:00pm and saw everyone outside and the fire alarm was going off. I did not see [Child A] with her class. The teachers were sitting in the shade on the playground and clearly had a chance to get settled. I went into the classroom and found [Child A] sitting at the table eating an apple slice. [Child A] does not walk and is not ambulatory. [Child A] was the only person in the classroom.?”

8VAC20-780-40-E

“Based on staff interviews and documentation review, the center failed to ensure that the center’s activities, services, and facilities are maintained in compliance with 1the center’s own policies and procedures that are required by these standards. Evidence: 1. The written center’s Standard Operating Procedures (SOP) for Child Supervision Record (CSR) states ?When transitioning from one location to another, teachers will use the Name-to-Face Transitions section of the CSR to confirm all children are accounted for during transitions, whether that be a transition within the classroom or across thresholds. 2. On June 15, 2023, at approximately 3:50pm, the center’s fire alarm was activated. Staff and children evacuated the building to playgrounds. 3. Staff #1 and Staff #2 along with eight Toddlers left the classroom through the door leading to the playground. 4. Child #A (20-month-old child) was found alone in the Toddler classroom by the child’s parent. 5. On June 16, 2023, management completed a ?Coaching Form? for Staff #1. The Coaching Form stated the following: ?During fire evauation (sic) a child in your care who is not ambulatory was left in the classroom unattended. Child was retriveed (sic) by her mother who arrived to pick up the child. It was further observed that your CSR was inaccurate. It was found no name to face was complete foloowing (sic) the transition to the play area. You were provided CSR training on several occasions. You werepreviously (sic) coached on 05/17/23 for a child in your care who was left in another classroom where the child was returned by another staff member.?”

8VAC20-780-340-F

“Based on review of documentation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Staff #1 and Staff #2 stated they were supervising 9 children in the Toddler classroom on June 15, 2023. A little before 4:00pm the fire alarm went off. Staff #1 and Staff #2 said they took the Toddlers outside to the playground to line up by the fence. Staff #1 stated she thought she had all the children but realized Child #A was not outside with them. Staff #1 and Staff #2 stated the parent of Child #A came out the door and said, ?Did you realize you left her inside?. 3. The parent of Child #A stated she went into the Toddler’s classroom and found Child #A sitting alone in the classroom with all the doors closed. No one else was in the classroom with Child A.”

22.1-289.035-B-4

“Based on review of six staff records and interview, the center did not request the results of a sex offender registry check and a search of founded complaints of child abuse or neglect within the required timeframes from all the states in which the one staff member had resided in the preceding five years. Evidence: 1. The record for Staff #6 (Date of employment 04/05/2023) indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain documentation of a sex offender registry check and documentation a request for an out of state child abuse and neglect search. 2. Staff #6 confirmed residing in another state outside of Virginia during the last five years and was observed working and being counted in the staff-to-child ratio during the inspection. 3. Documentation of an out of state sex offender registry is required to be obtained prior to being hired. Documentation of a requested for an out of state child abuse and neglect search by the end of the 30th day employment.”

8VAC20-780-60-A-8

“Based on review of six children’s records, the center did not have a written allergy action care plan for one child 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 record for Child #4 (first date of attendance 02/21/2023) indicated the child has a diagnosed food allergy. Two staff members stated the written allergy action care plan had been requested but the family has not provided the document as of 06/21/2023.”

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 #5 (Date of Employment 03/23/2023) and Staff #6 (Date of Employment 04/05/2023) did not contain documentation of staff completing required orientation. Staff #5 and Staff #6 were observed working and being counted in the staff-to-child ratio during the inspection. 2. Two members of management stated Staff #5 and Staff #6 completed the required orientation. The documents could not be located during the 06/21/2023 inspection. 3. Staff #1 (Date of Employment 07/11/2022) was identified as a program leader during the inspection. The record of Staff #3 did not contain documentation of education required for the job position. Staff #1 was observed working and being counted in the staff-to-child ratio during the inspection.”

8VAC20-780-60-A

“60-A Based on review of six children's records, the center did not obtain the required information for one child. Evidence: The record for Child #6 (first date of attendance 06/04/2023) did not contain written agreements between the parent and the center including authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds; a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. The record for Child #6 did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-340-A

“Based on review of documentation and interview, the center did not always provide care and protection to a child they were supervising. Evidence: 1. On June 15, 2023, at approximately 3:50pm, it was determined Staff #1 and Staff #2 left Child A (20-month-old child) alone in the Toddler’s classroom for approximately five to 10 minutes. 2. Child #A was found alone in the Toddler classroom by the child’s parent. 3. According to Collateral Contact, the child’s parent arrived at the school around 4:00pm and saw everyone outside and the fire alarm was going off. I did not see [Child A] with her class. The teachers were sitting in the shade on the playground and clearly had a chance to get settled. I went into the classroom and found [Child A] sitting at the table eating an apple slice. [Child A] does not walk and is not ambulatory. [Child A] was the only person in the classroom.?”

8VAC20-780-40-E

“Based on staff interviews and documentation review, the center failed to ensure that the center’s activities, services, and facilities are maintained in compliance with 1the center’s own policies and procedures that are required by these standards. Evidence: 1. The written center’s Standard Operating Procedures (SOP) for Child Supervision Record (CSR) states ?When transitioning from one location to another, teachers will use the Name-to-Face Transitions section of the CSR to confirm all children are accounted for during transitions, whether that be a transition within the classroom or across thresholds. 2. On June 15, 2023, at approximately 3:50pm, the center’s fire alarm was activated. Staff and children evacuated the building to playgrounds. 3. Staff #1 and Staff #2 along with eight Toddlers left the classroom through the door leading to the playground. 4. Child #A (20-month-old child) was found alone in the Toddler classroom by the child’s parent. 5. On June 16, 2023, management completed a ?Coaching Form? for Staff #1. The Coaching Form stated the following: ?During fire evauation (sic) a child in your care who is not ambulatory was left in the classroom unattended. Child was retriveed (sic) by her mother who arrived to pick up the child. It was further observed that your CSR was inaccurate. It was found no name to face was complete foloowing (sic) the transition to the play area. You were provided CSR training on several occasions. You werepreviously (sic) coached on 05/17/23 for a child in your care who was left in another classroom where the child was returned by another staff member.?”

8VAC20-780-340-F

“Based on review of documentation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: 1. Staff #1 and Staff #2 stated they were supervising 9 children in the Toddler classroom on June 15, 2023. A little before 4:00pm the fire alarm went off. Staff #1 and Staff #2 said they took the Toddlers outside to the playground to line up by the fence. Staff #1 stated she thought she had all the children but realized Child #A was not outside with them. Staff #1 and Staff #2 stated the parent of Child #A came out the door and said, ?Did you realize you left her inside?. 3. The parent of Child #A stated she went into the Toddler’s classroom and found Child #A sitting alone in the classroom with all the doors closed. No one else was in the classroom with Child A.”

22.1-289.035-B-4

“Based on review of six staff records and interview, the center did not request the results of a sex offender registry check and a search of founded complaints of child abuse or neglect within the required timeframes from all the states in which the one staff member had resided in the preceding five years. Evidence: 1. The record for Staff #6 (Date of employment 04/05/2023) indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain documentation of a sex offender registry check and documentation a request for an out of state child abuse and neglect search. 2. Staff #6 confirmed residing in another state outside of Virginia during the last five years and was observed working and being counted in the staff-to-child ratio during the inspection. 3. Documentation of an out of state sex offender registry is required to be obtained prior to being hired. Documentation of a requested for an out of state child abuse and neglect search by the end of the 30th day employment.”

8VAC20-780-60-A-8

“Based on review of six children’s records, the center did not have a written allergy action care plan for one child 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 record for Child #4 (first date of attendance 02/21/2023) indicated the child has a diagnosed food allergy. Two staff members stated the written allergy action care plan had been requested but the family has not provided the document as of 06/21/2023.”

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 #5 (Date of Employment 03/23/2023) and Staff #6 (Date of Employment 04/05/2023) did not contain documentation of staff completing required orientation. Staff #5 and Staff #6 were observed working and being counted in the staff-to-child ratio during the inspection. 2. Two members of management stated Staff #5 and Staff #6 completed the required orientation. The documents could not be located during the 06/21/2023 inspection. 3. Staff #1 (Date of Employment 07/11/2022) was identified as a program leader during the inspection. The record of Staff #3 did not contain documentation of education required for the job position. Staff #1 was observed working and being counted in the staff-to-child ratio during the inspection.”

8VAC20-780-60-A

“60-A Based on review of six children's records, the center did not obtain the required information for one child. Evidence: The record for Child #6 (first date of attendance 06/04/2023) did not contain written agreements between the parent and the center including authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds; a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. The record for Child #6 did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-770-60-C-2

“Based on a review of records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Staff #2 (hired on 12/13/21) contained documentation of a central registry finding dated 1/21/22. 2. The record of Staff #3 (hired on 11/22/21) contained documentation of a central registry finding dated 1/17/22. 3. The record of Staff #4 (hired on 12/20/21) contained documentation of a central registry finding dated 1/26/22. 4. Administration acknowledged the central registries were not received within the timeframe.”

8VAC20-770-60-C-2

“Based on a review of records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Staff #2 (hired on 12/13/21) contained documentation of a central registry finding dated 1/21/22. 2. The record of Staff #3 (hired on 11/22/21) contained documentation of a central registry finding dated 1/17/22. 3. The record of Staff #4 (hired on 12/20/21) contained documentation of a central registry finding dated 1/26/22. 4. Administration acknowledged the central registries were not received within the timeframe.”

22VAC40-185-340-A

“Based on a review of documentation and interviews, the center did not ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. Staff #1 admitted to releasing Child #1 to an unauthorized individual without checking the individual's photo identification or the child's registration for names listed as authorized to pick the child up. Staff #1 stated she had not ever previously seen the individual she released the child to. 2. After review of Child #1's record, the individual Child #1 was released to, was not listed on the child's registration form as an authorized individual to pick up the child nor as an emergency contact. 3. Administration confirmed Staff #1 released Child #1 without checking documentation of photo identification and the child's registration for the list of authorized individuals to pick the child up.”

22VAC40-185-40-E

“Based on review of records and interviews, the licensee did not ensure operational responsibilities that the center's activities, services and facilities are maintained in compliance with the center's own policies and procedures that are required by Standards for Licensed Child Day Centers Evidence: 1. The center's procedures for departure of children were not followed when Staff #1 released Child #1 to an individual believed to be the grandparent of Child #1. 2. The center's policy for releasing children to authorized person states "if a partner cannot positively identify an authorized individual, he or she must request government issued photo identification. The partner must then compare the information on the photo identification to the names listed in the primary and emergency contact and release sections of the enrollment agreement. The person must be positively identified as one of the authorized individuals in order to pick up the child." 3. Staff #1 admitted to releasing Child #1 to an unauthorized individual without checking the individual's photo identification or the child's registration for names listed as authorized to pick the child up. Staff #1 stated she had not ever previously seen the individual she released the child to. Staff #1 acknowledged she was aware of the center's policy and procedures for departure of children. 4. After review of Child #1's record, the individual Child #1 was released to, was not listed on the child's registration form as an authorized individual to pick up the child nor as an emergency contact. 5. Administration confirmed Staff #1 released Child #1 without checking documentation of photo identification and the child's registration for the list of authorized individuals to pick the child up.”

22VAC40-185-60-A

“Based on a review of records the center did not ensure that each child's record contained the required information. Evidence: 1. The record of Child #1 (DOE 7/21/21) did not contain documentation of a full home address of each parent who has custody. 2. The record of Child #1 did not contain documentation of place of employment and work phone number of each parent who has custody. 3. The record of Child #1 did not contain documentation of a full name and full address for emergency person #1 and did not contain documentation of a second person to call in an emergency. 4. The record of Child #1 did not contain documentation of full names of individuals authorized to pick up the child. The documentation was a first name and last initial.”