KinderCare Learning Centers #000049

8VAC20-780-570-E

“Prepared infant formula must be dated and labeled with the child's name. Three bottles belonging to one child and three belonging to another were not dated in the Infant room.”

8VAC20-780-520-D

“The center is required to keep insect repellant in a place inaccessible to children. An unlocked cabinet under the sink in the Preschool classroom contained insect repellant.”

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. -Two bottles of glass cleaner and two bottles of disinfectant were in a bottom cabinet with a broken lock under the sink area in the Pre-K classroom. -One bottle of disinfectant and one bottle of restroom cleaner were in an unlocked top cabinet in the Pre-K B restroom. -An unlocked bottom cabinet under the sink in the School Age classroom contained a bottle of glass cleaner, oven and grill cleaner, and a hand soap refill labeled ?keep out of reach of children.? -An unlocked cabinet on the diaper changing table in the Toddler classroom contained surface cleaner, adhesive remover, disinfectant, and restroom cleaner.”

8VAC20-780-440-J

“The center must ensure there is at least twelve inches of space between the sides and ends of occupied cribs. Two children were asleep in cribs in the Infant classroom and were only spaced two inches apart at one end and four inches apart at the other end.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center inside are maintained in a clean, safe and operable condition. -A broken fingerguard with protruding screws was found on the door to the restroom in the Preschool classroom. -Chipping paint was found on the windowsills in the Toddler, Preschool, Pre-K, and School Age classrooms. Peeling paint was on the restroom door in the Pre-K B classroom. -The drain cover in the Pre-K B restroom floor was rusted. -Baseboard was coming off in the Pre-K classroom. -A broken fingerguard was on the door in the School Age classroom leading to the playground.”

8VAC20-780-520-C

“The center is required to keep diaper ointments or creams in a place inaccessible to children. An unlocked cabinet under the sink in the Preschool classroom contained over 10 diaper creams. An unlocked cabinet under the changing table in the Toddler classroom contained 8 diaper creams.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. The record for Child #1 was not dated to document if it has been updated annually.”

8VAC20-780-520-B

“The center is required to keep sunscreen in a place inaccessible to children under five years of age. An unlocked cabinet under the sink in the Preschool classroom contained over 10 bottles of sunscreen.”

8VAC20-780-520-A

“Over-the-counter skin products shall not be kept or used beyond the expiration date of the product. One diaper cream in the Discovery classroom expired 2/2024, one diaper cream in the Preschool bathroom expired 2/2024, and two diaper creams in the Pre-K B restroom expired 2/2024 and 9/2024.”

8VAC20-780-130-E

“The center is required to obtain documentation of additional immunizations once every six months for children under the age of two years. The immunization record for Child #4, age 3, who has been enrolled for over two years, has not been updated since enrollment. The immunization record for Child #6, age 4, who has been enrolled for over 3 years, has not been updated since enrollment.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 completed a TB screening 17 days after expiration of the last screening. Staff #5 completed a TB screening 16 days after expiration of the last screening.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions that is dated in each room or area where children are present. The allergy list in the Pre-K classroom was dated 7/2024 and was not the most recent which was 11/2024.”

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 #5, enrolled for 1 year and 2 months, was missing documentation of viewing proof of the child's identity and age.”

8VAC20-780-570-E

“Prepared infant formula must be dated and labeled with the child's name. Three bottles belonging to one child and three belonging to another were not dated in the Infant room.”

8VAC20-780-520-D

“The center is required to keep insect repellant in a place inaccessible to children. An unlocked cabinet under the sink in the Preschool classroom contained insect repellant.”

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. -Two bottles of glass cleaner and two bottles of disinfectant were in a bottom cabinet with a broken lock under the sink area in the Pre-K classroom. -One bottle of disinfectant and one bottle of restroom cleaner were in an unlocked top cabinet in the Pre-K B restroom. -An unlocked bottom cabinet under the sink in the School Age classroom contained a bottle of glass cleaner, oven and grill cleaner, and a hand soap refill labeled ?keep out of reach of children.? -An unlocked cabinet on the diaper changing table in the Toddler classroom contained surface cleaner, adhesive remover, disinfectant, and restroom cleaner.”

8VAC20-780-440-J

“The center must ensure there is at least twelve inches of space between the sides and ends of occupied cribs. Two children were asleep in cribs in the Infant classroom and were only spaced two inches apart at one end and four inches apart at the other end.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center inside are maintained in a clean, safe and operable condition. -A broken fingerguard with protruding screws was found on the door to the restroom in the Preschool classroom. -Chipping paint was found on the windowsills in the Toddler, Preschool, Pre-K, and School Age classrooms. Peeling paint was on the restroom door in the Pre-K B classroom. -The drain cover in the Pre-K B restroom floor was rusted. -Baseboard was coming off in the Pre-K classroom. -A broken fingerguard was on the door in the School Age classroom leading to the playground.”

8VAC20-780-520-C

“The center is required to keep diaper ointments or creams in a place inaccessible to children. An unlocked cabinet under the sink in the Preschool classroom contained over 10 diaper creams. An unlocked cabinet under the changing table in the Toddler classroom contained 8 diaper creams.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. The record for Child #1 was not dated to document if it has been updated annually.”

8VAC20-780-520-B

“The center is required to keep sunscreen in a place inaccessible to children under five years of age. An unlocked cabinet under the sink in the Preschool classroom contained over 10 bottles of sunscreen.”

8VAC20-780-520-A

“Over-the-counter skin products shall not be kept or used beyond the expiration date of the product. One diaper cream in the Discovery classroom expired 2/2024, one diaper cream in the Preschool bathroom expired 2/2024, and two diaper creams in the Pre-K B restroom expired 2/2024 and 9/2024.”

8VAC20-780-130-E

“The center is required to obtain documentation of additional immunizations once every six months for children under the age of two years. The immunization record for Child #4, age 3, who has been enrolled for over two years, has not been updated since enrollment. The immunization record for Child #6, age 4, who has been enrolled for over 3 years, has not been updated since enrollment.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 completed a TB screening 17 days after expiration of the last screening. Staff #5 completed a TB screening 16 days after expiration of the last screening.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions that is dated in each room or area where children are present. The allergy list in the Pre-K classroom was dated 7/2024 and was not the most recent which was 11/2024.”

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 #5, enrolled for 1 year and 2 months, was missing documentation of viewing proof of the child's identity and age.”

8VAC20-780-510-P

“Based on medication review, the center did not ensure that when an authorization for medication expires, that the parent be notified that the medication needs to be picked up within 14 days, that the parent renews the authorization, or that the center disposes of the medication if 14 days have passed. 1) On the date of inspection, two medication for Child #6 were kept in the center. The authorization forms for each medication had expiration dates of 04/17/2024. 2) One medication for Child #7 was kept in the center. The authorization form for the medication had an expiration date of 12/31/2023.”

8VAC20-780-560-F

“Based on documentation review, the menu listing foods to be served for meals and snacks during the current one-week period did not meet all requirements. Evidence: The menu was not dated for the current one-week period.”

8VAC20-780-160-C

“Based on record review, 1 out of 3 staff records reviewed did not contain the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) On the date of inspection, the Tb screening form in the record for Staff #3 was dated 12/04/2020.”

22.1-289.035-B-2

“*REPEAT VIOLATION* Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter met all requirements. Evidence: 1) Must be obtained prior to first day of employment -The record for Staff #1 (hire date 03/13/2024) did not have a recent fingerprint-based criminal history check determination letter. 2) Must be obtained every five years - The determination letter in the record for Staff #3 was dated 09/14/2018.”

8VAC20-780-240-B

“Based on record review, staff did not complete required orientation training prior to the staff member working alone with children. Evidence: 1) The record for Staff #2 did not contain documentation of having completed orientation training.”

8VAC20-770-60-C-2

“Based on record review, it was determined that the center did not ensure that Central Registry search results are obtained every five years for employees. Evidence: 1) The most recent Central Registry search request results available in the record for Staff #3 were dated 05/17/2019.”

8VAC20-780-260-A

“Based on documentation review, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1) On the date of inspection, the most recent inspection report available was dated 01/20/2023.”

8VAC20-780-260-B

“Based on documentation review, the center did not provide to the licensing representative an annual approval from the health department. Evidence: 1) On the date of inspection, the most recent inspection report available was dated 01/11/2023.”

8VAC20-780-330-B

“Based on observation of the playground areas, resilient surfacing did not comply with minimum safety standards. Evidence: 1) Th general area of the playground did not contain enough mulch for it to be considered enough resilient surfacing. In some landing zones at the bottom of slides and fall zones areas, the ground could be observed where not enough mulch was present.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1) Areas with broken siding were observed along the building exterior walls in the playground area. 2) Tripping hazards as exposed roots, holes in the ground and a hose that was not in use were observed in the playground area. 3) A partially used bag of potting mix and a full can of trash next to the door of the School-age Room 4) Broken play equipment was observed in the playground area: two riding toys with their wheels broken, and four tricycles with their pedals missing. 5) A piece of rebar of approximately 1.5 inches was exposed in the toddlers playground area.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The following substances were observed, not locked, in areas frequented by children: * Hand lotion and disinfectant solution in an unlocked cabinet in the bathroom adjacent to the PreK B room. * Cleaning products in the sprinkler room, with the door unlocked. * Staff purses in the closet of the School age room.”

8VAC20-780-80-A

“Based on documentation review, the center did not keep an accurate written record of children in attendance each day. Evidence: 1) On the date of inspection, 18 children were present in the School Age group. The attendance record had documented 17 children in care.”

8VAC20-780-240-A

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course as required. Evidence: 1) On the date of inspection, the record for Staff #2 did not contain documentation of having completed the Virginia Department of Education-sponsored 10-hour orientation course.”

8VAC20-780-160-A

“Based on record review, 1 out of 3 staff records reviewed did not contain documentation of a current negative tuberculosis (Tb) screening. Evidence: The record for Staff #2 did not contain the results of a Tb screening.”

8VAC20-790-600-D-2

“Based on record review, 1 out of 3 staff records reviewed did not contain a current certification in first aid appropriate to the ages of children in care. Evidence: The first aid certification in the record for Staff #1 was dated 12/21/2021-23.”

8VAC20-790-600-D-1

“Based on record review, 1 out of 3 staff records reviewed did not contain a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The CPR certification in the record for Staff #1 was dated 12/21/2021-23.”

8VAC20-790-600-F

“Based on record review, 2 out of 3 staff records reviewed did not annually attend the department's health and safety update course. Evidence: There is no documentation in the records for Staff #2 and Staff #3 of having completed the health and safety update course for the year 2023.”

8VAC20-780-510-P

“Based on medication review, the center did not ensure that when an authorization for medication expires, that the parent be notified that the medication needs to be picked up within 14 days, that the parent renews the authorization, or that the center disposes of the medication if 14 days have passed. 1) On the date of inspection, two medication for Child #6 were kept in the center. The authorization forms for each medication had expiration dates of 04/17/2024. 2) One medication for Child #7 was kept in the center. The authorization form for the medication had an expiration date of 12/31/2023.”

8VAC20-780-560-F

“Based on documentation review, the menu listing foods to be served for meals and snacks during the current one-week period did not meet all requirements. Evidence: The menu was not dated for the current one-week period.”

8VAC20-780-160-C

“Based on record review, 1 out of 3 staff records reviewed did not contain the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) On the date of inspection, the Tb screening form in the record for Staff #3 was dated 12/04/2020.”

22.1-289.035-B-2

“*REPEAT VIOLATION* Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter met all requirements. Evidence: 1) Must be obtained prior to first day of employment -The record for Staff #1 (hire date 03/13/2024) did not have a recent fingerprint-based criminal history check determination letter. 2) Must be obtained every five years - The determination letter in the record for Staff #3 was dated 09/14/2018.”

8VAC20-780-240-B

“Based on record review, staff did not complete required orientation training prior to the staff member working alone with children. Evidence: 1) The record for Staff #2 did not contain documentation of having completed orientation training.”

8VAC20-770-60-C-2

“Based on record review, it was determined that the center did not ensure that Central Registry search results are obtained every five years for employees. Evidence: 1) The most recent Central Registry search request results available in the record for Staff #3 were dated 05/17/2019.”

8VAC20-780-260-A

“Based on documentation review, the center did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1) On the date of inspection, the most recent inspection report available was dated 01/20/2023.”

8VAC20-780-260-B

“Based on documentation review, the center did not provide to the licensing representative an annual approval from the health department. Evidence: 1) On the date of inspection, the most recent inspection report available was dated 01/11/2023.”

8VAC20-780-330-B

“Based on observation of the playground areas, resilient surfacing did not comply with minimum safety standards. Evidence: 1) Th general area of the playground did not contain enough mulch for it to be considered enough resilient surfacing. In some landing zones at the bottom of slides and fall zones areas, the ground could be observed where not enough mulch was present.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1) Areas with broken siding were observed along the building exterior walls in the playground area. 2) Tripping hazards as exposed roots, holes in the ground and a hose that was not in use were observed in the playground area. 3) A partially used bag of potting mix and a full can of trash next to the door of the School-age Room 4) Broken play equipment was observed in the playground area: two riding toys with their wheels broken, and four tricycles with their pedals missing. 5) A piece of rebar of approximately 1.5 inches was exposed in the toddlers playground area.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: The following substances were observed, not locked, in areas frequented by children: * Hand lotion and disinfectant solution in an unlocked cabinet in the bathroom adjacent to the PreK B room. * Cleaning products in the sprinkler room, with the door unlocked. * Staff purses in the closet of the School age room.”

8VAC20-780-80-A

“Based on documentation review, the center did not keep an accurate written record of children in attendance each day. Evidence: 1) On the date of inspection, 18 children were present in the School Age group. The attendance record had documented 17 children in care.”

8VAC20-780-240-A

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course as required. Evidence: 1) On the date of inspection, the record for Staff #2 did not contain documentation of having completed the Virginia Department of Education-sponsored 10-hour orientation course.”

8VAC20-780-160-A

“Based on record review, 1 out of 3 staff records reviewed did not contain documentation of a current negative tuberculosis (Tb) screening. Evidence: The record for Staff #2 did not contain the results of a Tb screening.”

8VAC20-790-600-D-2

“Based on record review, 1 out of 3 staff records reviewed did not contain a current certification in first aid appropriate to the ages of children in care. Evidence: The first aid certification in the record for Staff #1 was dated 12/21/2021-23.”

8VAC20-790-600-D-1

“Based on record review, 1 out of 3 staff records reviewed did not contain a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The CPR certification in the record for Staff #1 was dated 12/21/2021-23.”

8VAC20-790-600-F

“Based on record review, 2 out of 3 staff records reviewed did not annually attend the department's health and safety update course. Evidence: There is no documentation in the records for Staff #2 and Staff #3 of having completed the health and safety update course for the year 2023.”

8VAC20-780-70

“Based on record review, staff records did not contain all required information. Evidence: 1) On the date of inspection, the record for Staff #1 (Start date 08/23/2021) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-780-510-L

“Based on observation and interview with staff, the center did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Medication was observed being stored in a lower compartment of a desk in the lobby area. This compartment was not locked and did not have a locking mechanism to prevent access by children. 2) Staff #4 confirmed that the compartment where the medication was kept did not have a locking mechanism.”

22.1-289.035-B-2

“Based on record review, the center did not ensure that fingerprint-based criminal history check determination letter was obtained every five years for employees. Evidence: 1) The record for Staff #2 had a fingerprint-based criminal history check determination letter dated 09/21/2018.”

8VAC20-780-420-E-3

“Based on record review, the center did not request at least annually parent confirmation that the required information in the child's record is up to date. Evidence: 1) The most recent review of the emergency information documented in the record for Child #1 was dated 09/16/2021.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #1 and Child #2 did not contain the addresses for two designated people to call in an emergency if a parent cannot be reached. 2) The record for Child #1 did not contain the work phone number for one parent and the first date of attendance.”

8VAC20-780-40-M

“Based on observation, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: 1) On the date of inspection, the allergy list available for review on Early Foundations Preschool room was dated 09/20/2022. The allergy list available for review on Discovery Preschool room was dated 03/2023.”

8VAC20-780-160-C

“Based on record review, the center did not ensure that employees obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) The Tb screening form in the record for Staff #2 was dated 02/16/2021.”

8VAC20-790-600-B

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) On the date of inspection, the record for Staff #1 (start date 08/23/2021) did not contain documentation of having completed the Virginia Department of Education-sponsored 10-hour orientation course.”

8VAC20-780-70

“Based on record review, staff records did not contain all required information. Evidence: 1) On the date of inspection, the record for Staff #1 (Start date 08/23/2021) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-780-510-L

“Based on observation and interview with staff, the center did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Medication was observed being stored in a lower compartment of a desk in the lobby area. This compartment was not locked and did not have a locking mechanism to prevent access by children. 2) Staff #4 confirmed that the compartment where the medication was kept did not have a locking mechanism.”

22.1-289.035-B-2

“Based on record review, the center did not ensure that fingerprint-based criminal history check determination letter was obtained every five years for employees. Evidence: 1) The record for Staff #2 had a fingerprint-based criminal history check determination letter dated 09/21/2018.”

8VAC20-780-420-E-3

“Based on record review, the center did not request at least annually parent confirmation that the required information in the child's record is up to date. Evidence: 1) The most recent review of the emergency information documented in the record for Child #1 was dated 09/16/2021.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: 1) The record for Child #1 and Child #2 did not contain the addresses for two designated people to call in an emergency if a parent cannot be reached. 2) The record for Child #1 did not contain the work phone number for one parent and the first date of attendance.”

8VAC20-780-40-M

“Based on observation, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: 1) On the date of inspection, the allergy list available for review on Early Foundations Preschool room was dated 09/20/2022. The allergy list available for review on Discovery Preschool room was dated 03/2023.”

8VAC20-780-160-C

“Based on record review, the center did not ensure that employees obtain and submit the results of a follow-up tuberculosis (Tb) screening at least every two years. Evidence: 1) The Tb screening form in the record for Staff #2 was dated 02/16/2021.”

8VAC20-790-600-B

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) On the date of inspection, the record for Staff #1 (start date 08/23/2021) did not contain documentation of having completed the Virginia Department of Education-sponsored 10-hour orientation course.”

8VAC20-780-80-A

“Based on documentation review, the center did not keep an accurate written record of children in attendance each day. Evidence: 1) At the time of entrance, 8 children were in care in the PreK -B classroom. The attendance record had documented that only 7 children were in care. 2) At the time of entrance, 27 children were in care in the School agers classroom. The attendance record had documented that only 25 children were in care.”

8VAC20-780-160-A

“Based on record review, the center did not ensure that employees obtain and submit the results of a tuberculosis (Tb) screening at the time of employment and prior to coming into contact with children. Evidence: 1) The record for Staff #5 (start date 08/17/2022) did not contain the results of a Tb screening.”

8VAC20-770-60-B

“Based on record review, the center did not ensure to obtain a completed Sworn Statement prior to first day of employment. Evidence: 1) On the date of inspection, the record for Staff #4 did not contain a completed Sworn Statement.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that employees complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The records for Staff #4 (start date 08/29/2022) and Staff #5 (start date 08/17/2022) did not contain evidence of having completed the Virginia Department of Education-sponsored orientation course.”

8VAC20-780-240-B

“Based on record review, staff did not complete required orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1) The record for Staff #4 (start date 08/29/2022) did not contain documentation that the employee completed orientation training as required.”

8VAC20-780-510-P

“Based on medication review, the center did not ensure that medication for which an authorization has expired was returned to the parents or the authorization was renewed. Evidence: 1) The medication authorizations expiration date for two medications for Child #6 were dated 05/12/2023.”

8VAC20-780-420-E-3

“Based on record review, the center did not request, at least annually, parent confirmation that the required information in the child's record is up to date. Evidence: 1) The most recent review of the emergency information documented in the record for Child #3 was dated 04/07/2022.”

8VAC20-780-510-F

“Based on medication and documentation review, the center did not ensure that a medication authorization is available to staff. Evidence: 1) An allergy medication for Child #7 was observed on the center on the date of inspection. No medication authorization was available for that medication.”

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

“Based on record review, children's records did not contain all required information. Evidence: 1) On the date of inspection, the record for Child #1 did not contain the last date of attendance. Child #1 last day in the center was 02/24/2023.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1) The record for Child #2 (start date 06/04/2020) did not contain documentation of immunizations.”

8VAC20-780-140-A

“Based on record review, the center did not ensure that each child has a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1) The record for Child #2 (start date 06/04/2020) did not contain the results of a physical examination.”

8VAC20-780-40-K

“Based on documentation review and interview with staff, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: 1) On the date of inspection, written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness were not available for review. 2) Staff #8 stated that the center has not developed these procedures.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: 1) The records for Child #1 and Child #2 did not contain the work phone number for one parent that has custody. The records for Child #3 and Child #4 did not contain the work phone number for both parents that have custody. 2) The record for Child #2 did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-240-C

“Based on record review, staff's orientation training did not include all required topics. Evidence: 1) The orientation training log in the records for Staff #1 and Staff #2 did not contain documentation that staff had been trained in prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-245-J-3

“Based on medication and record review, the center failed to ensure that any child for whom emergency medications have been prescribed is always in the care of a staff member with medication administration certification. Evidence: 1) Child #1 and Child #2 had been prescribed emergency medication and it is kept in the center. Child #1 and Child #2 are assigned to be under the care of Staff #4 and Staff #5. Staff #4 and Staff #5 are not certified in medication administration.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a safe condition. Evidence: 1) The stall dividers in the children's bathrooms showed rust along some of their borders. Areas with rust were at a low level, within children's reach.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Early Foundations Preschool room, a plastic box with diaper cream containers was observed on a windowsill within reach of children. 2) In the woman's bathroom and the men's bathroom that are located in the hallway in front of the toddler's room, rat glue traps were observed on the floor behind the toilets. Both bathrooms were unlocked. 3) In the Toddler's room, cleaning products were observed inside a cabinet under the changing table. The lock on the door to this cabinet did not work leaving these cleaning products accessible to children.”

8VAC20-780-420-E-3

“Based on record review, the center did not request at least annually parent confirmation that the required information in the child's record is up to date. Evidence: 1) The most recent review of the emergency information documented in the record for Child #1 was dated 08/04/2021 and in the record for Child #4 was dated 08/10/2018.”

8VAC20-780-500-A

“Based on observation, staff did not wash children's hands when required. Evidence: 1) On the date of inspection, the inspector observed Staff #1 change the diaper of a child. After Staff #1 was done, she put the child on the floor and the child went on to play with other children. Staff #1 did not wash the child's hands.”

8VAC20-780-500-B

“Based on observation and interview with staff, the diapering area did not meet all requirements. Evidence: 1) The diapering area shall be a changing table or countertop designated for changing - On the date of inspection, the inspector observed in the Early Foundations Preschool room when Staff #1 changed the diaper of a child. The surface that Staff #1 used for diapering was on a sleeping cot that was at the top of a pile of approximately 20 cots. 2) The diapering surface shall be used only for diapering or cleaning children. - Sleeping cots will later be used by children to take their nap. Staff #3 stated that sometimes once the child wakes up, they would change their diaper on their sleeping cot.”

8VAC20-780-510-G

“Based on medication review, 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. Evidence: 1) On the date of inspection, two inhalers for Child #2 were not labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.”

8VAC20-780-510-P

“Based on medication review, the center failed to ensure that when an authorization for medication expires, medication is picked up by the parent within 14 days. Evidence: 1) On the date of inspection, the authorization form for one medication for Child #2 showed an expiration date of 11/18/2022. The medication was still in the center.”

8VAC20-780-560-F

“Based on documentation review, the menu listing foods to be served for meals and snacks during the current one-week period did not meet all requirements. Evidence: 1) The one-week period menu was not dated. 2) The menu did not list substituted food. The menu listed today's lunch as pinto & black beans, flour tortilla, green peppers, corn & shredded carrots, fresh oranges, and milk. Lunch served today was turkey patties, mashed potatoes, gravy, grapes and milk.”

8VAC20-780-440-E

“Based on observation, the required 12 inches of space between occupied cots was not maintained. Evidence: 1) On the date of inspection, the inspector observed in the infant room, three cribs that were occupied. These three cribs were placed one right next to the other without the required separation in between.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1) The record for Child #2 (start date 06/04/2020) did not contain documentation of immunizations.”

8VAC20-780-140-A

“Based on record review, the center did not ensure that each child has a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1) The record for Child #2 (start date 06/04/2020) did not contain the results of a physical examination.”

8VAC20-780-40-K

“Based on documentation review and interview with staff, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: 1) On the date of inspection, written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness were not available for review. 2) Staff #8 stated that the center has not developed these procedures.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: 1) The records for Child #1 and Child #2 did not contain the work phone number for one parent that has custody. The records for Child #3 and Child #4 did not contain the work phone number for both parents that have custody. 2) The record for Child #2 did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-240-C

“Based on record review, staff's orientation training did not include all required topics. Evidence: 1) The orientation training log in the records for Staff #1 and Staff #2 did not contain documentation that staff had been trained in prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-245-J-3

“Based on medication and record review, the center failed to ensure that any child for whom emergency medications have been prescribed is always in the care of a staff member with medication administration certification. Evidence: 1) Child #1 and Child #2 had been prescribed emergency medication and it is kept in the center. Child #1 and Child #2 are assigned to be under the care of Staff #4 and Staff #5. Staff #4 and Staff #5 are not certified in medication administration.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a safe condition. Evidence: 1) The stall dividers in the children's bathrooms showed rust along some of their borders. Areas with rust were at a low level, within children's reach.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the Early Foundations Preschool room, a plastic box with diaper cream containers was observed on a windowsill within reach of children. 2) In the woman's bathroom and the men's bathroom that are located in the hallway in front of the toddler's room, rat glue traps were observed on the floor behind the toilets. Both bathrooms were unlocked. 3) In the Toddler's room, cleaning products were observed inside a cabinet under the changing table. The lock on the door to this cabinet did not work leaving these cleaning products accessible to children.”

8VAC20-780-420-E-3

“Based on record review, the center did not request at least annually parent confirmation that the required information in the child's record is up to date. Evidence: 1) The most recent review of the emergency information documented in the record for Child #1 was dated 08/04/2021 and in the record for Child #4 was dated 08/10/2018.”

8VAC20-780-500-A

“Based on observation, staff did not wash children's hands when required. Evidence: 1) On the date of inspection, the inspector observed Staff #1 change the diaper of a child. After Staff #1 was done, she put the child on the floor and the child went on to play with other children. Staff #1 did not wash the child's hands.”

8VAC20-780-500-B

“Based on observation and interview with staff, the diapering area did not meet all requirements. Evidence: 1) The diapering area shall be a changing table or countertop designated for changing - On the date of inspection, the inspector observed in the Early Foundations Preschool room when Staff #1 changed the diaper of a child. The surface that Staff #1 used for diapering was on a sleeping cot that was at the top of a pile of approximately 20 cots. 2) The diapering surface shall be used only for diapering or cleaning children. - Sleeping cots will later be used by children to take their nap. Staff #3 stated that sometimes once the child wakes up, they would change their diaper on their sleeping cot.”

8VAC20-780-510-G

“Based on medication review, 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. Evidence: 1) On the date of inspection, two inhalers for Child #2 were not labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.”

8VAC20-780-510-P

“Based on medication review, the center failed to ensure that when an authorization for medication expires, medication is picked up by the parent within 14 days. Evidence: 1) On the date of inspection, the authorization form for one medication for Child #2 showed an expiration date of 11/18/2022. The medication was still in the center.”

8VAC20-780-560-F

“Based on documentation review, the menu listing foods to be served for meals and snacks during the current one-week period did not meet all requirements. Evidence: 1) The one-week period menu was not dated. 2) The menu did not list substituted food. The menu listed today's lunch as pinto & black beans, flour tortilla, green peppers, corn & shredded carrots, fresh oranges, and milk. Lunch served today was turkey patties, mashed potatoes, gravy, grapes and milk.”

8VAC20-780-440-E

“Based on observation, the required 12 inches of space between occupied cots was not maintained. Evidence: 1) On the date of inspection, the inspector observed in the infant room, three cribs that were occupied. These three cribs were placed one right next to the other without the required separation in between.”

8VAC20-820-120-E-2

“Based on review of required posted documents, the center did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (04/2022) were not posted.”

22.1-289.035-B-4

“Based on review of documentation submitted electronically by the center and interview with the center's director, it was determined that the center did not ensure that employees that had lived out of the state of VA within the last 5 years have in their files the result of an out-of-state Central Registry search request within 30 days of employment. Evidence: 1) In the sworn statement submitted for review from Staff #5's record (start date 08/15/2020), Staff #5 had declared having lived out of the state of VA within the last 5 years before employment. The center's director stated that an out-of-state Central Registry search had not been requested for Staff #5.”

8VAC20-780-160-A

“Based on review of documentation submitted electronically by the center, the documentation of a negative tuberculosis screening in the records for two staff persons did not meet the requirements. Evidence: 1) The documentation shall have been completed within the last 30 calendar days of the date of employment: A chest x-ray report submitted for review from Staff #1's record (start date 05/02/2022) was dated 09/17/2021. 2) Documentation of the screening shall be submitted at the time of employment: The screening form submitted for review from Staff #5's record (start date 08/15/2020) was dated 11/18/2020.”

8VAC20-780-60-A

“Based on review of documentation submitted electronically by the center, children's records did not contain all required information. Evidence: 1) Documentation submitted for review from the records for Child #1 and Child #4 did not contain a work phone number of each parent who has custody. 2) Documentation submitted for review from the records for Child #2 and Child #3 did not contain work phone number and place of employment of each parent who has custody.”

8VAC20-780-240-I

“Based on review of documentation submitted electronically by the center, documentation of orientation training did not meet all requirements. Evidence: 1) The orientation training checklist submitted for review from Staff #5's record did not contain the date the training was completed.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the kangaroos room hand sanitizer and diaper cream were observed on top on shelves that are within reach of children. 2) In the woman's bathroom and the men's bathroom that are located in the hallway in front of the toddler's room, rat glue traps were observed on the floor behind the toilets. Both bathrooms were unlocked.”

8VAC20-780-560-F

“Based on observation and documentation review, requirements when centers choose to provide meals were not met. Evidence: 1) On the date of inspection, the inspector observed that the lunch being served to the children consisted of spaghetti, green peas and mandarin slices. 2) The one-week period menu posted at the center showed different components for lunch that day. The menu did not list any substituted food.”

8VAC20-820-120-E-2

“Based on review of required posted documents, the center did not ensure that all required documents related to the terms of the license were posted on the premises of the program. Evidence: 1) On the date of inspection, the findings of the most recent inspection of the facility (04/2022) were not posted.”

22.1-289.035-B-4

“Based on review of documentation submitted electronically by the center and interview with the center's director, it was determined that the center did not ensure that employees that had lived out of the state of VA within the last 5 years have in their files the result of an out-of-state Central Registry search request within 30 days of employment. Evidence: 1) In the sworn statement submitted for review from Staff #5's record (start date 08/15/2020), Staff #5 had declared having lived out of the state of VA within the last 5 years before employment. The center's director stated that an out-of-state Central Registry search had not been requested for Staff #5.”

8VAC20-780-160-A

“Based on review of documentation submitted electronically by the center, the documentation of a negative tuberculosis screening in the records for two staff persons did not meet the requirements. Evidence: 1) The documentation shall have been completed within the last 30 calendar days of the date of employment: A chest x-ray report submitted for review from Staff #1's record (start date 05/02/2022) was dated 09/17/2021. 2) Documentation of the screening shall be submitted at the time of employment: The screening form submitted for review from Staff #5's record (start date 08/15/2020) was dated 11/18/2020.”

8VAC20-780-60-A

“Based on review of documentation submitted electronically by the center, children's records did not contain all required information. Evidence: 1) Documentation submitted for review from the records for Child #1 and Child #4 did not contain a work phone number of each parent who has custody. 2) Documentation submitted for review from the records for Child #2 and Child #3 did not contain work phone number and place of employment of each parent who has custody.”

8VAC20-780-240-I

“Based on review of documentation submitted electronically by the center, documentation of orientation training did not meet all requirements. Evidence: 1) The orientation training checklist submitted for review from Staff #5's record did not contain the date the training was completed.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In the kangaroos room hand sanitizer and diaper cream were observed on top on shelves that are within reach of children. 2) In the woman's bathroom and the men's bathroom that are located in the hallway in front of the toddler's room, rat glue traps were observed on the floor behind the toilets. Both bathrooms were unlocked.”

8VAC20-780-560-F

“Based on observation and documentation review, requirements when centers choose to provide meals were not met. Evidence: 1) On the date of inspection, the inspector observed that the lunch being served to the children consisted of spaghetti, green peas and mandarin slices. 2) The one-week period menu posted at the center showed different components for lunch that day. The menu did not list any substituted food.”

8VAC20-780-550-P Complaint related: Yes

“Based on interviews and review of documentation, the center did not maintain a written record of children's minor injuries in which entries are made the day of occurrence. Evidence: 1) During a telephonic interview, Adult #1 stated that on 03/15/2022, Child #1 told them that they fell and bumped their head earlier on that day. Adult #1 stated that, at pickup time, they were not informed of the incident and did not receive an injury report. 3) During an interview on the date of inspection, Staff #1 stated that on 03/15/2022, Child #1 came and said that they had bumped their head. Staff #1 stated that they did not fill out an incident report that day (03/15/2022); that they completed an incident report the next day when Adult #1 requested it.”

8VAC20-780-550-O Complaint related: Yes

“Based on interviews with a parent and center staff, the center did not notify the parent by the end of the day of any known minor injuries. Evidence: 1) In a telephone interview, Adult #1 stated that on 03/15/2022 afternoon, they noticed a bump on Child #1's head. Child #1 stated that they had tripped earlier in the classroom and bumped their head. Adult #1 stated that they were not informed of the incident when they went to pick up Child #1. Adult #1 went to the center the next morning to inquire about the incident and was told by Staff #1 that on 03/15/2022, Child #1 had reported that they fell and bumped their head. 2) In an interview with Staff #1, they stated that on 03/15/2022, Child #1 came and said that they had bumped their head. Staff #1 stated that they "briefly looked at it" and they did not notice a bump on Child #1 's head and that Child #1 was not crying or complaining.”

8VAC20-780-260-A

“Based on documentation review, the center did not provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1) The most recent fire inspection report available for review was dated 11/20/2020.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1) On the date of inspection, areas of the center were visibly dirty and in disrepair. The inspector observed the following: a) In the Sloth pad room (4-5-6 year olds), an used face mask was laying on a table and there were visible marks of dirt on the walls. b) In the hallway closet in front of the teachers bathroom, there was dust accumulating on the floor along the door and corner inside the closet. c) In the Discovery preschool room and the Toddler room, visible dirt marks were observed on the backsplash of the counters on both rooms. d) In the playground area, in areas along the outside wall of the center: there were cobwebs, and areas of the siding that were broken, dirty or loose. A great amount of leaves was observed on the playground that almost covered the seating areas and tables. The bump pad around the basketball hoop base had slid down and was in a position were it was not covering the pole to protect from bumps. Along the wall of the hallway that connects to the preschool room, unused equipment was collecting dust, cobwebs and leaves. This is an eyesore and possible tripping hazard for the children.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) On the date of inspection, the inspector observed bottles of disinfectant cleaner and bleach on a lower shelf in the women's teacher bathroom. In the men's teacher bathroom, a mouse trap was observed on the floor on a corner. Both these bathrooms are located in a hallway that leads to the preschool classroom. The doors to both these bathrooms were unlocked.”

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

“Based on documentation review and interview with staff, the center did not maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1) On the date of inspection, an accurate written record of children's injuries was not available for review. The inspector requested the "injury report log" to review and the facility representative was able to locate only two reports. (12/01/2021 and 12/06/2021)”

8VAC20-780-260-A

“Based on documentation review, the center did not provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1) The most recent fire inspection report available for review was dated 11/20/2020.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1) On the date of inspection, areas of the center were visibly dirty and in disrepair. The inspector observed the following: a) In the Sloth pad room (4-5-6 year olds), an used face mask was laying on a table and there were visible marks of dirt on the walls. b) In the hallway closet in front of the teachers bathroom, there was dust accumulating on the floor along the door and corner inside the closet. c) In the Discovery preschool room and the Toddler room, visible dirt marks were observed on the backsplash of the counters on both rooms. d) In the playground area, in areas along the outside wall of the center: there were cobwebs, and areas of the siding that were broken, dirty or loose. A great amount of leaves was observed on the playground that almost covered the seating areas and tables. The bump pad around the basketball hoop base had slid down and was in a position were it was not covering the pole to protect from bumps. Along the wall of the hallway that connects to the preschool room, unused equipment was collecting dust, cobwebs and leaves. This is an eyesore and possible tripping hazard for the children.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) On the date of inspection, the inspector observed bottles of disinfectant cleaner and bleach on a lower shelf in the women's teacher bathroom. In the men's teacher bathroom, a mouse trap was observed on the floor on a corner. Both these bathrooms are located in a hallway that leads to the preschool classroom. The doors to both these bathrooms were unlocked.”

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

“Based on documentation review and interview with staff, the center did not maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1) On the date of inspection, an accurate written record of children's injuries was not available for review. The inspector requested the "injury report log" to review and the facility representative was able to locate only two reports. (12/01/2021 and 12/06/2021)”

8VAC20-780-260-A

“Based on documentation review, the center did not provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1) The most recent fire inspection report available for review was dated 11/20/2020.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1) On the date of inspection, areas of the center were visibly dirty and in disrepair. The inspector observed the following: a) In the Sloth pad room (4-5-6 year olds), an used face mask was laying on a table and there were visible marks of dirt on the walls. b) In the hallway closet in front of the teachers bathroom, there was dust accumulating on the floor along the door and corner inside the closet. c) In the Discovery preschool room and the Toddler room, visible dirt marks were observed on the backsplash of the counters on both rooms. d) In the playground area, in areas along the outside wall of the center: there were cobwebs, and areas of the siding that were broken, dirty or loose. A great amount of leaves was observed on the playground that almost covered the seating areas and tables. The bump pad around the basketball hoop base had slid down and was in a position were it was not covering the pole to protect from bumps. Along the wall of the hallway that connects to the preschool room, unused equipment was collecting dust, cobwebs and leaves. This is an eyesore and possible tripping hazard for the children.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) On the date of inspection, the inspector observed bottles of disinfectant cleaner and bleach on a lower shelf in the women's teacher bathroom. In the men's teacher bathroom, a mouse trap was observed on the floor on a corner. Both these bathrooms are located in a hallway that leads to the preschool classroom. The doors to both these bathrooms were unlocked.”

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

“Based on documentation review and interview with staff, the center did not maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1) On the date of inspection, an accurate written record of children's injuries was not available for review. The inspector requested the "injury report log" to review and the facility representative was able to locate only two reports. (12/01/2021 and 12/06/2021)”

8VAC20-780-260-A

“Based on documentation review, the center did not provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1) The most recent fire inspection report available for review was dated 11/20/2020.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1) On the date of inspection, areas of the center were visibly dirty and in disrepair. The inspector observed the following: a) In the Sloth pad room (4-5-6 year olds), an used face mask was laying on a table and there were visible marks of dirt on the walls. b) In the hallway closet in front of the teachers bathroom, there was dust accumulating on the floor along the door and corner inside the closet. c) In the Discovery preschool room and the Toddler room, visible dirt marks were observed on the backsplash of the counters on both rooms. d) In the playground area, in areas along the outside wall of the center: there were cobwebs, and areas of the siding that were broken, dirty or loose. A great amount of leaves was observed on the playground that almost covered the seating areas and tables. The bump pad around the basketball hoop base had slid down and was in a position were it was not covering the pole to protect from bumps. Along the wall of the hallway that connects to the preschool room, unused equipment was collecting dust, cobwebs and leaves. This is an eyesore and possible tripping hazard for the children.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) On the date of inspection, the inspector observed bottles of disinfectant cleaner and bleach on a lower shelf in the women's teacher bathroom. In the men's teacher bathroom, a mouse trap was observed on the floor on a corner. Both these bathrooms are located in a hallway that leads to the preschool classroom. The doors to both these bathrooms were unlocked.”

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

“Based on documentation review and interview with staff, the center did not maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1) On the date of inspection, an accurate written record of children's injuries was not available for review. The inspector requested the "injury report log" to review and the facility representative was able to locate only two reports. (12/01/2021 and 12/06/2021)”