KinderCare Learning Centers #1468

8VAC20-780-140-B

“If the child has had a physical examination prior to attendance, it shall be within 12 months prior to attendance for children two years of age through five years of age. The record for child #1 (age 3 years) contained a physical examination dated two years and eight months prior to attendance.”

8VAC20-780-280-B

“Repeat Violation and Systemic Deficiency Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. The laundry room door located in the two year old classroom was not locked, sanitizing solution and paint were within reach of children.”

8VAC20-780-320-B

“Each restroom area provided for children shall have sinks located near the toilets and that are supplied with running warm water that does not exceed 120 degrees Fahrenheit. In the three year old classroom and the two year old classroom, the warm water temperature was approximately 137 degrees Fahrenheit.”

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water not to exceed 120 degrees Fahrenheit. The sinks located in the diapering areas in the Infant classrooms, used to wash infants hands, were approximately 134 degrees Fahrenheit.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside, are maintained in a clean, safe and operable condition. In the 2 year old classroom, a knob was a missing from a play kitchen exposing a sharp screw.”

8VAC20-780-140-B

“If the child has had a physical examination prior to attendance, it shall be within 12 months prior to attendance for children two years of age through five years of age. The record for child #1 (age 3 years) contained a physical examination dated two years and eight months prior to attendance.”

8VAC20-780-280-B

“Repeat Violation and Systemic Deficiency Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. The laundry room door located in the two year old classroom was not locked, sanitizing solution and paint were within reach of children.”

8VAC20-780-320-B

“Each restroom area provided for children shall have sinks located near the toilets and that are supplied with running warm water that does not exceed 120 degrees Fahrenheit. In the three year old classroom and the two year old classroom, the warm water temperature was approximately 137 degrees Fahrenheit.”

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water not to exceed 120 degrees Fahrenheit. The sinks located in the diapering areas in the Infant classrooms, used to wash infants hands, were approximately 134 degrees Fahrenheit.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside, are maintained in a clean, safe and operable condition. In the 2 year old classroom, a knob was a missing from a play kitchen exposing a sharp screw.”

8VAC20-780-570-E

“Based on observation, prepared infant formula was not dated. Evidence: 1. In the Infant B classroom refrigerator, three (3) infant formula bottles for Child # 9 were not dated.”

8VAC20-780-520-C

“Based on observation, diaper cream was observed accessible to children. Evidence: 1. In the Discovery Preschool B classroom five (5) ,diaper ointments were observed in an unlocked cabinet under the changing table accessible to children. 2. In the Infant B classroom, six (6) diaper ointments were observed in an unlocked cabinet under the changing table accessible to children.”

8VAC20-780-520-A

“Based on observation, over the counter skin products were kept beyond their expiration dates. Evidence: 1. In the Discovery Preschool B classroom, five (5) expired diaper creams were observed in the bin under the diaper changing table.”

8VAC20-780-500-B

“REPEAT VIOLATION and SYSTEMIC DEFICIENCY Based on observation, the diapering surface was not used only for diapering or cleaning children. Evidence: 1. The diapering surface in the Discovery Preschool B classroom was used to store children's clothes and shoes during the time of the inspection.”

8VAC20-780-280-B

“REPEAT VIOLATION and SYSTEMIC DEFICIENCY Based on observation hazardous substances were not kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. In the School age classroom, fourteen (14) bottles of cleaning supplies were observed on lower shelves in an unlocked cabinet. 2. In the first bathroom in the School age classroom, one (1) bottle of cleaning spray was observed on the high shelf above the sink. 3. In the second bathroom in the School age classroom, one (1) bottle of cleaning spray was observed on the high shelf above the sink. 4. In the Pre-K classroom, one (1) bottle of cleaning spray was observed on top of a cabinet. 5. In the first bathroom in the Pre-K classroom, two (2) bottles of cleaning spray were observed on the high shelf above the sink. 6. In the second bathroom in the Pre-K classroom, three (3) bottles of cleaning spray were observed on the high shelf above the sink. 7. In the Discovery Preschool A classroom, one (1) bottle of cleaning spray was observed on top of the cubbies,”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, outside, were maintained in a clean, safe, and operable condition. Evidence: 1. On the Toddler playground, a plastic storage shed was observed having broken and detached doors exposing sharp pieces of plastic at the top.”

8VAC20-780-570-E

“Based on observation, prepared infant formula was not dated. Evidence: 1. In the Infant B classroom refrigerator, three (3) infant formula bottles for Child # 9 were not dated.”

8VAC20-780-520-C

“Based on observation, diaper cream was observed accessible to children. Evidence: 1. In the Discovery Preschool B classroom five (5) ,diaper ointments were observed in an unlocked cabinet under the changing table accessible to children. 2. In the Infant B classroom, six (6) diaper ointments were observed in an unlocked cabinet under the changing table accessible to children.”

8VAC20-780-520-A

“Based on observation, over the counter skin products were kept beyond their expiration dates. Evidence: 1. In the Discovery Preschool B classroom, five (5) expired diaper creams were observed in the bin under the diaper changing table.”

8VAC20-780-500-B

“REPEAT VIOLATION and SYSTEMIC DEFICIENCY Based on observation, the diapering surface was not used only for diapering or cleaning children. Evidence: 1. The diapering surface in the Discovery Preschool B classroom was used to store children's clothes and shoes during the time of the inspection.”

8VAC20-780-280-B

“REPEAT VIOLATION and SYSTEMIC DEFICIENCY Based on observation hazardous substances were not kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. In the School age classroom, fourteen (14) bottles of cleaning supplies were observed on lower shelves in an unlocked cabinet. 2. In the first bathroom in the School age classroom, one (1) bottle of cleaning spray was observed on the high shelf above the sink. 3. In the second bathroom in the School age classroom, one (1) bottle of cleaning spray was observed on the high shelf above the sink. 4. In the Pre-K classroom, one (1) bottle of cleaning spray was observed on top of a cabinet. 5. In the first bathroom in the Pre-K classroom, two (2) bottles of cleaning spray were observed on the high shelf above the sink. 6. In the second bathroom in the Pre-K classroom, three (3) bottles of cleaning spray were observed on the high shelf above the sink. 7. In the Discovery Preschool A classroom, one (1) bottle of cleaning spray was observed on top of the cubbies,”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, outside, were maintained in a clean, safe, and operable condition. Evidence: 1. On the Toddler playground, a plastic storage shed was observed having broken and detached doors exposing sharp pieces of plastic at the top.”

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

“Based on observation, the center failed to have the required staff-to children ratios whenever children were in care. Evidence: 1. On 5/9/2024 Staff #7 was alone in the Discovery Preschool classroom (2 year olds) and out of ratio from approximately 7:58am-8:05am with 10 children. 2. Staff #5 arrived in the classroom at approximately 8:05am.”

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

“REPEAT VIOLATION Based on record review, not all records contain the required information. Evidence: 1. The record for Child #1 does not contain proof of the child's identity and age.”

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

“REPEAT VIOLATION Based on record review, the center did not obtain documentation of a physical examination before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. Child #1 (date of enrollment 03/05/2024) did not have a physical examination on record available for review.”

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

“REPEAT VIOLATION Based on record review, the center 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: 1. Child #1 (date of enrollment 03/05/2024) did not have an immunization record on file available for review.”

8VAC20-780-350-B-4 Complaint related: Yes

“Based on observation, the center failed to have the required staff-to children ratios whenever children were in care. Evidence: 1.On 05/09/2024 Staff #3 was alone and out of ratio in the Preschool classroom (3 year olds) from approximately 7:42am until 8:20am with: -12 children from approximately 7:42am until 7:45am. -15 children from approximately 7:46am until 7:49am. -17 Children from approximately 7:53am until 8:20am. 2.On 05/09/2024 Staff #2 was alone and out of ratio in the Pre-K classroom (4 - 5 year olds) with 12 children from approximately 8:28am ? 8:30 am. Staff #9 arrived at approximately 8:30am.”

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

“REPEAT VIOLATION Based on observation, the diapering surface was not used only for diapering or cleaning children. Evidence: 1. The diapering surface in the Discovery Preschool class was used to store a laptop and a clip board during the time of the inspection.”

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

“REPEAT VIOLATION Based on observation, the center failed to have the required staff-to children ratios whenever children were in care. Evidence: 1. On 05/09/2024 The Discovery Preschool classroom (2 year olds) was out of ratio from approximately 7:36am until 7:58am. There were 3 children under the age of two present. Staff #1 was alone and out of ratio with: -6 children from approximately 7:36am -until 7:42am -11 children from approximately 7:42am until 7:44am 2. Staff #7 entered the room at approximately 7:44am. 3. Staff #1 left the room at approximately 7:50am. 4. Staff #7 was alone and out of ratio with 14 children from approximately 7:50am until 7:58am. Staff #1 returned to the classroom at approximately 7:58am.”

8VAC20-780-550-B

“Based on review of emergency procedures, the emergency preparedness plan was not updated and reviewed and updated. Evidence: The emergency preparedness plan was last updated 9/12/22.”

8VAC20-780-350-B-2

“Based on observation, staff to children ratios were not met. Evidence: In the Toddler classroom, there was not a ratio of one staff to five children. There was one staff to six children aged 16-24 months.”

8VAC20-780-130-A

“Based on review of children's records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child first day of attendance. Evidence: The record for child #2 (first day of attendance7/9/23) does not have documentation of receiving immunizations.”

8VAC20-780-140-A

“Based on review of children's records the center did not contain a complete record for each child enrolled in the program. Evidence: The record for child #2,4,5 did not contain documentation of a physical examination within 30 days of attendance. Child #2 first day of attendance 7/9/23. Child #4 first day of attendance 7/7/23. Child #5 first day of attendance 6/6/22.”

8VAC20-780-160-C

“Based on review of staff records, at least every two years from the date of the initial screening, staff did not obtain and submit the records of a tuberculosis (TB) screening. Evidence: The records for staff #1 and #2 did not contain the results of follow-up tuberculosis (TB) screening. Documentation was expired.”

8VAC20-780-280-B

“Repeat Violation Based on observation hazardous substances were not kept in a locked place using a safe locking method that prevented access by children. Evidence: The laundry room door located in Preschool Discover 1 was not locked. Potential hazardous materials were accessible to children.”

8VAC20-780-60-A

“Based on review of children's records, the center did not maintain a complete record for each child enrolled in the program. Evidence: The record for child #2 did not contain documentation that the original proof of identity was reviewed. The record for child #4, 6 & 7 did not contain documentation of complete emergency contact information. The record for child #7 did not contain documentation if there were persons authorized to pick up child.”

8VAC20-780-245-L

“Based on discussion with staff #3 there is not always one staff member on duty who has obtained within the last three years instruction in performing the daily health observation(DHO) of children. Evidence: Staff #3 confirmed only one staff member is daily health observation trained.”

8VAC20-780-550-G

“Based on a review of emergency procedures, there was no documentation of emergency evacuation drills conducted July 2023 - November 2023. Evidence: Emergency evacuation drills were not documented from July 2023 to November 2023.”

8VAC20-780-370-5

“Based on review of infants daily schedule infants who can not turn themselves over and are awake were not placed on their stomachs for 30 minutes a day. Evidence Infant #1 had no documentation of tummy time for the week of 11/27/23.”

8VAC20-780-550-B

“Based on review of emergency procedures, the emergency preparedness plan was not updated and reviewed and updated. Evidence: The emergency preparedness plan was last updated 9/12/22.”

8VAC20-780-350-B-2

“Based on observation, staff to children ratios were not met. Evidence: In the Toddler classroom, there was not a ratio of one staff to five children. There was one staff to six children aged 16-24 months.”

8VAC20-780-130-A

“Based on review of children's records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child first day of attendance. Evidence: The record for child #2 (first day of attendance7/9/23) does not have documentation of receiving immunizations.”

8VAC20-780-140-A

“Based on review of children's records the center did not contain a complete record for each child enrolled in the program. Evidence: The record for child #2,4,5 did not contain documentation of a physical examination within 30 days of attendance. Child #2 first day of attendance 7/9/23. Child #4 first day of attendance 7/7/23. Child #5 first day of attendance 6/6/22.”

8VAC20-780-160-C

“Based on review of staff records, at least every two years from the date of the initial screening, staff did not obtain and submit the records of a tuberculosis (TB) screening. Evidence: The records for staff #1 and #2 did not contain the results of follow-up tuberculosis (TB) screening. Documentation was expired.”

8VAC20-780-280-B

“Repeat Violation Based on observation hazardous substances were not kept in a locked place using a safe locking method that prevented access by children. Evidence: The laundry room door located in Preschool Discover 1 was not locked. Potential hazardous materials were accessible to children.”

8VAC20-780-60-A

“Based on review of children's records, the center did not maintain a complete record for each child enrolled in the program. Evidence: The record for child #2 did not contain documentation that the original proof of identity was reviewed. The record for child #4, 6 & 7 did not contain documentation of complete emergency contact information. The record for child #7 did not contain documentation if there were persons authorized to pick up child.”

8VAC20-780-245-L

“Based on discussion with staff #3 there is not always one staff member on duty who has obtained within the last three years instruction in performing the daily health observation(DHO) of children. Evidence: Staff #3 confirmed only one staff member is daily health observation trained.”

8VAC20-780-550-G

“Based on a review of emergency procedures, there was no documentation of emergency evacuation drills conducted July 2023 - November 2023. Evidence: Emergency evacuation drills were not documented from July 2023 to November 2023.”

8VAC20-780-370-5

“Based on review of infants daily schedule infants who can not turn themselves over and are awake were not placed on their stomachs for 30 minutes a day. Evidence Infant #1 had no documentation of tummy time for the week of 11/27/23.”

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

“Based on review of written records of children's serious and minor injuries, not all records contained the required documentation. Evidence Two out of six written records of children's serious and minor injuries did not contain two signatures. Staff member and parent or two staff members.”

8VAC20-780-550-F

“Based on review of emergency procedures, a lockdown practice drill was not completed at lease annually. Evidence There was no documentation that a lockdown drill had been practiced within the past 12 months.”

8VAC20-780-550-G

“Based on review of emergency procedures, an emergency evacuation drill was not conducted every month and does not include the required documentation. Evidence An emergency evacuation drill was not conducted in the months of February and March 2023. The documentation of emergency drills does not include the method used for notification of the drill, problems encountered or weather conditions.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not cleaned with soap and at least room temperature water and sanitized after each use. Evidence Staff in the Discovery Preschool classroom did not clean and sanitize the diapering surface after each diaper change. The paper the child was laying on was changed and the surface was sprayed with soap and water, but was not sanitized after each use.”

8VAC20-780-500-A

“Based on observation children's hands were not washed with soap and running water after toileting. Staff did not wash their hands with soap and running water before and after a diaper change. Evidence Staff in the Discovery Preschool classroom did not wash their hand before or after a diaper change. Children did not wash their hands after a diaper change.”

8VAC20-780-420-E-3

“Based on review of 8 children's records, the center did not request at least annually parent confirmation that the required information in the child's record is up to date for two records. Evidence The required information for child #1 was last reviewed on 6/12/2021. The required information for child #2 was last reviewed on 8/17/2021.”

8VAC20-780-280-B

“Based on a visual inspection, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence The door to the laundry area, which contained cleaning materials, was unlocked making the hazardous substances accessible to children.”

8VAC20-780-270-A

“Based on a visual inspection, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence The bathroom in the Discovery Preschool classroom that the children use, there are diapers, diaper wipes, and boxes all over the floor. On the back wall of the Discovery Preschool classroom, black wall paper is peeling off the wall. On the side and back outdoor playground there is trash all over the ground, a ripped open trash bag, plastic cups, socks, shoes, and broken toys laying all round the area.”

8VAC20-780-60-A

“Based on review of 8 children's records, 1 does not have an address for two designated people to call in an emergency if a parent cannot be reached. Evidence The two emergency contacts for child #3 does not have an address listed.”

8VAC20-780-160-C

“Based on review of six staff records, at least every two years from the date of the first initial tuberculosis (TB) screen, staff did not submit the results of a follow up TB screening. Evidence The TB screening results in the file for staff #1 expired on 10/29/2022.”

8VAC20-780-550-F

“Based on review of emergency procedures, a lockdown practice drill was not completed at lease annually. Evidence There was no documentation that a lockdown drill had been practiced within the past 12 months.”

8VAC20-780-550-G

“Based on review of emergency procedures, an emergency evacuation drill was not conducted every month and does not include the required documentation. Evidence An emergency evacuation drill was not conducted in the months of February and March 2023. The documentation of emergency drills does not include the method used for notification of the drill, problems encountered or weather conditions.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not cleaned with soap and at least room temperature water and sanitized after each use. Evidence Staff in the Discovery Preschool classroom did not clean and sanitize the diapering surface after each diaper change. The paper the child was laying on was changed and the surface was sprayed with soap and water, but was not sanitized after each use.”

8VAC20-780-500-A

“Based on observation children's hands were not washed with soap and running water after toileting. Staff did not wash their hands with soap and running water before and after a diaper change. Evidence Staff in the Discovery Preschool classroom did not wash their hand before or after a diaper change. Children did not wash their hands after a diaper change.”

8VAC20-780-420-E-3

“Based on review of 8 children's records, the center did not request at least annually parent confirmation that the required information in the child's record is up to date for two records. Evidence The required information for child #1 was last reviewed on 6/12/2021. The required information for child #2 was last reviewed on 8/17/2021.”

8VAC20-780-280-B

“Based on a visual inspection, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence The door to the laundry area, which contained cleaning materials, was unlocked making the hazardous substances accessible to children.”

8VAC20-780-270-A

“Based on a visual inspection, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence The bathroom in the Discovery Preschool classroom that the children use, there are diapers, diaper wipes, and boxes all over the floor. On the back wall of the Discovery Preschool classroom, black wall paper is peeling off the wall. On the side and back outdoor playground there is trash all over the ground, a ripped open trash bag, plastic cups, socks, shoes, and broken toys laying all round the area.”

8VAC20-780-60-A

“Based on review of 8 children's records, 1 does not have an address for two designated people to call in an emergency if a parent cannot be reached. Evidence The two emergency contacts for child #3 does not have an address listed.”

8VAC20-780-160-C

“Based on review of six staff records, at least every two years from the date of the first initial tuberculosis (TB) screen, staff did not submit the results of a follow up TB screening. Evidence The TB screening results in the file for staff #1 expired on 10/29/2022.”

8VAC20-780-160-A

“Based on review of staff records, each staff member did not submit documentation of a negative tuberculosis screening by the first day of employment dated within 30 days prior. Evidence The tuberculosis screening for staff #1, first day of employment 2/9/2022, is dated 6/3/2021, which is not within 30 days of first day of employment.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept locked using a safe locking method that prevents access by children. Evidence A cabinet located in the main hallway that contained hazardous cleaning substances was unlocked making the items accessible to children.”

8VAC20-780-370-5

“Based on review of infant daily activities, documentation for infants who cannot turn themselves over and are awake, being placed on their stomachs a total of 30 minutes each day to facilitate upper body strength is not being recorded. Evidence No time was recorded of infants being placed on their stomachs for infants who cannot turn themselves over and are awake.”

8VAC20-780-440-B

“Based on observation, cots were not identified for use by a specific child. Evidence In the Infant B room, there were more children present, than labeled cribs. The cots located in the Two's classroom, were numbered but no corresponding list of names was available.”

8VAC20-780-500-B

“Based on observation and discussions with staff, the diapering surface is not being cleaned and sanitized according to licensing standards. Evidence The diapering surfaces in the Infant B classroom and the Two's classroom are not being cleaned and sanitized using the procedure required by the Virginia Licensing Standards. The diapering surface must be cleaned by spraying or dipping with a solution of soap and water, pat dry, then spray or dip with a solution of bleach and water to sanitize and allow to air dry.”

8VAC20-780-520-A

“Based on review of over the counter skin products, the center kept one beyond the expiration date of the product. Evidence In the Two's room an over the counter skin product was located in the diapering area for child #1, with an expiration date of 8/2022.”

8VAC20-780-550-D

“Based on review of the monthly practice evacuation drill log, the center did not implement a monthly practice drill. Evidence The is no documentation of a monthly practice evacuation drill for the months of April through December 2022.”

8VAC20-780-550-P

“Based on review of the center's written record of children's serious and minor injuries, the records are not complete. Evidence The accident reports reviewed from April 2022 to January 2023, not all contained the required information including: obtaining two signatures, date and time of accident, time and method parent was notified, and child's full name.”

8VAC20-780-560-G

“Based on observation, when food was brought from home it did not always include the child's full name or current date. Evidence In the Infant B classroom, there were four cups in the refrigerator that were not clearly dated and labeled in a way that identified the owner; Staff confirmed the cups were full when brought in from home.”

8VAC20-780-520-C

“Based on review of diaper ointment or cream, not all products are labeled with a child's name. Diaper ointments or creams were located in an area that is accessible to children. Evidence Diaper ointment or cream in the Infant B classroom was not labeled with a child's name. Diaper ointments or creams in the Infant A classroom, the Two's classroom, and the Toddler's classroom were located in the cabinet under the diapering area that is accessible to children. The cabinet does not need to be locked, but the ointments or creams need to be inaccessible to children.”

8VAC20-780-160-A

“Based on review of staff records, each staff member did not submit documentation of a negative tuberculosis screening by the first day of employment dated within 30 days prior. Evidence The tuberculosis screening for staff #1, first day of employment 2/9/2022, is dated 6/3/2021, which is not within 30 days of first day of employment.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept locked using a safe locking method that prevents access by children. Evidence A cabinet located in the main hallway that contained hazardous cleaning substances was unlocked making the items accessible to children.”

8VAC20-780-370-5

“Based on review of infant daily activities, documentation for infants who cannot turn themselves over and are awake, being placed on their stomachs a total of 30 minutes each day to facilitate upper body strength is not being recorded. Evidence No time was recorded of infants being placed on their stomachs for infants who cannot turn themselves over and are awake.”

8VAC20-780-440-B

“Based on observation, cots were not identified for use by a specific child. Evidence In the Infant B room, there were more children present, than labeled cribs. The cots located in the Two's classroom, were numbered but no corresponding list of names was available.”

8VAC20-780-500-B

“Based on observation and discussions with staff, the diapering surface is not being cleaned and sanitized according to licensing standards. Evidence The diapering surfaces in the Infant B classroom and the Two's classroom are not being cleaned and sanitized using the procedure required by the Virginia Licensing Standards. The diapering surface must be cleaned by spraying or dipping with a solution of soap and water, pat dry, then spray or dip with a solution of bleach and water to sanitize and allow to air dry.”

8VAC20-780-520-A

“Based on review of over the counter skin products, the center kept one beyond the expiration date of the product. Evidence In the Two's room an over the counter skin product was located in the diapering area for child #1, with an expiration date of 8/2022.”

8VAC20-780-550-D

“Based on review of the monthly practice evacuation drill log, the center did not implement a monthly practice drill. Evidence The is no documentation of a monthly practice evacuation drill for the months of April through December 2022.”

8VAC20-780-550-P

“Based on review of the center's written record of children's serious and minor injuries, the records are not complete. Evidence The accident reports reviewed from April 2022 to January 2023, not all contained the required information including: obtaining two signatures, date and time of accident, time and method parent was notified, and child's full name.”

8VAC20-780-560-G

“Based on observation, when food was brought from home it did not always include the child's full name or current date. Evidence In the Infant B classroom, there were four cups in the refrigerator that were not clearly dated and labeled in a way that identified the owner; Staff confirmed the cups were full when brought in from home.”

8VAC20-780-520-C

“Based on review of diaper ointment or cream, not all products are labeled with a child's name. Diaper ointments or creams were located in an area that is accessible to children. Evidence Diaper ointment or cream in the Infant B classroom was not labeled with a child's name. Diaper ointments or creams in the Infant A classroom, the Two's classroom, and the Toddler's classroom were located in the cabinet under the diapering area that is accessible to children. The cabinet does not need to be locked, but the ointments or creams need to be inaccessible to children.”

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

“Based on interviews with staff, in each grouping of children there was not at least one staff member who meets the qualifications of a program leader. Evidence Staff confirmed during an interview that child #1 was being switched often between the Toddler, and Preschool classrooms.”

8VAC20-780-350-B-2 Complaint related: No

“Based on interviews staff to children ratios were not always in compliance. Evidence 1.On June 30, 2022 child #1 (DOB 5/17/21) was moved from the Toddler classroom to the Preschool classroom, then back to the Toddler room. 2. When child #1 joined the Pre School classroom, the number of children increased to 10 children with 1 staff member. 3. The ratio for 2 year olds (Toddler) is 8 children with 1 staff member and the ratio for 3 year olds (Preschool) is 10 children with 1 staff member. 4. The Pre School classroom was now out of ratio.”

8VAC20-780-510-E Complaint related: No

“Based on review of medication forms and centers procedures, the center is not following their own procedures for administering medication. Evidence The medication authorization form and allergy action plan was not completed correctly and did not have start and end dates for administrating medication.”

8VAC20-780-560-P Complaint related: No

“Based on interviews it was determined a child with a diagnosed food allergy was served a food identified in the written care plan. Evidence 1.On June 30, 2022, food was placed on child #1?s plate that was identified in their written care plan. 2. Child #1?s plate was placed in front of them. 3. Staff #2 noticed what was on child #1?s plate and removed it. 4. Child #1 stated she did not eat any of the food. 5.Staff #1 who put the food on her plate, stated she does not think child #1 ate any of the food. 6. Staff #2 who removed the plate from child #1 stated the food did not look like it had been touched. 7. Child #1 was brought to the office for observation and parent was called.”

8VAC20-780-350-F Complaint related: No

“Based on interview with staff, the center did not ensure that each group of children receives care by consistent staff or team of staff members. Evidence Children are not receiving care by consistent staff. Children are often being moved from one classroom to another.”

22VAC40-185-550-M

“Based on review of incident/injury reports, not all reports were not completed correctly. Evidence: Not all incident/injury reports were completed with all required information. Some forms were missing required information, for example time and date parent was notified.”

8VAC20-770-60-C-2

“Based on review of 6 staff records, 2 did not contain Central Registry Results by the end of the 30th day of employment. Evidence Staff #4 (DOH 1/3/22) and staff #5 (DOH 2/7/22) did not have documentation of Central Registry Results.”

8VAC20-780-160-A

“Based on review of 6 staff records, 2 did not have documentation of a tuberculosis screen before first day of employment.”

8VAC20-780-240-A

“Based on review of 6 staff records, 2 did not have documentation of completing the Virginia Department of Education ? sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff # 2 (DOH 2/2/22) and staff # 4 (DOH 1/3/22) did not contain documentation of completing the required Department of Education training coarse.”

8VAC20-780-240-B

“Based on review of 6 staff records, 4 did not an orientation completed within 7 days of the date of assuming job responsibilities. Evidence Staff #1 (DOH 6/13/22), staff #2 (DOH 2/2/22), staff #5 (2/7/22) and staff #6 (Date of transfer 6/22) did not receive an orientation of their current job responsibilities.”

8VAC20-780-260-B

“Based on inspection and interview with management, an annual health inspection has not been conducted. Evidence; There isn?t a current health inspection posted. The date of last inspection expired 12/31/21”

8VAC20-780-290-A-3

“Based on observation, not all electrical outlets have protective covers. Evidence: Outlets were not covered and accessible to children in the Pre K and Preschool classrooms.”

8VAC20-780-370-1

“Based on observation a flexible daily schedule for infants was not available based on their individual needs. Evidence: In the Infant B room 8 infants ages 7-12 months were observed laying down in their cribs for a group nap time.”

8VAC20-780-440-B

“Based on observation cribs and cots were not identified for use by a specific child. Evidence: Based on observation, 1. A crib in the Infant-B classroom was not labeled with child’s name. 2. Cots in the Toddler classroom were not labeled for individual children.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: Staff in the toddler classroom did not clean and sanitize the diaper area after changing a child according to licensing standards.”

8VAC20-780-520-C

“Based on observation: topical ointments were not labeled with child’s name. Topical ointments were accessible to children. Evidence: 1) Topical ointments/creams located in the Infant classroom were not labeled with the child's name. 2) Topical ointments/creams located in the Infant classroom were in an unlocked cabinet, making them accessible to children. .”

8VAC20-780-550-A

“Based on review of emergency procedures, , the center did not have an emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and shelter-in-place. Evidence: The Director confirmed there is no current Emergency Preparedness Plan.”

8VAC20-780-550-D

“Based on review of emergency procedures, the center did not have documentation of monthly evacuation drills. Evidence: Based on review of emergency evacuation drills, emergency drills were not documented for March, April, May and June 2022.”

8VAC20-780-580-B

“Based on inspection of vehicles used for child transportation, one vehicle did not meet the Department of Motor Vehicle safety standards. Evidence Vehicle #1 has an expired state inspection sticker. Last inspection was conducted on 4/21.”

8VAC20-780-70

“Based on review of 6 staff records, 4 records did not contain the required documents. Evidence: 1. The record for staff #1, 2, 3, 4, and 5 did not contain documentation to demonstrate the individual possesses the education, certification and experience required for the job. 2. The record for staff 2,3, and #5 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for staff # 2, 3, and 4 did not contain documentation of name, address, verification of age requirement, job title and date of employment.”

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

“Based on interviews with staff, in each grouping of children there was not at least one staff member who meets the qualifications of a program leader. Evidence Staff confirmed during an interview that child #1 was being switched often between the Toddler, and Preschool classrooms.”

8VAC20-780-350-B-2 Complaint related: No

“Based on interviews staff to children ratios were not always in compliance. Evidence 1.On June 30, 2022 child #1 (DOB 5/17/21) was moved from the Toddler classroom to the Preschool classroom, then back to the Toddler room. 2. When child #1 joined the Pre School classroom, the number of children increased to 10 children with 1 staff member. 3. The ratio for 2 year olds (Toddler) is 8 children with 1 staff member and the ratio for 3 year olds (Preschool) is 10 children with 1 staff member. 4. The Pre School classroom was now out of ratio.”

8VAC20-780-510-E Complaint related: No

“Based on review of medication forms and centers procedures, the center is not following their own procedures for administering medication. Evidence The medication authorization form and allergy action plan was not completed correctly and did not have start and end dates for administrating medication.”

8VAC20-780-560-P Complaint related: No

“Based on interviews it was determined a child with a diagnosed food allergy was served a food identified in the written care plan. Evidence 1.On June 30, 2022, food was placed on child #1?s plate that was identified in their written care plan. 2. Child #1?s plate was placed in front of them. 3. Staff #2 noticed what was on child #1?s plate and removed it. 4. Child #1 stated she did not eat any of the food. 5.Staff #1 who put the food on her plate, stated she does not think child #1 ate any of the food. 6. Staff #2 who removed the plate from child #1 stated the food did not look like it had been touched. 7. Child #1 was brought to the office for observation and parent was called.”

8VAC20-780-350-F Complaint related: No

“Based on interview with staff, the center did not ensure that each group of children receives care by consistent staff or team of staff members. Evidence Children are not receiving care by consistent staff. Children are often being moved from one classroom to another.”

22VAC40-185-550-M

“Based on review of incident/injury reports, not all reports were not completed correctly. Evidence: Not all incident/injury reports were completed with all required information. Some forms were missing required information, for example time and date parent was notified.”

8VAC20-770-60-C-2

“Based on review of 6 staff records, 2 did not contain Central Registry Results by the end of the 30th day of employment. Evidence Staff #4 (DOH 1/3/22) and staff #5 (DOH 2/7/22) did not have documentation of Central Registry Results.”

8VAC20-780-160-A

“Based on review of 6 staff records, 2 did not have documentation of a tuberculosis screen before first day of employment.”

8VAC20-780-240-A

“Based on review of 6 staff records, 2 did not have documentation of completing the Virginia Department of Education ? sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff # 2 (DOH 2/2/22) and staff # 4 (DOH 1/3/22) did not contain documentation of completing the required Department of Education training coarse.”

8VAC20-780-240-B

“Based on review of 6 staff records, 4 did not an orientation completed within 7 days of the date of assuming job responsibilities. Evidence Staff #1 (DOH 6/13/22), staff #2 (DOH 2/2/22), staff #5 (2/7/22) and staff #6 (Date of transfer 6/22) did not receive an orientation of their current job responsibilities.”

8VAC20-780-260-B

“Based on inspection and interview with management, an annual health inspection has not been conducted. Evidence; There isn?t a current health inspection posted. The date of last inspection expired 12/31/21”

8VAC20-780-290-A-3

“Based on observation, not all electrical outlets have protective covers. Evidence: Outlets were not covered and accessible to children in the Pre K and Preschool classrooms.”

8VAC20-780-370-1

“Based on observation a flexible daily schedule for infants was not available based on their individual needs. Evidence: In the Infant B room 8 infants ages 7-12 months were observed laying down in their cribs for a group nap time.”

8VAC20-780-440-B

“Based on observation cribs and cots were not identified for use by a specific child. Evidence: Based on observation, 1. A crib in the Infant-B classroom was not labeled with child’s name. 2. Cots in the Toddler classroom were not labeled for individual children.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: Staff in the toddler classroom did not clean and sanitize the diaper area after changing a child according to licensing standards.”

8VAC20-780-520-C

“Based on observation: topical ointments were not labeled with child’s name. Topical ointments were accessible to children. Evidence: 1) Topical ointments/creams located in the Infant classroom were not labeled with the child's name. 2) Topical ointments/creams located in the Infant classroom were in an unlocked cabinet, making them accessible to children. .”

8VAC20-780-550-A

“Based on review of emergency procedures, , the center did not have an emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and shelter-in-place. Evidence: The Director confirmed there is no current Emergency Preparedness Plan.”

8VAC20-780-550-D

“Based on review of emergency procedures, the center did not have documentation of monthly evacuation drills. Evidence: Based on review of emergency evacuation drills, emergency drills were not documented for March, April, May and June 2022.”

8VAC20-780-580-B

“Based on inspection of vehicles used for child transportation, one vehicle did not meet the Department of Motor Vehicle safety standards. Evidence Vehicle #1 has an expired state inspection sticker. Last inspection was conducted on 4/21.”

8VAC20-780-70

“Based on review of 6 staff records, 4 records did not contain the required documents. Evidence: 1. The record for staff #1, 2, 3, 4, and 5 did not contain documentation to demonstrate the individual possesses the education, certification and experience required for the job. 2. The record for staff 2,3, and #5 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for staff # 2, 3, and 4 did not contain documentation of name, address, verification of age requirement, job title and date of employment.”

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

“Based on interviews with staff, in each grouping of children there was not at least one staff member who meets the qualifications of a program leader. Evidence Staff confirmed during an interview that child #1 was being switched often between the Toddler, and Preschool classrooms.”

8VAC20-780-350-B-2 Complaint related: No

“Based on interviews staff to children ratios were not always in compliance. Evidence 1.On June 30, 2022 child #1 (DOB 5/17/21) was moved from the Toddler classroom to the Preschool classroom, then back to the Toddler room. 2. When child #1 joined the Pre School classroom, the number of children increased to 10 children with 1 staff member. 3. The ratio for 2 year olds (Toddler) is 8 children with 1 staff member and the ratio for 3 year olds (Preschool) is 10 children with 1 staff member. 4. The Pre School classroom was now out of ratio.”

8VAC20-780-510-E Complaint related: No

“Based on review of medication forms and centers procedures, the center is not following their own procedures for administering medication. Evidence The medication authorization form and allergy action plan was not completed correctly and did not have start and end dates for administrating medication.”

8VAC20-780-560-P Complaint related: No

“Based on interviews it was determined a child with a diagnosed food allergy was served a food identified in the written care plan. Evidence 1.On June 30, 2022, food was placed on child #1?s plate that was identified in their written care plan. 2. Child #1?s plate was placed in front of them. 3. Staff #2 noticed what was on child #1?s plate and removed it. 4. Child #1 stated she did not eat any of the food. 5.Staff #1 who put the food on her plate, stated she does not think child #1 ate any of the food. 6. Staff #2 who removed the plate from child #1 stated the food did not look like it had been touched. 7. Child #1 was brought to the office for observation and parent was called.”

8VAC20-780-350-F Complaint related: No

“Based on interview with staff, the center did not ensure that each group of children receives care by consistent staff or team of staff members. Evidence Children are not receiving care by consistent staff. Children are often being moved from one classroom to another.”

22VAC40-185-550-M

“Based on review of incident/injury reports, not all reports were not completed correctly. Evidence: Not all incident/injury reports were completed with all required information. Some forms were missing required information, for example time and date parent was notified.”

8VAC20-770-60-C-2

“Based on review of 6 staff records, 2 did not contain Central Registry Results by the end of the 30th day of employment. Evidence Staff #4 (DOH 1/3/22) and staff #5 (DOH 2/7/22) did not have documentation of Central Registry Results.”

8VAC20-780-160-A

“Based on review of 6 staff records, 2 did not have documentation of a tuberculosis screen before first day of employment.”

8VAC20-780-240-A

“Based on review of 6 staff records, 2 did not have documentation of completing the Virginia Department of Education ? sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff # 2 (DOH 2/2/22) and staff # 4 (DOH 1/3/22) did not contain documentation of completing the required Department of Education training coarse.”

8VAC20-780-240-B

“Based on review of 6 staff records, 4 did not an orientation completed within 7 days of the date of assuming job responsibilities. Evidence Staff #1 (DOH 6/13/22), staff #2 (DOH 2/2/22), staff #5 (2/7/22) and staff #6 (Date of transfer 6/22) did not receive an orientation of their current job responsibilities.”

8VAC20-780-260-B

“Based on inspection and interview with management, an annual health inspection has not been conducted. Evidence; There isn?t a current health inspection posted. The date of last inspection expired 12/31/21”

8VAC20-780-290-A-3

“Based on observation, not all electrical outlets have protective covers. Evidence: Outlets were not covered and accessible to children in the Pre K and Preschool classrooms.”

8VAC20-780-370-1

“Based on observation a flexible daily schedule for infants was not available based on their individual needs. Evidence: In the Infant B room 8 infants ages 7-12 months were observed laying down in their cribs for a group nap time.”

8VAC20-780-440-B

“Based on observation cribs and cots were not identified for use by a specific child. Evidence: Based on observation, 1. A crib in the Infant-B classroom was not labeled with child’s name. 2. Cots in the Toddler classroom were not labeled for individual children.”

8VAC20-780-500-B

“Based on observation, the diapering surface was not cleaned and sanitized after each use. Evidence: Staff in the toddler classroom did not clean and sanitize the diaper area after changing a child according to licensing standards.”

8VAC20-780-520-C

“Based on observation: topical ointments were not labeled with child’s name. Topical ointments were accessible to children. Evidence: 1) Topical ointments/creams located in the Infant classroom were not labeled with the child's name. 2) Topical ointments/creams located in the Infant classroom were in an unlocked cabinet, making them accessible to children. .”

8VAC20-780-550-A

“Based on review of emergency procedures, , the center did not have an emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation and shelter-in-place. Evidence: The Director confirmed there is no current Emergency Preparedness Plan.”

8VAC20-780-550-D

“Based on review of emergency procedures, the center did not have documentation of monthly evacuation drills. Evidence: Based on review of emergency evacuation drills, emergency drills were not documented for March, April, May and June 2022.”

8VAC20-780-580-B

“Based on inspection of vehicles used for child transportation, one vehicle did not meet the Department of Motor Vehicle safety standards. Evidence Vehicle #1 has an expired state inspection sticker. Last inspection was conducted on 4/21.”

8VAC20-780-70

“Based on review of 6 staff records, 4 records did not contain the required documents. Evidence: 1. The record for staff #1, 2, 3, 4, and 5 did not contain documentation to demonstrate the individual possesses the education, certification and experience required for the job. 2. The record for staff 2,3, and #5 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for staff # 2, 3, and 4 did not contain documentation of name, address, verification of age requirement, job title and date of employment.”

8VAC20-780-370-5 Complaint related: No

“Tummy time for 30 minutes a day for Infants, who cannot turn themselves over and are awake is not being recorded. Evidence A review of infants daily activity who cannot turn themselves over did not have recorded tummy time for 2 or the 3 days reviewed.”

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

“Based on observation areas of the center, inside and outside, are not being maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping. Evidence Peeling and chipped paint on the walls was observed in the hallway, both the infant rooms, the preschool room, 2b classroom, school age room and the 4's classroom. The playground has a missing piece of the wooded fence and splintering of the wood of the bottom. The playground has paper trash all around, a plastic glove, a bag of trash, mittens and other objects. The front left side of the facility has an exposed broken trash dumpster that has loose trash as well as trash bags all around it.”

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

“Based on observation and discussion with staff the diapering surface is not being cleaned with soap and at least room temperature water and sanitized after each use. Evidence The diapering surface is only being cleaned with an approved cleaning solution, it is not being sanitized after each diaper change.”

8VAC20-780-160-A

“Based on review of four staff records, one staff member did not submit documentation of a negative tuberculosis screening, Evidence The record for staff #1 does not contain documentation of a negative tuberculosis screening.”

8VAC20-780-210-A

“Based on review of four staff records, one record does not contain documentation of program lead qualifications. Evidence The record for staff #4, who is a lead teacher does not contain how a high school program completion or equivalent was fulfilled and how they met the other qualifications to be a program leader.”

8VAC20-780-240-B

“Based on review of four staff records, four did not complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff members #1, #2, #3 and #4 did not complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities.”

8VAC20-780-160-A

“Based on review of four staff records, one staff member did not submit documentation of a negative tuberculosis screening, Evidence The record for staff #1 does not contain documentation of a negative tuberculosis screening.”

8VAC20-780-210-A

“Based on review of four staff records, one record does not contain documentation of program lead qualifications. Evidence The record for staff #4, who is a lead teacher does not contain how a high school program completion or equivalent was fulfilled and how they met the other qualifications to be a program leader.”

8VAC20-780-240-B

“Based on review of four staff records, four did not complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff members #1, #2, #3 and #4 did not complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities.”