KinderCare Learning Centers

8VAC20-780-40-E

“Repeat Violation The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance the center’s own policies and procedures that are required by these standards. The center’s procedures for identifying where attending children are at all times includes utilizing Name-to-Face when moving between locations. Before the staff cross the first and last threshold staff are to complete name-to-face checks. On May 16, 2025, Staff #1 and staff #2 did not complete name-to-face checks when moving from the playground to the classroom, leaving child #1 (two years old) alone outside for approximately 30 seconds.”

8VAC20-780-340-F

“Children under 10 years of age shall be within actual sight and sound supervision of staff. On May 16, 2025, child #1 (two years old), was left unsupervised and alone on the outside playground for approximately 30 seconds.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent fingerprint check for staff #4 was five days late and the most recent central registry result was dated 10/21/19, making it more than five months overdue at the time of inspection.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The most recent documentation of immunizations for Child #6, who recently turned two years, was dated 6/6/24.”

8VAC20-780-500-B

“Repeat Violation The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 did not clean and sanitize the diaper changing surface after changing a diaper.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place practiced in 2024.”

8VAC20-780-560-J

“Tables shall be sanitized before and after each use for feeding. 1. Tables in the 2-year-old class and toddler class were not sanitized before use. 2. Children in the 2-year-old class were observed putting their shoed feet on the table while waiting for food to be served. Tables were not sanitized after they were instructed to get their feet off the table and food was then served.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for three weeks and child #3, who had been attending for 18 days, did not have immunizations on file prior to attending.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. There were 14 gallons of wall paint and a gallon of floor coating in an unlocked storage room in the Pre-K 1 room (ages 3-4).”

8VAC20-780-270-A

“Repeat Violation Systemic Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. Visible dirt/debris and a cobweb were found on the floors and along baseboards in the downstairs classrooms and hallways. Pieces and crumbs of orange cheddar chips served the previous day were under all six tables and on the round carpet in the school-age room. 2. The downstairs children’s bathrooms contained toilet paper on the floor, visible dirt shoeprints and dirt around the toilet. 3. A child in the 2-year-old class took the salad tongs from the counter and played with them and then placed them on the children’s table. Staff #1 then rinsed the tongs off with water and used them to serve food. 4. There were several cracked and broken floor tiles throughout the center.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent fingerprint check for staff #4 was five days late and the most recent central registry result was dated 10/21/19, making it more than five months overdue at the time of inspection.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The most recent documentation of immunizations for Child #6, who recently turned two years, was dated 6/6/24.”

8VAC20-780-500-B

“Repeat Violation The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 did not clean and sanitize the diaper changing surface after changing a diaper.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place practiced in 2024.”

8VAC20-780-560-J

“Tables shall be sanitized before and after each use for feeding. 1. Tables in the 2-year-old class and toddler class were not sanitized before use. 2. Children in the 2-year-old class were observed putting their shoed feet on the table while waiting for food to be served. Tables were not sanitized after they were instructed to get their feet off the table and food was then served.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for three weeks and child #3, who had been attending for 18 days, did not have immunizations on file prior to attending.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. There were 14 gallons of wall paint and a gallon of floor coating in an unlocked storage room in the Pre-K 1 room (ages 3-4).”

8VAC20-780-270-A

“Repeat Violation Systemic Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. Visible dirt/debris and a cobweb were found on the floors and along baseboards in the downstairs classrooms and hallways. Pieces and crumbs of orange cheddar chips served the previous day were under all six tables and on the round carpet in the school-age room. 2. The downstairs children’s bathrooms contained toilet paper on the floor, visible dirt shoeprints and dirt around the toilet. 3. A child in the 2-year-old class took the salad tongs from the counter and played with them and then placed them on the children’s table. Staff #1 then rinsed the tongs off with water and used them to serve food. 4. There were several cracked and broken floor tiles throughout the center.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent fingerprint check for staff #4 was five days late and the most recent central registry result was dated 10/21/19, making it more than five months overdue at the time of inspection.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The most recent documentation of immunizations for Child #6, who recently turned two years, was dated 6/6/24.”

8VAC20-780-500-B

“Repeat Violation The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 did not clean and sanitize the diaper changing surface after changing a diaper.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place practiced in 2024.”

8VAC20-780-560-J

“Tables shall be sanitized before and after each use for feeding. 1. Tables in the 2-year-old class and toddler class were not sanitized before use. 2. Children in the 2-year-old class were observed putting their shoed feet on the table while waiting for food to be served. Tables were not sanitized after they were instructed to get their feet off the table and food was then served.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for three weeks and child #3, who had been attending for 18 days, did not have immunizations on file prior to attending.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. There were 14 gallons of wall paint and a gallon of floor coating in an unlocked storage room in the Pre-K 1 room (ages 3-4).”

8VAC20-780-270-A

“Repeat Violation Systemic Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. Visible dirt/debris and a cobweb were found on the floors and along baseboards in the downstairs classrooms and hallways. Pieces and crumbs of orange cheddar chips served the previous day were under all six tables and on the round carpet in the school-age room. 2. The downstairs children’s bathrooms contained toilet paper on the floor, visible dirt shoeprints and dirt around the toilet. 3. A child in the 2-year-old class took the salad tongs from the counter and played with them and then placed them on the children’s table. Staff #1 then rinsed the tongs off with water and used them to serve food. 4. There were several cracked and broken floor tiles throughout the center.”

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

“Repeat Violation Children’s hands shall be washed with soap and running water before eating meals and staff’s hands shall be washed with soap and running water before preparing or serving food or beverages and before helping children with feeding. 1. In the toddler room a child sitting on the floor was moved to the table for lunch without the child’s hands being washed. 2. Without washing their hands, three staff served food and/or beverages to children in the toddler room without washing hands beforehand. 3. Without washing their hands, a staff in the toddler room put food on a spoon for a child and the staff’s hands were not washed beforehand.”

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

“The required ratio for children ages 16 to 24 months is one staff per five children. The child supervision record for the toddler room indicates on January 9, 2025, there were thirteen children in the care of only one staff from 1:47 p.m. to 1:57 p.m. and there were thirteen children in the care of only two staff from 2:30 p.m. to 2:51 p.m. (youngest child 16 months old).”

8VAC20-780-440-G

“Cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. On January 7, 2025, infant #1 (age 14 months), who had predominately been sleeping on a cot for two weeks prior, was placed in a crib for nap. Infant #1 climbed out from the crib, falling to the ground, which resulted in a contusion to the head.”

8VAC20-780-340-A

“Repeat Violation Systemic Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. On January 7, 2025, staff #1 observed infant #1 and two other infants trying to climb out of their cribs and did not intervene. Infant #1 (age 14 months) fell from a crib to the ground, receiving a contusion to the head.”

8VAC20-780-400-B

“Repeat Violation Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Staff #1 cursed at toddlers when they weren't listening.”

8VAC20-780-40-E

“Repeat Violation Systemic Violation The center is required to follow its own discipline policies. 1. Staff #1 did not follow the center's discipline policy to use positive verbal interactions, as staff cursed at toddlers. 2. Staff #1 did not follow the center's discipline policy that prohibits any kind of physical discipline and pushing. Child #1 received a bloody lip after being pushed on a cot by staff #1.”

8VAC20-780-410-1

“Repeat Violation The following act is forbidden: roughly handling a child. On October 9, 2024, staff #1 pushed child #1 (seventeen months) onto a cot, face forward. This resulted in a lip injury that left visible blood on the cot sheet and child's shirt.”

8VAC20-780-570-E

“Prepared infant formula shall be dated. Three bottles in the infant room were incorrectly dated 9/2/24 on 10/2/24.”

8VAC20-780-270-A

“Repeat Violation Systemic Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. Ceiling vents in multiple classrooms contained built up dirt/dust with smudged black dirt on surrounding ceiling tiles. 2. There was rust in a bathroom sink used by children. 3. There was visible dirt on the children's play mat in the toddler room. 4. There was visible dirt/debris along the baseboards and furniture in several classrooms. 5. There was a broken piece of the kickplate at the baseboard in Pre-k 1. 6. There were broken floor tiles downstairs. 7. There was a large number of ants inside the building at the door that leads to the playground.”

8VAC20-780-160-A

“Repeat Violation Systemic Violation Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #2's TB was dated over a month prior to employment.”

8VAC20-780-540-C

“The required first aid kits shall include a first aid instructional manual. There was no first aid instructional manual in the first aid kit on the 1st floor or 2nd floor.”

8VAC20-780-550-I

“A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. There were no postings of emergency numbers and poison control numbers at any of the telephones.”

8VAC20-780-560-G

“When food is brought from home the container shall be clearly dated. A cup from home in the toddler room was dated incorrectly as 9/2/24 on 10/2/24.”

8VAC20-780-500-A

“Repeat Violation Staff shall wash their hands with soap and running water after any contact with body fluids. Staff in the infant room wiped a child's runny nose and drool with their bare hand and did not wash their hands after.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Two tubs of flooring adhesive with warning labels, "keep out of reach of children," were unlocked in the hallway of the main level of the center. Ammonia towelettes with warning labels, "keep out of reach of children," were in unlocked first aid kits accessible to children in classrooms.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Aspirin was located unlocked in first aid kits in every classroom and accessible to children.”

8VAC20-780-340-A

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. During the month of September 2024, child #1 was administered 6 doses of child #2's medication by four different staff.”

8VAC20-780-40-E

“Repeat Violation The center is required to follow it's own policies for medication procedures. Four staff didn't follow the center's medication policy. The correct medication was not administered to child #1 on six different occasions.”

8VAC20-780-570-E

“Prepared infant formula shall be dated. Three bottles in the infant room were incorrectly dated 9/2/24 on 10/2/24.”

8VAC20-780-270-A

“Repeat Violation Systemic Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. Ceiling vents in multiple classrooms contained built up dirt/dust with smudged black dirt on surrounding ceiling tiles. 2. There was rust in a bathroom sink used by children. 3. There was visible dirt on the children's play mat in the toddler room. 4. There was visible dirt/debris along the baseboards and furniture in several classrooms. 5. There was a broken piece of the kickplate at the baseboard in Pre-k 1. 6. There were broken floor tiles downstairs. 7. There was a large number of ants inside the building at the door that leads to the playground.”

8VAC20-780-160-A

“Repeat Violation Systemic Violation Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #2's TB was dated over a month prior to employment.”

8VAC20-780-540-C

“The required first aid kits shall include a first aid instructional manual. There was no first aid instructional manual in the first aid kit on the 1st floor or 2nd floor.”

8VAC20-780-550-I

“A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. There were no postings of emergency numbers and poison control numbers at any of the telephones.”

8VAC20-780-560-G

“When food is brought from home the container shall be clearly dated. A cup from home in the toddler room was dated incorrectly as 9/2/24 on 10/2/24.”

8VAC20-780-500-A

“Repeat Violation Staff shall wash their hands with soap and running water after any contact with body fluids. Staff in the infant room wiped a child's runny nose and drool with their bare hand and did not wash their hands after.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Two tubs of flooring adhesive with warning labels, "keep out of reach of children," were unlocked in the hallway of the main level of the center. Ammonia towelettes with warning labels, "keep out of reach of children," were in unlocked first aid kits accessible to children in classrooms.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Aspirin was located unlocked in first aid kits in every classroom and accessible to children.”

8VAC20-780-340-A

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. During the month of September 2024, child #1 was administered 6 doses of child #2's medication by four different staff.”

8VAC20-780-40-E

“Repeat Violation The center is required to follow it's own policies for medication procedures. Four staff didn't follow the center's medication policy. The correct medication was not administered to child #1 on six different occasions.”

8VAC20-780-570-E

“Prepared infant formula shall be dated. Three bottles in the infant room were incorrectly dated 9/2/24 on 10/2/24.”

8VAC20-780-270-A

“Repeat Violation Systemic Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. Ceiling vents in multiple classrooms contained built up dirt/dust with smudged black dirt on surrounding ceiling tiles. 2. There was rust in a bathroom sink used by children. 3. There was visible dirt on the children's play mat in the toddler room. 4. There was visible dirt/debris along the baseboards and furniture in several classrooms. 5. There was a broken piece of the kickplate at the baseboard in Pre-k 1. 6. There were broken floor tiles downstairs. 7. There was a large number of ants inside the building at the door that leads to the playground.”

8VAC20-780-160-A

“Repeat Violation Systemic Violation Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #2's TB was dated over a month prior to employment.”

8VAC20-780-540-C

“The required first aid kits shall include a first aid instructional manual. There was no first aid instructional manual in the first aid kit on the 1st floor or 2nd floor.”

8VAC20-780-550-I

“A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone. There were no postings of emergency numbers and poison control numbers at any of the telephones.”

8VAC20-780-560-G

“When food is brought from home the container shall be clearly dated. A cup from home in the toddler room was dated incorrectly as 9/2/24 on 10/2/24.”

8VAC20-780-500-A

“Repeat Violation Staff shall wash their hands with soap and running water after any contact with body fluids. Staff in the infant room wiped a child's runny nose and drool with their bare hand and did not wash their hands after.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Two tubs of flooring adhesive with warning labels, "keep out of reach of children," were unlocked in the hallway of the main level of the center. Ammonia towelettes with warning labels, "keep out of reach of children," were in unlocked first aid kits accessible to children in classrooms.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Aspirin was located unlocked in first aid kits in every classroom and accessible to children.”

8VAC20-780-340-A

“Repeat Violation When staff are supervising children, they shall always ensure their care, protection, and guidance. During the month of September 2024, child #1 was administered 6 doses of child #2's medication by four different staff.”

8VAC20-780-40-E

“Repeat Violation The center is required to follow it's own policies for medication procedures. Four staff didn't follow the center's medication policy. The correct medication was not administered to child #1 on six different occasions.”

8VAC20-780-400-B Complaint related: Yes

“Based on interviews, the center failed to ensure behavioral guidance shall be constructive in nature, age and state appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: On August 8, 2024, administrative staff witnessed a negative interaction between child #1 and another child and in response, staff #1 grabbed hair on the back of child #1?s (age 2 years) head and pulled the child backwards several inches.”

8VAC20-780-40-E Complaint related: No

“Based on a review of documents and interviews, the licensee failed to ensure that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by these standards. Evidence: 1. Page 4 of the center’s discipline policy titled ?Respect and Protect Children,? states ?we address behavior problems with kindness, we teach children how to handle difficult situations with care and patience. Here’s a few ways you can get started: a) be a good role model b) intervene verbally, with a calm, gentle voice c) re-direct children’s attention and engage them in a positive activity.? Page 5 of the center’s discipline policy titled ?Respect and Protect Children? states ?certain discipline methods are simply not acceptable at KCE, including: spanking, grabbing, pinching, or any physical punishment or restraint.? On August 8, 2024, there was a negative interaction between child #1 and another child and staff #1 responded by pulling child #1 backwards several inches by grabbing the child’s hair at the back of the head. 2. Page 5 of the center’s policy titled ?Respect and Protect Children? states ?You are a mandatory reporter of suspected child abuse and neglect? and ?As employees of KCE, we are all charged with protecting children, even those who may not be directly in our care.? Page 26 of the KinderCare Family Handbook regarding the center’s policy on reporting suspected child abuse states ?Mandated reporting also applies if a staff member uses an inappropriate discipline method or behaves in a way that puts children at risk. If this happens, the Center Director will communicate with parents, report to licensing and accrediting agencies as needed, report the incident to KinderCare’s National Support Center, and work with the staff member and Human Resources to determine the best course of action for their employment.? One administrative staff witnessed, and two other administrative staff were aware of the above-mentioned incident involving staff #1 and child #1 (age 2 years) and failed to report the incident to the regulatory authority. This incident had not been reported to the parents at the time of the investigation.”

63.2-1509-A* Complaint related: No

“Based on interviews, staff who had reason to suspect that a child is abused or neglected failed to report the matter immediately to the local department of the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department’s toll-free child abuse and neglect hotline. Evidence: On August 8, 2024, one administrative staff witnessed the incident and two other administrative staff were aware, that staff #1 grabbed child #1 (age 2 years) by the hair on the back of the child’s head and yanked with such force that it pulled that child backwards several inches; however, none of these three administrative staff reported the incident to the local department of the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department’s toll-free child abuse and neglect hotline.”

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

“Based on interviews, the center failed to ensure rough handling is forbidden. Evidence: On August 8, 2024, administrative staff witnessed staff #1 grab child #1 (age 2 years) by the hair on the back of the child’s head and yank with such force that it pulled that child backwards several inches.”

8VAC20-780-80-B-2 Complaint related: No

“Based on document review and interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. An injury requiring outside medical attention occurred on June 27, 2024. 2. On July 26, 2024 the center reported the injury to the department. 3. On August 8, 2024, staff #1 confirmed that child #1 received outside medical attention and the center did not report the injury to the department within two business days.”

8VAC20-780-420-E-1 Complaint related: No

“Based on interviews, the center failed to ensure that the records contained all the required information. Evidence: 1. The record of child #1 (age 4 months), did not contain documentation of tummy time. 2. Staff 1 and 2 reported that tummy time isn't documented for infants that can't turn over by themselves and they weren't aware it needed to be.”

8VAC20-780-80-B-2 Complaint related: No

“Based on document review and interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. An injury requiring outside medical attention occurred on June 27, 2024. 2. On July 26, 2024 the center reported the injury to the department. 3. On August 8, 2024, staff #1 confirmed that child #1 received outside medical attention and the center did not report the injury to the department within two business days.”

8VAC20-780-420-E-1 Complaint related: No

“Based on interviews, the center failed to ensure that the records contained all the required information. Evidence: 1. The record of child #1 (age 4 months), did not contain documentation of tummy time. 2. Staff 1 and 2 reported that tummy time isn't documented for infants that can't turn over by themselves and they weren't aware it needed to be.”

8VAC20-780-80-B-2 Complaint related: No

“Based on document review and interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. An injury requiring outside medical attention occurred on June 27, 2024. 2. On July 26, 2024 the center reported the injury to the department. 3. On August 8, 2024, staff #1 confirmed that child #1 received outside medical attention and the center did not report the injury to the department within two business days.”

8VAC20-780-420-E-1 Complaint related: No

“Based on interviews, the center failed to ensure that the records contained all the required information. Evidence: 1. The record of child #1 (age 4 months), did not contain documentation of tummy time. 2. Staff 1 and 2 reported that tummy time isn't documented for infants that can't turn over by themselves and they weren't aware it needed to be.”

8VAC20-780-270-A

“Repeat Violation Systemic Violation Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. There was chipped and peeling paint in several rooms and areas of the center. One room contained two holes in the wall and one room had missing drywall around a support column. 2. A playmat in the infant room was ripped in several areas which was causing the vinyl to come off. 3. In several rooms of the center the diaper changing pads and tables that hold the pad contained dirt and debris. 4. Dirt, debris, cobwebs with spider/eggs were found on the floors and stairwell and there were several broken floor tiles throughout the center. 5. The ceiling vents contained built up dirt/dust that expanded to adjacent ceiling tiles. 6. The children's bathrooms downstairs contained trash on the floors, dead bugs in the light fixture, chipped/peeling caulk around one sink and bubbly paint at the baseboard around one toilet. 7. Several rooms in the center contained dirty walls.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure the diapering area shall have a nonabsorbent surface for diapering or changing and failed to ensure disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. In the Infant B room the diaper changing pad contained a rip in the pad approximately 1 inch long, making it absorbent. 2. In the DPS 1 room there were two diapers located in a trash can that was neither leak-proof or foot-operated. in the children's bathroom.”

8VAC20-780-490-E Complaint related: No

“Based on observation, the center failed to ensure when any surface has been contaminated with bodily fluids, it shall be cleaned and sanitized. Evidence: On June 20, 2024, in the toddler room, a child was on the soft play mat with a runny nose, leaving nasal mucus on the play mat. The inspector informed staff, who noted the mat needed to be sanitized, but the staff failed to do so and later another child was observed playing on the soiled mat.”

8VAC20-780-400-A Complaint related: No

“Based on observation, the center failed to ensure in order to promote the child's physical, intellectual, emotional, and social well-being and growth, staff shall interact with the child and one another to provide needed help, comfort, and support. Evidence: 1. Observation on June 20, 2024, one toddler was observed screaming and crying for approximately 2 minutes before one of the staff in the room acknowledged and interacted with the toddler. 2. Observation on June 20, 2024, the toddlers were observed standing on a chair and walking from one chair to another and climbing and laying on tables, all of which is over bare floor, and climbing and hiding in open cabinets. Staff did not intervene or interact during these circumstances for several minutes.”

8VAC20-780-340-A Complaint related: Yes

“Complaint Related Based on document review, interview, and observation, the center failed to ensure when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Incident/accident reports indicate 63 biting incidents occurred in the Toddler room between April 01, 2024 and June 10, 2024. 52 of these bites resulted in injuries that were treated with ice, cold compresses, or other first aid. 2. Administration reported there was a plan in place to deter biting by assigning specific children identified as biters to certain staff to ?break up the biters,? referred to as pocket buddies. 3. Although administration reported that four identified biters in the Toddler classroom had been assigned to specific staff as pocket buddies, three observations of the classroom (one on May 14, 2024 and two on June 20, 2024) revealed that the pocket buddy system is not being implemented. On May 14, 2024, an identified biter was observed climbing into close quarters of an open cabinet with other children without supervision or intervention from staff.”

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

“Based on observation, the center failed to ensure that staff shall wash their hands with soap and running water after any contact with bodily fluids, before a diaper change, and before serving beverages. Evidence: 1. On June 20, 2024, in the toddler classroom, staff was observed to wipe a runny nose of a child. The staff did not wash their hands with soap after wiping the child’s nose. 2. On June 20, 2024, in the toddler classroom, staff was observed not washing their hands prior to one diaper change and prior to handing a child their water cup.”

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

“Based on observation, the center failed to ensure no child shall be allowed to drink while walking around. Evidence: On June 20, 2024, in the toddler classroom, staff was observed handing a toddler their cup to drink water while the toddler was walking around.”

8VAC20-780-490-E Complaint related: No

“Based on observation, the center failed to ensure when any surface has been contaminated with bodily fluids, it shall be cleaned and sanitized. Evidence: On June 20, 2024, in the toddler room, a child was on the soft play mat with a runny nose, leaving nasal mucus on the play mat. The inspector informed staff, who noted the mat needed to be sanitized, but the staff failed to do so and later another child was observed playing on the soiled mat.”

8VAC20-780-400-A Complaint related: No

“Based on observation, the center failed to ensure in order to promote the child's physical, intellectual, emotional, and social well-being and growth, staff shall interact with the child and one another to provide needed help, comfort, and support. Evidence: 1. Observation on June 20, 2024, one toddler was observed screaming and crying for approximately 2 minutes before one of the staff in the room acknowledged and interacted with the toddler. 2. Observation on June 20, 2024, the toddlers were observed standing on a chair and walking from one chair to another and climbing and laying on tables, all of which is over bare floor, and climbing and hiding in open cabinets. Staff did not intervene or interact during these circumstances for several minutes.”

8VAC20-780-340-A Complaint related: Yes

“Complaint Related Based on document review, interview, and observation, the center failed to ensure when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Incident/accident reports indicate 63 biting incidents occurred in the Toddler room between April 01, 2024 and June 10, 2024. 52 of these bites resulted in injuries that were treated with ice, cold compresses, or other first aid. 2. Administration reported there was a plan in place to deter biting by assigning specific children identified as biters to certain staff to ?break up the biters,? referred to as pocket buddies. 3. Although administration reported that four identified biters in the Toddler classroom had been assigned to specific staff as pocket buddies, three observations of the classroom (one on May 14, 2024 and two on June 20, 2024) revealed that the pocket buddy system is not being implemented. On May 14, 2024, an identified biter was observed climbing into close quarters of an open cabinet with other children without supervision or intervention from staff.”

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

“Based on observation, the center failed to ensure that staff shall wash their hands with soap and running water after any contact with bodily fluids, before a diaper change, and before serving beverages. Evidence: 1. On June 20, 2024, in the toddler classroom, staff was observed to wipe a runny nose of a child. The staff did not wash their hands with soap after wiping the child’s nose. 2. On June 20, 2024, in the toddler classroom, staff was observed not washing their hands prior to one diaper change and prior to handing a child their water cup.”

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

“Based on observation, the center failed to ensure no child shall be allowed to drink while walking around. Evidence: On June 20, 2024, in the toddler classroom, staff was observed handing a toddler their cup to drink water while the toddler was walking around.”

8VAC20-780-160-A

“Repeat Violation Systemic Violation Based on a review of staff records, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment, prior to coming into contact with children, and completed within the last 30 calendar days of the date of employment. Evidence: The only tuberculosis screening in the record for staff #7, hired 02/12/2024, was dated 08/22/2022.”

8VAC20-780-60-A

“Repeat Violation Systemic Violation Based on a review of children's records, the center failed to ensure that each child's record contained the required information. Evidence: The records of child #1, child #2, child #3, child #6, child #7, child #8, and child #9 contained documentation of the parent’s place of employment but did not contain documentation of the work phone numbers.”

8VAC20-780-270-A

“Repeat Violation Systemic Violation Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The right side wall in the pre-k classroom contained several areas of chipped and peeling paint and a child was observed peeling paint off the wall in one of the chipped areas.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In an unlocked hallway bathroom on the lower level there was a bottle of glass cleaner with a label indicating ?keep out of the reach of children? and ?caution? and a bottle of restroom cleaner with a label indicating ?keep out of the reach of children? and ?warning.? Both bottles were within reach of children.”

8VAC20-780-510-B

“Based on a review of medication authorizations, the center failed to ensure prescription and nonprescription medication shall be given to a child only with written authorization from the parent. Evidence: Based on a review of medications, the center did not ensure the medication authorization was available to staff during the entire time it was effective. Evidence: There was no documentation of parent authorization for the medication belonging to child #11. Per the medication log the medication had been administered.”

8VAC20-780-570-I

“Based on staff interviews, the center failed to maintain a one-day’s emergency supply of commercial formulas appropriate for the children in care. Evidence: 1. Interviews revealed there is no emergency supply of formula at the center.”

8VAC20-780-570-C

“Based on staff interviews and observation, the center failed to ensure the record of each child on formula shall contain the brand of formula. Evidence: 1. The records of children on formula did not contain the brand formula. 2. Interviews verified that the center does not keep record of the brands of formula.”

8VAC20-780-540-C

“Based on observation, the center failed to ensure the required first aid kit during transportation of children in care included all required components. Evidence: The first aid kit for the center bus did not contain antiseptic cleaner, thermometer, or a first aid manual.”

8VAC20-780-560-G

“Based on observation and staff interview, when food is brought from home the container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the pre-k classroom there were three bottles brought from home with no name and no date. It was verified the children bring the bottles from home.”

8VAC20-780-550-K

“Based on observation and interview, the center failed to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. Evidence: 1. There was no documentation of hospitals and evacuation routes. 2. Interview revealed the center did not have all the required information.”

22.1-289.035-B-4

“Repeat Violation Systemic Violation Based on a review of staff records, the center failed to obtain the results of a sex offender registry check prior to employment and a search of the child abuse and neglect registry or equivalent registry by the end of the 30th day of employment from any state in which the individual has resided in the preceding five years. Evidence: The record of staff #2, hired 09/25/23, contained documentation of an out-of-state sex offender result dated 10/30/23 and documentation of an out-of-state child abuse and neglect result dated 11/22/23. Staff #2 indicated living out-of-state on the staff’s sworn disclosure statement.”

8VAC20-770-70-A

“Based on a review of staff records, the center failed to ensure that each staff record contains all required documentation. Evidence: The records of staff #3, staff #7, and staff #9 did not contain documentation of the date of contact for one or more references.”

8VAC20-780-160-A

“Repeat Violation Systemic Violation Based on a review of staff records, the center failed to ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment, prior to coming into contact with children, and completed within the last 30 calendar days of the date of employment. Evidence: The only tuberculosis screening in the record for staff #7, hired 02/12/2024, was dated 08/22/2022.”

8VAC20-780-60-A

“Repeat Violation Systemic Violation Based on a review of children's records, the center failed to ensure that each child's record contained the required information. Evidence: The records of child #1, child #2, child #3, child #6, child #7, child #8, and child #9 contained documentation of the parent’s place of employment but did not contain documentation of the work phone numbers.”

8VAC20-780-270-A

“Repeat Violation Systemic Violation Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The right side wall in the pre-k classroom contained several areas of chipped and peeling paint and a child was observed peeling paint off the wall in one of the chipped areas.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In an unlocked hallway bathroom on the lower level there was a bottle of glass cleaner with a label indicating ?keep out of the reach of children? and ?caution? and a bottle of restroom cleaner with a label indicating ?keep out of the reach of children? and ?warning.? Both bottles were within reach of children.”

8VAC20-780-510-B

“Based on a review of medication authorizations, the center failed to ensure prescription and nonprescription medication shall be given to a child only with written authorization from the parent. Evidence: Based on a review of medications, the center did not ensure the medication authorization was available to staff during the entire time it was effective. Evidence: There was no documentation of parent authorization for the medication belonging to child #11. Per the medication log the medication had been administered.”

8VAC20-780-570-I

“Based on staff interviews, the center failed to maintain a one-day’s emergency supply of commercial formulas appropriate for the children in care. Evidence: 1. Interviews revealed there is no emergency supply of formula at the center.”

8VAC20-780-570-C

“Based on staff interviews and observation, the center failed to ensure the record of each child on formula shall contain the brand of formula. Evidence: 1. The records of children on formula did not contain the brand formula. 2. Interviews verified that the center does not keep record of the brands of formula.”

8VAC20-780-540-C

“Based on observation, the center failed to ensure the required first aid kit during transportation of children in care included all required components. Evidence: The first aid kit for the center bus did not contain antiseptic cleaner, thermometer, or a first aid manual.”

8VAC20-780-560-G

“Based on observation and staff interview, when food is brought from home the container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the pre-k classroom there were three bottles brought from home with no name and no date. It was verified the children bring the bottles from home.”

8VAC20-780-550-K

“Based on observation and interview, the center failed to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. Evidence: 1. There was no documentation of hospitals and evacuation routes. 2. Interview revealed the center did not have all the required information.”

22.1-289.035-B-4

“Repeat Violation Systemic Violation Based on a review of staff records, the center failed to obtain the results of a sex offender registry check prior to employment and a search of the child abuse and neglect registry or equivalent registry by the end of the 30th day of employment from any state in which the individual has resided in the preceding five years. Evidence: The record of staff #2, hired 09/25/23, contained documentation of an out-of-state sex offender result dated 10/30/23 and documentation of an out-of-state child abuse and neglect result dated 11/22/23. Staff #2 indicated living out-of-state on the staff’s sworn disclosure statement.”

8VAC20-770-70-A

“Based on a review of staff records, the center failed to ensure that each staff record contains all required documentation. Evidence: The records of staff #3, staff #7, and staff #9 did not contain documentation of the date of contact for one or more references.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff wash their hands with soap and running water after a diaper change and before feeding and that children's hands are washed with soap and running water after a diaper change or with disposable wipes before eating. Evidence: A staff member in the infant room was observed changing a soiled diaper. The staff member did not wash their hands or the child's hands after the diaper change. The staff member then fed the child a bottle.”

8VAC20-780-160-C

“Based on a review of staff records and interview, the center failed to obtain results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: The record of staff #1 contained documentation of the most recent tuberculosis screening dated 09/27/2021. Staff #11 confirmed that a tuberculosis screening had not been completed since 09/27/2021.”

22.1-289.035-B-4

“Based on a review of staff records and interview, the center failed to obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: The record of staff #4, hired 05/16/22, did not contain documentation of an out-of-state sex offender check and did not contain documentation of an out-of-state child abuse and neglect check. Staff #4 indicated living out-of-state in the previous five years on the staff's sworn disclosure statement.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant room an unlocked cabinet under the sink contained approximately 20 cleaners, such as glass cleaner, disinfectant, and Resolve, with labels that state "keep out of reach of children" and "caution."”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff wash their hands with soap and running water after a diaper change and before feeding and that children's hands are washed with soap and running water after a diaper change or with disposable wipes before eating. Evidence: A staff member in the infant room was observed changing a soiled diaper. The staff member did not wash their hands or the child's hands after the diaper change. The staff member then fed the child a bottle.”

8VAC20-780-160-C

“Based on a review of staff records and interview, the center failed to obtain results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening. Evidence: The record of staff #1 contained documentation of the most recent tuberculosis screening dated 09/27/2021. Staff #11 confirmed that a tuberculosis screening had not been completed since 09/27/2021.”

22.1-289.035-B-4

“Based on a review of staff records and interview, the center failed to obtain results of a check of the out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: The record of staff #4, hired 05/16/22, did not contain documentation of an out-of-state sex offender check and did not contain documentation of an out-of-state child abuse and neglect check. Staff #4 indicated living out-of-state in the previous five years on the staff's sworn disclosure statement.”

8VAC20-780-280-B

“Repeat Violation Systemic Violation Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant room an unlocked cabinet under the sink contained approximately 20 cleaners, such as glass cleaner, disinfectant, and Resolve, with labels that state "keep out of reach of children" and "caution."”

8VAC20-780-40-E

“Repeat Violation Based on a review of documents and staff and child interviews, the licensee failed to ensure that the center complied with the center’s own discipline policy regarding acceptable and unacceptable discipline measures. Evidence: 1. Page 1 of the center’s discipline policy titled ?Guidance, Protection of and Respect for Children,? states ?employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from an unacceptable measures while caring for children on behalf of the Company.? 2. On page 1 and continued to page 2 the policy states unacceptable measures include: ?any kind of physical discipline or corporal punishment. Employees may not use physical actions to punish or humiliate children in any way.? 3. On April 14, 2023, there was an incident involving child 1 and staff 2. In an interview with child 1 on May 2, 2023, the child reported that staff 2 ?pushed me out of bed.? Child 1 stated that staff 2 covered her mouth and said ?stop crying.? 4. In an interview with staff 1 on May 2, 2023, it was reported that on April 14, 2023, staff 1 witnessed child 1 fall to the floor and begin crying after staff 2 purposefully put her foot under child 1?s cot and lifted the cot up, causing the child to fall off.”

8VAC20-780-410-1

“Repeat Violation Based on staff and child interviews and a review of records, the center failed to ensure that roughly handling a child was forbidden. Evidence: 1. In an interview with staff 1 on May 2, 2023, the following was reported: On April 14, 2023, staff 1 witnessed staff 2 take a blanket away from child 1 at naptime, who then began crying; staff 2 then used her foot to lift child 1?s cot up, causing the child to fall onto the floor; Child 1 began hysterically crying and hyperventilating; Staff 2 took child 1?s hand, covered child 1?s mouth with her own hand, and then told child 1 to stop crying, she didn?t want to hear it. 2. In an interview with child 1 on May 2, 2023, the following was reported regarding an incident that occurred April 14, 2023: a) staff 2 ?pushed me out of bed?; b) ?I cried? c) ; staff 2 ?covered my mouth and said stop crying.?”

22.1-289.023-A

“Based on observation and interview on 05/02/2023, the licensee failed to ensure that a copy of the Notice of the Intent, dated 01/25/2023, was posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. Evidence: 1. All pages of the Notice of Intent were placed inside one clear protective sleeve behind an inspection dated 09/23/2022. 2. Staff #5 confirmed the Notice of Intent was located behind an inspection inside a clear protective sleeve.”

22.1-289.011-F

“Based on observation and interview on 05/02/2023, the licensee failed to ensure that any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: 1. The findings from the most recent inspection conducted 02/14/2023, was placed inside one clear protective sleeve behind an inspection dated 09/23/2022. 2. The contact notification was not posted at the facility, as required by the Special Order, dated 03/02/2023. 3. Staff #5 confirmed the findings and contact notification were not posted.”

8VAC20-780-160-A

“Repeat VIolation Based on a review of staff records and interview on 05/02/2023, the center failed to ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #3, hired 01/16/2023, contained documentation of a TB that was dated 01/26/2023. 2. Staff #5 confirmed that staff #3 was at the center on 01/16/2023, while children were in care.”

8VAC20-780-60-A

“Repeat Violation Based on a review of children's records and interview on 05/02/2023, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of child #5 contained documentation of one emergency contact person and the phone number provided was the same phone number as the parent. The record of child #5 did not contain documentation of the name, address, and phone number of a second designated person to call in an emergency if a parent can't be reached. 2. Staff #5 acknowledged the missing emergency contact information.”

8VAC20-820-120-E-6

“Based on observation on 05/02/2023, the licensee failed to ensure that a copy of any special order issued by the department shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: A copy of the special order issued by the department on 03/02/2023 was not posted in a prominent place at the public entrance.”

8VAC20-770-60-C-2

“Repeat Violation Based on a review of staff records and interview on 05/02/2023, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #3, hired 01/16/2023, contained central registry finding results dated 03/30/2023. 2. Staff #5 confirmed the central registry was late.”

8VAC20-780-40-E

“Repeat Violation Based on a review of documents and staff and child interviews, the licensee failed to ensure that the center complied with the center’s own discipline policy regarding acceptable and unacceptable discipline measures. Evidence: 1. Page 1 of the center’s discipline policy titled ?Guidance, Protection of and Respect for Children,? states ?employees must adhere to all applicable state and local laws governing child guidance or discipline. Employees are required to use positive guidance techniques and to refrain from an unacceptable measures while caring for children on behalf of the Company.? 2. On page 1 and continued to page 2 the policy states unacceptable measures include: ?any kind of physical discipline or corporal punishment. Employees may not use physical actions to punish or humiliate children in any way.? 3. On April 14, 2023, there was an incident involving child 1 and staff 2. In an interview with child 1 on May 2, 2023, the child reported that staff 2 ?pushed me out of bed.? Child 1 stated that staff 2 covered her mouth and said ?stop crying.? 4. In an interview with staff 1 on May 2, 2023, it was reported that on April 14, 2023, staff 1 witnessed child 1 fall to the floor and begin crying after staff 2 purposefully put her foot under child 1?s cot and lifted the cot up, causing the child to fall off.”

8VAC20-780-410-1

“Repeat Violation Based on staff and child interviews and a review of records, the center failed to ensure that roughly handling a child was forbidden. Evidence: 1. In an interview with staff 1 on May 2, 2023, the following was reported: On April 14, 2023, staff 1 witnessed staff 2 take a blanket away from child 1 at naptime, who then began crying; staff 2 then used her foot to lift child 1?s cot up, causing the child to fall onto the floor; Child 1 began hysterically crying and hyperventilating; Staff 2 took child 1?s hand, covered child 1?s mouth with her own hand, and then told child 1 to stop crying, she didn?t want to hear it. 2. In an interview with child 1 on May 2, 2023, the following was reported regarding an incident that occurred April 14, 2023: a) staff 2 ?pushed me out of bed?; b) ?I cried? c) ; staff 2 ?covered my mouth and said stop crying.?”

22.1-289.023-A

“Based on observation and interview on 05/02/2023, the licensee failed to ensure that a copy of the Notice of the Intent, dated 01/25/2023, was posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. Evidence: 1. All pages of the Notice of Intent were placed inside one clear protective sleeve behind an inspection dated 09/23/2022. 2. Staff #5 confirmed the Notice of Intent was located behind an inspection inside a clear protective sleeve.”

22.1-289.011-F

“Based on observation and interview on 05/02/2023, the licensee failed to ensure that any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: 1. The findings from the most recent inspection conducted 02/14/2023, was placed inside one clear protective sleeve behind an inspection dated 09/23/2022. 2. The contact notification was not posted at the facility, as required by the Special Order, dated 03/02/2023. 3. Staff #5 confirmed the findings and contact notification were not posted.”

8VAC20-780-160-A

“Repeat VIolation Based on a review of staff records and interview on 05/02/2023, the center failed to ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #3, hired 01/16/2023, contained documentation of a TB that was dated 01/26/2023. 2. Staff #5 confirmed that staff #3 was at the center on 01/16/2023, while children were in care.”

8VAC20-780-60-A

“Repeat Violation Based on a review of children's records and interview on 05/02/2023, the center failed to ensure that each child's record contained the required information. Evidence: 1. The record of child #5 contained documentation of one emergency contact person and the phone number provided was the same phone number as the parent. The record of child #5 did not contain documentation of the name, address, and phone number of a second designated person to call in an emergency if a parent can't be reached. 2. Staff #5 acknowledged the missing emergency contact information.”

8VAC20-820-120-E-6

“Based on observation on 05/02/2023, the licensee failed to ensure that a copy of any special order issued by the department shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: A copy of the special order issued by the department on 03/02/2023 was not posted in a prominent place at the public entrance.”

8VAC20-770-60-C-2

“Repeat Violation Based on a review of staff records and interview on 05/02/2023, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #3, hired 01/16/2023, contained central registry finding results dated 03/30/2023. 2. Staff #5 confirmed the central registry was late.”

8VAC20-790-600-D-2

“Based on a review of records and interview on February 14, 2023, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. 1. The record of staff #1, hired 3/28/22, contained documentation of first aid certification dated 11/13/22. 2. Staff #10 confirmed the first aid certification was late.”

8VAC20-790-600-F

“Based on a review of records, the vendor did not ensure that each staff complete the Virginia Annual Health and Safety Update Training annually as required. Evidence: 1. The record of staff #2, hired 1/17/17, did not contain documentation of the Virginia Health and Safety update training for 2021. 2. The record of staff #3, hired 9/1/20, did not contain documentation of the Virginia Health and Safety update training for 2021. 3. The record of staff #5, hired 2/17/20, did not contain documentation of the Virginia Health and Safety update training for 2021 and 2022. 4. The record of staff #6, hired 12/27/07, did not contain documentation of the Virginia Health and Safety update training for 2021. 5. Staff #10 confirmed the updates were not complete.”

8VAC20-790-600-D-1

“Based on a review of records and interview on February 14, 2023, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. 1. The record of staff #1, hired 3/28/22, contained documentation of CPR certification dated 11/13/22. 2. Staff #10 confirmed the CPR certification was late.”

8VAC20-780-500-B

“Based on observation and staff interview on February 14, 2023, the center failed to ensure disposable diapers shall be disposed in a leak-proof or plastic lined storage system that is foot-operated or used in such a way that neither the staff member's hand nor soiled diaper touches an exterior surface during disposal. Evidence: 1. A non foot-operated trash can was observed in the Two's A classroom. 2. When asked, staff in the Two's A classroom stated they use their hand to push the button on the lid to open the trash can to dispose of diapers. 3. Staff #10 confirmed the Two's A classroom and the Two's B classroom don't have foot-operated trashcans.”

22.1-289.035-B-2

“Based on a review of staff records and interview on February 14, 2023, the center failed to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of staff #9, hired 2/6/23, contained documentation of fingerprints dated 2/14/23. 2. Staff #10 acknowledged the fingerprints were late.”

8VAC20-820-120-E-5

“Based on observation and interview on February 14, 2023, the provided notice of the Superintendent's intent to take any of the actions enumerated in subdivisions B1 through B6 of 22.1-289.023 of the Code of Virginia was not posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. Evidence: 1. The notice of intent was not posted at each public entrance of the facility. 2. Staff #10 confirmed the notice of intent was not posted.”

8VAC20-780-140-A

“Based on a review of children's records and interview on February 14, 2023, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #2, enrolled 12/11/22, did not contain documentation of a physical exam. Staff #11 confirmed the physical was not in the record.”

8VAC20-820-120-E-2

“Based on observation and interview on February 14, 2023, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted 9/23/22, were not posted in the facility on the date of the inspection. 2. Staff #10 confirmed the findings of the most recent inspection were not posted.”

8VAC20-780-570-E

“Based on observation and interview on February 14, 2023, the center did not ensure each infant bottle was labeled with the child's name and dated. Evidence: 1. In the infant B room there were five prepared bottles of formula observed that were not labeled with a child's name and not dated. 2. In the infant B room there were six prepared bottles of formula observed that did not contain a date. 3. Staff #11 confirmed the 11 bottles were not labeled with names and dates.”

8VAC20-780-60-A

“Based on a review of children’s records and interview on February 14, 2023, the center failed to ensure that each child's record contained the required information. Evidence: 1. The records of child #2, child #3, child #4, child #6, and child #10 did not contain documentation of the first date of attendance. 2. The record of child #2 did not contain documentation of children's allergies. 3. Staff #11 confirmed the records were missing the first date of attendance and allergies.”

8VAC20-780-270-A

“Based on observation on February 14, 2023, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. . The Two's B classroom contained a hole in the wall, approximately 4 inches long. The hole exposed the drywall. There were several walls containing chipped and peeling paint. 2. The Two's A classroom contained chipped and peeling paint on several walls. 3. The preschool 1 classroom contained chipped and peeling paint on several walls. 4. The toddler classroom contained several walls with chipped and peeling paint, one area was approximately 7x4. There was another area approximately 2x3 that was exposing the drywall. 5. Th toddler playground contained a Step 2 climber/slide that had a broken bottom step. The step is made of plastic and was broken and cracked approximately 12x5, which created holes that could entangle clothing or snag skin. 6. Staff #10 acknowledged the chipped and peeling paint in several classrooms.”

8VAC20-780-550-P

“Based on a review of documentation and interview on February 14, 2023, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. The incident reports for child #11, child #12, and child #13 did not contain documentation on any future action to prevent the recurrence of the injury. 2. Staff #11 confirmed the incident reports were missing all the required information.”

8VAC20-780-280-B

“Based on observation on February 14, 2023, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The infant B classroom had an unlocked cabinet that contained glass cleaner and disinfectant with labels that state "keep out of the reach of children" and "caution." 2. The infant A classroom had an unlocked cabinet under the sink that contained approximately 15 cleaners. The labels stated "keep out of the reach of children" and "caution."”

8VAC20-790-600-D-2

“Based on a review of records and interview on February 14, 2023, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. 1. The record of staff #1, hired 3/28/22, contained documentation of first aid certification dated 11/13/22. 2. Staff #10 confirmed the first aid certification was late.”

8VAC20-790-600-F

“Based on a review of records, the vendor did not ensure that each staff complete the Virginia Annual Health and Safety Update Training annually as required. Evidence: 1. The record of staff #2, hired 1/17/17, did not contain documentation of the Virginia Health and Safety update training for 2021. 2. The record of staff #3, hired 9/1/20, did not contain documentation of the Virginia Health and Safety update training for 2021. 3. The record of staff #5, hired 2/17/20, did not contain documentation of the Virginia Health and Safety update training for 2021 and 2022. 4. The record of staff #6, hired 12/27/07, did not contain documentation of the Virginia Health and Safety update training for 2021. 5. Staff #10 confirmed the updates were not complete.”

8VAC20-790-600-D-1

“Based on a review of records and interview on February 14, 2023, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. 1. The record of staff #1, hired 3/28/22, contained documentation of CPR certification dated 11/13/22. 2. Staff #10 confirmed the CPR certification was late.”

8VAC20-780-500-B

“Based on observation and staff interview on February 14, 2023, the center failed to ensure disposable diapers shall be disposed in a leak-proof or plastic lined storage system that is foot-operated or used in such a way that neither the staff member's hand nor soiled diaper touches an exterior surface during disposal. Evidence: 1. A non foot-operated trash can was observed in the Two's A classroom. 2. When asked, staff in the Two's A classroom stated they use their hand to push the button on the lid to open the trash can to dispose of diapers. 3. Staff #10 confirmed the Two's A classroom and the Two's B classroom don't have foot-operated trashcans.”

22.1-289.035-B-2

“Based on a review of staff records and interview on February 14, 2023, the center failed to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of staff #9, hired 2/6/23, contained documentation of fingerprints dated 2/14/23. 2. Staff #10 acknowledged the fingerprints were late.”

8VAC20-820-120-E-5

“Based on observation and interview on February 14, 2023, the provided notice of the Superintendent's intent to take any of the actions enumerated in subdivisions B1 through B6 of 22.1-289.023 of the Code of Virginia was not posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. Evidence: 1. The notice of intent was not posted at each public entrance of the facility. 2. Staff #10 confirmed the notice of intent was not posted.”

8VAC20-780-140-A

“Based on a review of children's records and interview on February 14, 2023, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #2, enrolled 12/11/22, did not contain documentation of a physical exam. Staff #11 confirmed the physical was not in the record.”

8VAC20-820-120-E-2

“Based on observation and interview on February 14, 2023, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted 9/23/22, were not posted in the facility on the date of the inspection. 2. Staff #10 confirmed the findings of the most recent inspection were not posted.”

8VAC20-780-570-E

“Based on observation and interview on February 14, 2023, the center did not ensure each infant bottle was labeled with the child's name and dated. Evidence: 1. In the infant B room there were five prepared bottles of formula observed that were not labeled with a child's name and not dated. 2. In the infant B room there were six prepared bottles of formula observed that did not contain a date. 3. Staff #11 confirmed the 11 bottles were not labeled with names and dates.”

8VAC20-780-60-A

“Based on a review of children’s records and interview on February 14, 2023, the center failed to ensure that each child's record contained the required information. Evidence: 1. The records of child #2, child #3, child #4, child #6, and child #10 did not contain documentation of the first date of attendance. 2. The record of child #2 did not contain documentation of children's allergies. 3. Staff #11 confirmed the records were missing the first date of attendance and allergies.”

8VAC20-780-270-A

“Based on observation on February 14, 2023, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. . The Two's B classroom contained a hole in the wall, approximately 4 inches long. The hole exposed the drywall. There were several walls containing chipped and peeling paint. 2. The Two's A classroom contained chipped and peeling paint on several walls. 3. The preschool 1 classroom contained chipped and peeling paint on several walls. 4. The toddler classroom contained several walls with chipped and peeling paint, one area was approximately 7x4. There was another area approximately 2x3 that was exposing the drywall. 5. Th toddler playground contained a Step 2 climber/slide that had a broken bottom step. The step is made of plastic and was broken and cracked approximately 12x5, which created holes that could entangle clothing or snag skin. 6. Staff #10 acknowledged the chipped and peeling paint in several classrooms.”

8VAC20-780-550-P

“Based on a review of documentation and interview on February 14, 2023, the center failed to ensure that written records of children's serious and minor injuries contained all the required information. Evidence: 1. The incident reports for child #11, child #12, and child #13 did not contain documentation on any future action to prevent the recurrence of the injury. 2. Staff #11 confirmed the incident reports were missing all the required information.”

8VAC20-780-280-B

“Based on observation on February 14, 2023, the center failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The infant B classroom had an unlocked cabinet that contained glass cleaner and disinfectant with labels that state "keep out of the reach of children" and "caution." 2. The infant A classroom had an unlocked cabinet under the sink that contained approximately 15 cleaners. The labels stated "keep out of the reach of children" and "caution."”

8VAC20-780-400-B

“Based on interviews, the center failed to ensure behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff #1 reported witnessing the following while on the playground on September 20, 2022: children throwing rocks at each other and at staff #2; staff #3 "chuck rocks" at child #1's face and say "you don't like when I do that huh, so don't throw rocks at me". 2. Staff #2 reported witnessing the following while on the playground on September 20, 2022: children throwing rocks at each other; staff #3 walk over to child #2, turn him around, and say "we don't throw rocks at our friends"; staff #3 throwing a handful of rocks in child #2's face and asking "you don't like it either, right? 3. Staff #4 stated that staff #3 was terminated as a result of the incident.”

8VAC20-780-410-1

“Based on staff interviews, the center failed to ensure that physical punishment was forbidden. Evidence: 1. Staff #1 reported witnessing the following on the playground on September 20, 2022 in response to child #1 throwing rocks: staff #3 over-hand throw a handful of rocks at the face of child #1, who was standing approximately 2 feet away from staff #3; child #1 immediately grab her face and begin "whining" 2. Staff #2 reported witnessing the following on the playground on September 20, 2022 in response to child #2 throwing rocks: staff #3 pick up a handful of rocks and throw them at child #2's face. Child #2 walked away crying. 3. Staff #4 stated that staff #3 was terminated as a result of the incident.”

8VAC20-780-40-E

“Based on a review of records and staff interviews, the licensee failed to ensure that the center complied with the center's own discipline policies and procedures regarding acceptable and unacceptable measures. Evidence: 1. The Kindercare Behavior Guidance Plan for Parents was reviewed. Per the Kindercare guidance plan, a) "staff are to model and reinforce appropriate behavior, b) staff will offer alternatives to children engaged in undesirable behavior by offering a different toy, suggesting a new activity, engaging the child in an activity with a teacher or another child, or by suggesting independent play, c) the teacher explains to the child the inappropriate behavior, and shows him/her the appropriate to handle the situation, d) the teacher helps the child understand the logical consequences of his/her actions by removing an object/activity that is causing the problem (for ex. if a child uses blocks to hit other children, the consequence is to remove the child from the block area). e) our policy does not permit the use of corporal punishment." 2. Per staff interviews, when playing on the playground on September 20, 2022, staff #3 was witnessed throwing rocks at children's faces in response to the children throwing rocks at each other and at staff and that staff #3 asked "you don't like it either right?" while throwing the rocks at the children. 3. Per staff interviews, when playing on the playground on September 20, 2022, staff #2 stated she witnessed children throwing rocks at each other. Staff #2 said that staff #3 walked over to child #2, turned him around, and said "we don't throw rocks at our friends," and then staff #2 took a handful of rocks and threw them in child #2's face. After throwing the rocks, staff #2 was heard to say "you don't like it either, right?" Staff #2 indicated that staff #3 was within 12 inches of child #2 when the rocks were thrown at his face. 4. Staff #4 confirmed that staff #3 was terminated as a result of the incident.”

8VAC20-790-600-D-2

“Based on a review of records and interview, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: 1. The record of staff #13, hired 4/18/22, did not contain documentation of a first aid certification. 2. The record of staff #8, hired 6/5/22, did not contain documentation of a first aid certification. 3. Staff #12 confirmed these staff did not have a first aid certification.”

8VAC20-790-600-D-1

“Based on a review of records and interview, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: 1. The record of staff #13, hired 4/18/22, did not contain documentation of a CPR certification. 2. The record of staff #8, hired 6/5/22, did not contain documentation of a CPR certification. 3. Staff #12 confirmed these staff did not have CPR certification.”

22.1-289.035-B-2

“Based on a review of records and interview on September 23, 2022, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of staff #3, hired 8/1/22, contained documentation of fingerprints dated 8/22/22. 2. The record of staff #10, hired 9/19/22, did not contain documentation of fingerprints. 3. Staff #12 confirmed the fingerprints were late and missing.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on September 23, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record staff #2, hired 7/25/22, did not contain central registry results. 2. The record of staff #3, hired 8/1/22, did not contain central registry results. 3. The record of staff #8, hired 6/5/22, did not contain central registry results. 4. Staff #12 confirmed the central registry checks haven?t been completed.”

8VAC20-780-160-A

“Based on a review of staff records, observation and interview on September 23, 2022, the center failed to ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #3, hired 8/1/22, did not contain documentation of a negative tuberculosis screening. Staff #3 was observed working with children during the inspection. Staff #12 confirmed staff #3 did not have a negative TB screening. 2. The record of staff #8, hired 6/5/22, contained documentation of a TB screening dated 7/1/22.”

8VAC20-780-240-A

“Based on a review of staff records and interview on September 23, 2022, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #8, hired 6/5/22, did not contain documentation of the Virginia Department of Education sponsored orientation. Staff #12 confirmed the orientation was not completed.”

8VAC20-780-260-B

“Based on a review of records and interview on September 23, 2022, the provider failed to ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: water supply, sewage disposal system, and food service, if applicable. Evidence: 1. The health inspection is dated 8/13/21. 2. Staff #12 stated the center has not reached out to the health department for their inspection.”

8VAC20-780-280-B

“Based on observation on September 23, 2022, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bathroom in the hallway across from the infant room and used by children contained cleaner on a shelf. The label on the cleaner stated ?keep out of reach of children? and ?warning.? 2. A bathroom in the hallway on the lower floor contained a large container of bleach and [name] on the floor. The label on the bleach stated ?keep out of reach of children? and ?danger.? The label on the [name] stated ?keep out of reach of children? and ?caution.? 3. The three year old bathroom contained a bottle of cleaner on a shelf. The label on the cleaner stated ?keep out of the reach of children? and ?warning.?”

8VAC20-780-320-B

“Based on observation and measurement, the center did not ensure to have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. Evidence: The water temperature was measured using a digital thermometer. The water temperature reading on the thermometer in the infant room was 122.8?.”

8VAC20-780-500-B

“Based on staff interview on September 23, 2022, the center failed to ensure that the diapering surface shall be sanitized after each use. Evidence: 1. Staff in the infant room stated the diapering surface is wiped with disinfectant wipes after each use. 2. Disinfect wipes were observed next to the diapering surface. 3. The use of disinfectant wipes does not meet the definition of sanitized per the standards for licensed child day centers.”

8VAC20-780-510-I

“Based on observation and interview on September 23, 2022, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child’s name, prescriber’s instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1. Child #11 has an Auvi-Q injector at the facility. The medication was observed without the original container and without a prescription label. 2. Staff #12 confirmed the center did not have the container.”

8VAC20-780-530-A-1

“Based on observation, a review of documentation and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of CPR certifications, it was determined staff #11 had an expired CPR certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a CPR certification. 3. Staff #12 confirmed that none of the three staff in the infant room had current certification in CPR.”

8VAC20-780-530-A-2

“Based on observation, a review of documentation, and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in first aid. Evidence: Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of first aid certifications, it was determined staff #11 had an expired first aid certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a first aid certification. 3. Staff #12 confirmed that none of the three staff in the infant room had current certification in first aid.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. The Two’s B classroom contained a hole in the wall, approximately 4 inches long. The hole exposed the drywall. There were several walls containing chipped and peeling paint. 2. The infant B classroom contained a soft climbing block with several rips and a hole exposing the foam inside. 3. The Two’s A classroom contained several walls with chipped and peeling paint. 4. The Three’s classroom contained several walls with chipped and peeling paint. 5. The playground swing chains contain rust.”

8VAC20-780-400-B

“Based on interviews, the center failed to ensure behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff #1 reported witnessing the following while on the playground on September 20, 2022: children throwing rocks at each other and at staff #2; staff #3 "chuck rocks" at child #1's face and say "you don't like when I do that huh, so don't throw rocks at me". 2. Staff #2 reported witnessing the following while on the playground on September 20, 2022: children throwing rocks at each other; staff #3 walk over to child #2, turn him around, and say "we don't throw rocks at our friends"; staff #3 throwing a handful of rocks in child #2's face and asking "you don't like it either, right? 3. Staff #4 stated that staff #3 was terminated as a result of the incident.”

8VAC20-780-410-1

“Based on staff interviews, the center failed to ensure that physical punishment was forbidden. Evidence: 1. Staff #1 reported witnessing the following on the playground on September 20, 2022 in response to child #1 throwing rocks: staff #3 over-hand throw a handful of rocks at the face of child #1, who was standing approximately 2 feet away from staff #3; child #1 immediately grab her face and begin "whining" 2. Staff #2 reported witnessing the following on the playground on September 20, 2022 in response to child #2 throwing rocks: staff #3 pick up a handful of rocks and throw them at child #2's face. Child #2 walked away crying. 3. Staff #4 stated that staff #3 was terminated as a result of the incident.”

8VAC20-780-40-E

“Based on a review of records and staff interviews, the licensee failed to ensure that the center complied with the center's own discipline policies and procedures regarding acceptable and unacceptable measures. Evidence: 1. The Kindercare Behavior Guidance Plan for Parents was reviewed. Per the Kindercare guidance plan, a) "staff are to model and reinforce appropriate behavior, b) staff will offer alternatives to children engaged in undesirable behavior by offering a different toy, suggesting a new activity, engaging the child in an activity with a teacher or another child, or by suggesting independent play, c) the teacher explains to the child the inappropriate behavior, and shows him/her the appropriate to handle the situation, d) the teacher helps the child understand the logical consequences of his/her actions by removing an object/activity that is causing the problem (for ex. if a child uses blocks to hit other children, the consequence is to remove the child from the block area). e) our policy does not permit the use of corporal punishment." 2. Per staff interviews, when playing on the playground on September 20, 2022, staff #3 was witnessed throwing rocks at children's faces in response to the children throwing rocks at each other and at staff and that staff #3 asked "you don't like it either right?" while throwing the rocks at the children. 3. Per staff interviews, when playing on the playground on September 20, 2022, staff #2 stated she witnessed children throwing rocks at each other. Staff #2 said that staff #3 walked over to child #2, turned him around, and said "we don't throw rocks at our friends," and then staff #2 took a handful of rocks and threw them in child #2's face. After throwing the rocks, staff #2 was heard to say "you don't like it either, right?" Staff #2 indicated that staff #3 was within 12 inches of child #2 when the rocks were thrown at his face. 4. Staff #4 confirmed that staff #3 was terminated as a result of the incident.”

8VAC20-790-600-D-2

“Based on a review of records and interview, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: 1. The record of staff #13, hired 4/18/22, did not contain documentation of a first aid certification. 2. The record of staff #8, hired 6/5/22, did not contain documentation of a first aid certification. 3. Staff #12 confirmed these staff did not have a first aid certification.”

8VAC20-790-600-D-1

“Based on a review of records and interview, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: 1. The record of staff #13, hired 4/18/22, did not contain documentation of a CPR certification. 2. The record of staff #8, hired 6/5/22, did not contain documentation of a CPR certification. 3. Staff #12 confirmed these staff did not have CPR certification.”

22.1-289.035-B-2

“Based on a review of records and interview on September 23, 2022, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of staff #3, hired 8/1/22, contained documentation of fingerprints dated 8/22/22. 2. The record of staff #10, hired 9/19/22, did not contain documentation of fingerprints. 3. Staff #12 confirmed the fingerprints were late and missing.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on September 23, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record staff #2, hired 7/25/22, did not contain central registry results. 2. The record of staff #3, hired 8/1/22, did not contain central registry results. 3. The record of staff #8, hired 6/5/22, did not contain central registry results. 4. Staff #12 confirmed the central registry checks haven?t been completed.”

8VAC20-780-160-A

“Based on a review of staff records, observation and interview on September 23, 2022, the center failed to ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #3, hired 8/1/22, did not contain documentation of a negative tuberculosis screening. Staff #3 was observed working with children during the inspection. Staff #12 confirmed staff #3 did not have a negative TB screening. 2. The record of staff #8, hired 6/5/22, contained documentation of a TB screening dated 7/1/22.”

8VAC20-780-240-A

“Based on a review of staff records and interview on September 23, 2022, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #8, hired 6/5/22, did not contain documentation of the Virginia Department of Education sponsored orientation. Staff #12 confirmed the orientation was not completed.”

8VAC20-780-260-B

“Based on a review of records and interview on September 23, 2022, the provider failed to ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: water supply, sewage disposal system, and food service, if applicable. Evidence: 1. The health inspection is dated 8/13/21. 2. Staff #12 stated the center has not reached out to the health department for their inspection.”

8VAC20-780-280-B

“Based on observation on September 23, 2022, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bathroom in the hallway across from the infant room and used by children contained cleaner on a shelf. The label on the cleaner stated ?keep out of reach of children? and ?warning.? 2. A bathroom in the hallway on the lower floor contained a large container of bleach and [name] on the floor. The label on the bleach stated ?keep out of reach of children? and ?danger.? The label on the [name] stated ?keep out of reach of children? and ?caution.? 3. The three year old bathroom contained a bottle of cleaner on a shelf. The label on the cleaner stated ?keep out of the reach of children? and ?warning.?”

8VAC20-780-320-B

“Based on observation and measurement, the center did not ensure to have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. Evidence: The water temperature was measured using a digital thermometer. The water temperature reading on the thermometer in the infant room was 122.8?.”

8VAC20-780-500-B

“Based on staff interview on September 23, 2022, the center failed to ensure that the diapering surface shall be sanitized after each use. Evidence: 1. Staff in the infant room stated the diapering surface is wiped with disinfectant wipes after each use. 2. Disinfect wipes were observed next to the diapering surface. 3. The use of disinfectant wipes does not meet the definition of sanitized per the standards for licensed child day centers.”

8VAC20-780-510-I

“Based on observation and interview on September 23, 2022, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child’s name, prescriber’s instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1. Child #11 has an Auvi-Q injector at the facility. The medication was observed without the original container and without a prescription label. 2. Staff #12 confirmed the center did not have the container.”

8VAC20-780-530-A-1

“Based on observation, a review of documentation and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of CPR certifications, it was determined staff #11 had an expired CPR certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a CPR certification. 3. Staff #12 confirmed that none of the three staff in the infant room had current certification in CPR.”

8VAC20-780-530-A-2

“Based on observation, a review of documentation, and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in first aid. Evidence: Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of first aid certifications, it was determined staff #11 had an expired first aid certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a first aid certification. 3. Staff #12 confirmed that none of the three staff in the infant room had current certification in first aid.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. The Two’s B classroom contained a hole in the wall, approximately 4 inches long. The hole exposed the drywall. There were several walls containing chipped and peeling paint. 2. The infant B classroom contained a soft climbing block with several rips and a hole exposing the foam inside. 3. The Two’s A classroom contained several walls with chipped and peeling paint. 4. The Three’s classroom contained several walls with chipped and peeling paint. 5. The playground swing chains contain rust.”

8VAC20-780-400-B

“Based on interviews, the center failed to ensure behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff #1 reported witnessing the following while on the playground on September 20, 2022: children throwing rocks at each other and at staff #2; staff #3 "chuck rocks" at child #1's face and say "you don't like when I do that huh, so don't throw rocks at me". 2. Staff #2 reported witnessing the following while on the playground on September 20, 2022: children throwing rocks at each other; staff #3 walk over to child #2, turn him around, and say "we don't throw rocks at our friends"; staff #3 throwing a handful of rocks in child #2's face and asking "you don't like it either, right? 3. Staff #4 stated that staff #3 was terminated as a result of the incident.”

8VAC20-780-410-1

“Based on staff interviews, the center failed to ensure that physical punishment was forbidden. Evidence: 1. Staff #1 reported witnessing the following on the playground on September 20, 2022 in response to child #1 throwing rocks: staff #3 over-hand throw a handful of rocks at the face of child #1, who was standing approximately 2 feet away from staff #3; child #1 immediately grab her face and begin "whining" 2. Staff #2 reported witnessing the following on the playground on September 20, 2022 in response to child #2 throwing rocks: staff #3 pick up a handful of rocks and throw them at child #2's face. Child #2 walked away crying. 3. Staff #4 stated that staff #3 was terminated as a result of the incident.”

8VAC20-780-40-E

“Based on a review of records and staff interviews, the licensee failed to ensure that the center complied with the center's own discipline policies and procedures regarding acceptable and unacceptable measures. Evidence: 1. The Kindercare Behavior Guidance Plan for Parents was reviewed. Per the Kindercare guidance plan, a) "staff are to model and reinforce appropriate behavior, b) staff will offer alternatives to children engaged in undesirable behavior by offering a different toy, suggesting a new activity, engaging the child in an activity with a teacher or another child, or by suggesting independent play, c) the teacher explains to the child the inappropriate behavior, and shows him/her the appropriate to handle the situation, d) the teacher helps the child understand the logical consequences of his/her actions by removing an object/activity that is causing the problem (for ex. if a child uses blocks to hit other children, the consequence is to remove the child from the block area). e) our policy does not permit the use of corporal punishment." 2. Per staff interviews, when playing on the playground on September 20, 2022, staff #3 was witnessed throwing rocks at children's faces in response to the children throwing rocks at each other and at staff and that staff #3 asked "you don't like it either right?" while throwing the rocks at the children. 3. Per staff interviews, when playing on the playground on September 20, 2022, staff #2 stated she witnessed children throwing rocks at each other. Staff #2 said that staff #3 walked over to child #2, turned him around, and said "we don't throw rocks at our friends," and then staff #2 took a handful of rocks and threw them in child #2's face. After throwing the rocks, staff #2 was heard to say "you don't like it either, right?" Staff #2 indicated that staff #3 was within 12 inches of child #2 when the rocks were thrown at his face. 4. Staff #4 confirmed that staff #3 was terminated as a result of the incident.”

8VAC20-790-600-D-2

“Based on a review of records and interview, the vendor failed to ensure each staff member had a current certification in first aid within 90 days of employment. Evidence: 1. The record of staff #13, hired 4/18/22, did not contain documentation of a first aid certification. 2. The record of staff #8, hired 6/5/22, did not contain documentation of a first aid certification. 3. Staff #12 confirmed these staff did not have a first aid certification.”

8VAC20-790-600-D-1

“Based on a review of records and interview, the vendor failed to obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of the children in care within 90 days of employment. Evidence: 1. The record of staff #13, hired 4/18/22, did not contain documentation of a CPR certification. 2. The record of staff #8, hired 6/5/22, did not contain documentation of a CPR certification. 3. Staff #12 confirmed these staff did not have CPR certification.”

22.1-289.035-B-2

“Based on a review of records and interview on September 23, 2022, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of staff #3, hired 8/1/22, contained documentation of fingerprints dated 8/22/22. 2. The record of staff #10, hired 9/19/22, did not contain documentation of fingerprints. 3. Staff #12 confirmed the fingerprints were late and missing.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on September 23, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record staff #2, hired 7/25/22, did not contain central registry results. 2. The record of staff #3, hired 8/1/22, did not contain central registry results. 3. The record of staff #8, hired 6/5/22, did not contain central registry results. 4. Staff #12 confirmed the central registry checks haven?t been completed.”

8VAC20-780-160-A

“Based on a review of staff records, observation and interview on September 23, 2022, the center failed to ensure that each staff submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #3, hired 8/1/22, did not contain documentation of a negative tuberculosis screening. Staff #3 was observed working with children during the inspection. Staff #12 confirmed staff #3 did not have a negative TB screening. 2. The record of staff #8, hired 6/5/22, contained documentation of a TB screening dated 7/1/22.”

8VAC20-780-240-A

“Based on a review of staff records and interview on September 23, 2022, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record of staff #8, hired 6/5/22, did not contain documentation of the Virginia Department of Education sponsored orientation. Staff #12 confirmed the orientation was not completed.”

8VAC20-780-260-B

“Based on a review of records and interview on September 23, 2022, the provider failed to ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for: water supply, sewage disposal system, and food service, if applicable. Evidence: 1. The health inspection is dated 8/13/21. 2. Staff #12 stated the center has not reached out to the health department for their inspection.”

8VAC20-780-280-B

“Based on observation on September 23, 2022, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bathroom in the hallway across from the infant room and used by children contained cleaner on a shelf. The label on the cleaner stated ?keep out of reach of children? and ?warning.? 2. A bathroom in the hallway on the lower floor contained a large container of bleach and [name] on the floor. The label on the bleach stated ?keep out of reach of children? and ?danger.? The label on the [name] stated ?keep out of reach of children? and ?caution.? 3. The three year old bathroom contained a bottle of cleaner on a shelf. The label on the cleaner stated ?keep out of the reach of children? and ?warning.?”

8VAC20-780-320-B

“Based on observation and measurement, the center did not ensure to have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. Evidence: The water temperature was measured using a digital thermometer. The water temperature reading on the thermometer in the infant room was 122.8?.”

8VAC20-780-500-B

“Based on staff interview on September 23, 2022, the center failed to ensure that the diapering surface shall be sanitized after each use. Evidence: 1. Staff in the infant room stated the diapering surface is wiped with disinfectant wipes after each use. 2. Disinfect wipes were observed next to the diapering surface. 3. The use of disinfectant wipes does not meet the definition of sanitized per the standards for licensed child day centers.”

8VAC20-780-510-I

“Based on observation and interview on September 23, 2022, the center failed to ensure that prescription medicine is maintained in the original, labeled container and the label on the medication identifies the child’s name, prescriber’s instructions pertaining to dosage, frequency, and manner of administration. Evidence: 1. Child #11 has an Auvi-Q injector at the facility. The medication was observed without the original container and without a prescription label. 2. Staff #12 confirmed the center did not have the container.”

8VAC20-780-530-A-1

“Based on observation, a review of documentation and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in cardiopulmonary resuscitation (CPR). Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of CPR certifications, it was determined staff #11 had an expired CPR certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a CPR certification. 3. Staff #12 confirmed that none of the three staff in the infant room had current certification in CPR.”

8VAC20-780-530-A-2

“Based on observation, a review of documentation, and interview on September 23, 2022, the center failed to ensure that at least one staff member in each classroom had current certification in first aid. Evidence: Evidence: 1. In the infant classroom, staff #4, staff #10, and staff #11 were observed working with infants. 2. Based on a review of first aid certifications, it was determined staff #11 had an expired first aid certification with a dated expiration of 8/2017. Staff #10 and staff #11 did not have a first aid certification. 3. Staff #12 confirmed that none of the three staff in the infant room had current certification in first aid.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. The Two’s B classroom contained a hole in the wall, approximately 4 inches long. The hole exposed the drywall. There were several walls containing chipped and peeling paint. 2. The infant B classroom contained a soft climbing block with several rips and a hole exposing the foam inside. 3. The Two’s A classroom contained several walls with chipped and peeling paint. 4. The Three’s classroom contained several walls with chipped and peeling paint. 5. The playground swing chains contain rust.”

8VAC20-780-260-B

“Based on review of general documents, the program did not ensure annual approval from the health department for meeting requirements of water supply, sewage disposal system, and food service. Evidence: 1. Program was unable to provide a copy of their most recent health inspection. Last inspection per DOE records was dated 10/14/20.”

8VAC20-780-260-B

“Based on review of general documents, the program did not ensure annual approval from the health department for meeting requirements of water supply, sewage disposal system, and food service. Evidence: 1. Program was unable to provide a copy of their most recent health inspection. Last inspection per DOE records was dated 10/14/20.”