KinderCare Learning Centers

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

“The following action or threats thereof are forbidden: roughly handling a child. On October 31, 2024, Staff #1 lifted Infant #1, age 10 months, off the ground by one arm at the bicep and carried the infant by the one arm to a rug a few feet away. Staff #1 also lifted infant #2, age 10 months, off the ground by one arm at the bicep and carried the infant by the one arm across the classroom. One of the infants cried as a result.”

8VAC20-780-270-A

“REPEAT VIOLATION SYSTEMIC VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1. On the left side of the infant room, there was a cracked and splintered wood frame around an access door that creates a scratch and pinching hazard. Underneath of the access panel, there was chipped and peeling paint around the baseboards in multiple areas.”

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

“The following action or threats thereof are forbidden: roughly handling a child. On October 31, 2024, Staff #1 lifted Infant #1, age 10 months, off the ground by one arm at the bicep and carried the infant by the one arm to a rug a few feet away. Staff #1 also lifted infant #2, age 10 months, off the ground by one arm at the bicep and carried the infant by the one arm across the classroom. One of the infants cried as a result.”

8VAC20-780-270-A

“REPEAT VIOLATION SYSTEMIC VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1. On the left side of the infant room, there was a cracked and splintered wood frame around an access door that creates a scratch and pinching hazard. Underneath of the access panel, there was chipped and peeling paint around the baseboards in multiple areas.”

8VAC20-780-500-B

“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. In the two's classroom, the lid to the diaper disposal was not functional by foot and had to be lifted by hand to dispose of diapers.”

8VAC20-780-270-A

“REPEAT VIOLATION SYSTEMIC VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1. At approximately 9:45 a.m. in the preschool classroom, cereal, cranberries, and a cranberry wrapper were observed on the floor under the tables. At least two areas of spilled milk were observed on top of the table. 2. In the bathroom of the two's classroom, a potty chair was observed with a dried yellow substance all over the bottom on the inside.”

8VAC20-780-400-B

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on observation, the center failed to ensure all behavioral guidance was constructive in nature. Evidence: While in the director’s office, the assistant director and licensing inspector heard staff #2 in the three’s classroom use a very loud voice tone to shout at a child.”

8VAC20-780-280-H

“Based on observation and interview with staff, the center failed to ensure that all cosmetics, medications, or other harmful agents were stored in areas inaccessible to children. Evidence: In the three’s classroom, there was a set of keys stored on top of bookcase. Staff interview confirmed that there was a canister of pepper spray on the keys accessible to children in care.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure all equipment and material was maintained in safe, operable condition. Evidence: In the three’s classroom reading nook, there was a CD player plugged in and sitting in the window sill which created a trip hazard and falling-object hazard. The CD player was partially off the ledge of the sill.”

22.1-289.035-B-4

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on review of documentation, the center failed to request out of state background checks for any staff that has resided outside of Virginia in the last five years prior to employment. Evidence: Staff #3, date of hire 8/10/2024, had a New York state identification card issued in 2023 on file in the record. Staff interview revealed that the staff member had resided outside of the state of Virginia in the last five years. There was no out of state central registry or sex offender check on file. Staff #4, date of hire 7/30/2024, indicated out of state residence in Georgia on their central registry background check form in the last five years. There was no out of state central registry or sex offender check on file.”

8VAC20-770-60-C-2

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on review of documentation, the center failed to ensure that central registry background check results were obtained within 30 days of employment. Evidence: The central registry results for Staff #5, hired 9/18/2023, was dated 1/25/2024.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that potentially hazardous substances were stored in a locked place. Evidence: In the three’s classroom, there was a box of alcohol antiseptic wipes with warnings danger and keep out of reach of children stored on top of a bookcase accessible to children in care.”

8VAC20-780-400-B

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on observation, the center failed to ensure all behavioral guidance was constructive in nature. Evidence: While in the director’s office, the assistant director and licensing inspector heard staff #2 in the three’s classroom use a very loud voice tone to shout at a child.”

8VAC20-780-280-H

“Based on observation and interview with staff, the center failed to ensure that all cosmetics, medications, or other harmful agents were stored in areas inaccessible to children. Evidence: In the three’s classroom, there was a set of keys stored on top of bookcase. Staff interview confirmed that there was a canister of pepper spray on the keys accessible to children in care.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure all equipment and material was maintained in safe, operable condition. Evidence: In the three’s classroom reading nook, there was a CD player plugged in and sitting in the window sill which created a trip hazard and falling-object hazard. The CD player was partially off the ledge of the sill.”

22.1-289.035-B-4

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on review of documentation, the center failed to request out of state background checks for any staff that has resided outside of Virginia in the last five years prior to employment. Evidence: Staff #3, date of hire 8/10/2024, had a New York state identification card issued in 2023 on file in the record. Staff interview revealed that the staff member had resided outside of the state of Virginia in the last five years. There was no out of state central registry or sex offender check on file. Staff #4, date of hire 7/30/2024, indicated out of state residence in Georgia on their central registry background check form in the last five years. There was no out of state central registry or sex offender check on file.”

8VAC20-770-60-C-2

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on review of documentation, the center failed to ensure that central registry background check results were obtained within 30 days of employment. Evidence: The central registry results for Staff #5, hired 9/18/2023, was dated 1/25/2024.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that potentially hazardous substances were stored in a locked place. Evidence: In the three’s classroom, there was a box of alcohol antiseptic wipes with warnings danger and keep out of reach of children stored on top of a bookcase accessible to children in care.”

8VAC20-780-400-B

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on observation, the center failed to ensure all behavioral guidance was constructive in nature. Evidence: While in the director’s office, the assistant director and licensing inspector heard staff #2 in the three’s classroom use a very loud voice tone to shout at a child.”

8VAC20-780-280-H

“Based on observation and interview with staff, the center failed to ensure that all cosmetics, medications, or other harmful agents were stored in areas inaccessible to children. Evidence: In the three’s classroom, there was a set of keys stored on top of bookcase. Staff interview confirmed that there was a canister of pepper spray on the keys accessible to children in care.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure all equipment and material was maintained in safe, operable condition. Evidence: In the three’s classroom reading nook, there was a CD player plugged in and sitting in the window sill which created a trip hazard and falling-object hazard. The CD player was partially off the ledge of the sill.”

22.1-289.035-B-4

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on review of documentation, the center failed to request out of state background checks for any staff that has resided outside of Virginia in the last five years prior to employment. Evidence: Staff #3, date of hire 8/10/2024, had a New York state identification card issued in 2023 on file in the record. Staff interview revealed that the staff member had resided outside of the state of Virginia in the last five years. There was no out of state central registry or sex offender check on file. Staff #4, date of hire 7/30/2024, indicated out of state residence in Georgia on their central registry background check form in the last five years. There was no out of state central registry or sex offender check on file.”

8VAC20-770-60-C-2

“REPEAT VIOLATION SYSTEMIC VIOLATION Based on review of documentation, the center failed to ensure that central registry background check results were obtained within 30 days of employment. Evidence: The central registry results for Staff #5, hired 9/18/2023, was dated 1/25/2024.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that potentially hazardous substances were stored in a locked place. Evidence: In the three’s classroom, there was a box of alcohol antiseptic wipes with warnings danger and keep out of reach of children stored on top of a bookcase accessible to children in care.”

8VAC20-780-270-A

“Based on observation, not all areas and equipment of the center were maintained in clean, safe, operable condition. Evidence: In the two year old classroom,' 1. The toilet on the left of the bathroom was missing the lid to the water tank. The toilet on the right did not flush, had toilet paper remnants in the bowl and was inoperable. Staff interviews revealed they had been this way for approximately two weeks. 2. The floor was visibly soiled with debris and stains. The carpets were visibly soiled. There were dust and an active spider web in the bottom corner on the large cabinet in the far left of the classroom.”

8VAC20-780-510-P

“Based on review of medications, the center failed to return the medication to the parent within 14 days or have the parent renew the authorization. Evidence: Child #4 had albuterol on site and the medication authorization expired on 6/20/2024.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure that resilient surfacing was adequate in use and fall zones around play equipment. Evidence: On the playground, in the use and fall zones of the composite climber and slide that is approximately four feet high dirt was observed in various areas in the mulch used for resilient surfacing.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure that resilient surfacing was adequate in use and fall zones around play equipment. Evidence: On the playground, in the use and fall zones of the composite climber and slide that is approximately four feet high dirt was observed in various areas in the mulch used for resilient surfacing.”

8VAC20-780-60-A-8

“Based on review of documentation and interview with the provider, the center failed to obtain a written care plan for each child with a diagnosed food allergy from a physician. Evidence: Child #1's physical indicated diagnosed food allergies to nuts and eggs. There was no written allergy care plan on file.”

8VAC20-780-440-J

“Based on observation, the center failed to ensure that there was at least 12 inches of space between the ends of cribs when occupied. Evidence: In the older infant room, there were four occupied cribs that were touching end to end.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets had protective covers. Evidence: In the older infant room, there was an uncovered outlet on the right wall. There was an occupied crib against the wall and the uncovered outlet was accessible to the infant in the crib.”

8VAC20-770-60-C-2

“REPEAT VIOLATION Based on review of documentation, the center failed to ensure that central registry background check results were obtained within 30 days of employment. Evidence: The central registry results for Staff #3, hired on 09/18/2023, were dated 11/01/2023. The central registry results for Staff #4, hired on 02/27/2023, were dated 04/19/2023.”

8VAC20-780-350-B-3

“Based on observation, the center failed to ensure that maintain the 1:8 staff-to-children ratios were met for two year olds. Evidence: On 11/29/2023 there were 18 two year old children under the supervision of 2 two staff members.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff washed their hands after coming into contact with body fluids. Evidence: In the two year old room, Staff #2 was observed wiping the noses of several children and Staff #2 did not wash their hands in between or after wiping each child’s nose.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that there was a leakproof covered receptacle for soiled linens. Evidence: The soiled linen containers observed in the infant room, older infant room, toddler room and two’s room, were open laundry baskets with cut outs that were not covered nor leakproof.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure all prepared infant bottles were labeled and dated as required. Evidence: In the younger infant room, there were three infant bottles not labeled with the child’s name.”

8VAC20-780-160-A

“Based on review of documentation, the center failed to obtain documentation of TB screening before staff came into contact with children. Evidence: Staff #4 began work on 02/27/2023 and documentation of a TB test/screening was not obtained until 03/15/2023.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas were maintained in clean, safe, operable condition. Evidence: In the two’s room, the left sink was missing a handle and did not turn on. Under the paper towel holder there was a two to three inch size patch of chipped pain, that exposed the drywall underneath.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on review of documentation, the center failed to request out of state central registry background checks within 30 days of employment for any staff that resided outside of Virginia in the last five years. Evidence: Staff #3, hired 9/18/2023, indicated out of state residence in North Carolina and there was no documentation of the center requesting the out of state background check.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that potentially hazardous substances were kept in a locked place. Evidence: 1. In the younger infant room, there were two cans of Lysol, one container of disinfectant wipes unlocked on a high shelf. 2. In the toddler room, there was a bottle labeled sanitizer on top of the diapering table. 3. In the two year old room, there were disinfectant wipe in the window of the classroom.”

8VAC20-780-340-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that while staff are supervising children, they shall always ensure the care, protection and guidance. of the children in care. Evidence: 1. in the younger infant room, infant #1 was observed with the mostly empty bottle of infant #2 in their mouth and tipping it to attempt to drink from the bottle. Staff interviews revealed that that Infant #2?s bottle contained breast milk. 2. In the two year old room, children were observed for approximately 10 minutes climbing tables; throwing toys, such as blocks and pretend food; climbing on top of bins; smacking and pinching each other; pulling hair; and crying. One child was observed climbing the back of a chair and intentionally falling backwards into a clothes basket at least two times over the course of several minutes before this activity was observed by staff. While the above behavior and activity is taking place, Staff #2 was observed with their back to the group of children, taking a box outside on the playground for approximately one minute. Staff #2 returned inside, retrieved scissors and then returned to the exit door with their back to the classroom, door half closed while breaking down the box for approximately 45 seconds.”

22.1-289.011-F

“Based on observation, the center failed to ensure the findings from the most recent inspection were posted as required. Evidence: 1. The most recent inspection conducted on 09/13/2023 was not posted. 2. The posted inspection was dated 06/02/2023 and three inspections have been conducted since the June inspection.”

8VAC20-770-60-C-2

“REPEAT VIOLATION Based on review of documentation, the center failed to ensure that central registry background check results were obtained within 30 days of employment. Evidence: The central registry results for Staff #3, hired on 09/18/2023, were dated 11/01/2023. The central registry results for Staff #4, hired on 02/27/2023, were dated 04/19/2023.”

8VAC20-780-350-B-3

“Based on observation, the center failed to ensure that maintain the 1:8 staff-to-children ratios were met for two year olds. Evidence: On 11/29/2023 there were 18 two year old children under the supervision of 2 two staff members.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff washed their hands after coming into contact with body fluids. Evidence: In the two year old room, Staff #2 was observed wiping the noses of several children and Staff #2 did not wash their hands in between or after wiping each child’s nose.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that there was a leakproof covered receptacle for soiled linens. Evidence: The soiled linen containers observed in the infant room, older infant room, toddler room and two’s room, were open laundry baskets with cut outs that were not covered nor leakproof.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure all prepared infant bottles were labeled and dated as required. Evidence: In the younger infant room, there were three infant bottles not labeled with the child’s name.”

8VAC20-780-160-A

“Based on review of documentation, the center failed to obtain documentation of TB screening before staff came into contact with children. Evidence: Staff #4 began work on 02/27/2023 and documentation of a TB test/screening was not obtained until 03/15/2023.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas were maintained in clean, safe, operable condition. Evidence: In the two’s room, the left sink was missing a handle and did not turn on. Under the paper towel holder there was a two to three inch size patch of chipped pain, that exposed the drywall underneath.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on review of documentation, the center failed to request out of state central registry background checks within 30 days of employment for any staff that resided outside of Virginia in the last five years. Evidence: Staff #3, hired 9/18/2023, indicated out of state residence in North Carolina and there was no documentation of the center requesting the out of state background check.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that potentially hazardous substances were kept in a locked place. Evidence: 1. In the younger infant room, there were two cans of Lysol, one container of disinfectant wipes unlocked on a high shelf. 2. In the toddler room, there was a bottle labeled sanitizer on top of the diapering table. 3. In the two year old room, there were disinfectant wipe in the window of the classroom.”

8VAC20-780-340-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that while staff are supervising children, they shall always ensure the care, protection and guidance. of the children in care. Evidence: 1. in the younger infant room, infant #1 was observed with the mostly empty bottle of infant #2 in their mouth and tipping it to attempt to drink from the bottle. Staff interviews revealed that that Infant #2?s bottle contained breast milk. 2. In the two year old room, children were observed for approximately 10 minutes climbing tables; throwing toys, such as blocks and pretend food; climbing on top of bins; smacking and pinching each other; pulling hair; and crying. One child was observed climbing the back of a chair and intentionally falling backwards into a clothes basket at least two times over the course of several minutes before this activity was observed by staff. While the above behavior and activity is taking place, Staff #2 was observed with their back to the group of children, taking a box outside on the playground for approximately one minute. Staff #2 returned inside, retrieved scissors and then returned to the exit door with their back to the classroom, door half closed while breaking down the box for approximately 45 seconds.”

22.1-289.011-F

“Based on observation, the center failed to ensure the findings from the most recent inspection were posted as required. Evidence: 1. The most recent inspection conducted on 09/13/2023 was not posted. 2. The posted inspection was dated 06/02/2023 and three inspections have been conducted since the June inspection.”

8VAC20-780-410-1

“Based on interviews, it was determined that the center failed to ensure that roughly handling children was forbidden. Evidence: On August 29, 2023, Staff #1 was observed by another staff and a parent of another child enrolled at the center, roughly handling Child #1, age 21 months, by lifting the child under the arms and slamming the child on their stomach onto their nap cot with such force that the child gasped for air.”

8VAC20-780-400-B

“REPEAT VIOLATION Based on interviews, the center failed to ensure that behavioral guidance was constructive in nature, age and stage appropriate and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: Staff interviews revealed that Staff #1 was observed approximately 20 to 30 times using loud, harsh voice tones described as yelling and screaming in attempt to redirect children ages 16 months through 2 years. Interviewees reported witnessing Staff #1 yelling, ?y?all are getting on my nerves?, ?we?re not doing this today?, and ?all you?re doing is crying today? at the children.”

8VAC20-780-400-C

“Based on staff interviews, the center failed to ensure that time out was not utilized with toddlers as a behavioral guidance technique. Evidence: Interviews revealed that during the months of June, July, August of 2023, Staff #1 utilized time out in the toddler room at least 10 different times by making children sit on top of a table as ?punishment? for one to two minutes and often the children would cry.”

63.2-1509-A

“Based on interviews, the center, having reason to suspect that a child was 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: Staff of the center who are all mandated reporters did not report suspected child abuse and neglect immediately as required. Interviews revealed that staff reported concerns regarding the care and treatment of children at least 16 to 20 times to management. On August 29, 2023 an incident occurred in which staff witnessed another staff pick up a child and slam the child on a cot and as of October 16, 2023 the incident had not been reported.”

8VAC20-780-340-A

“REPEAT VIOLATION Based on staff interviews, staff failed to ensure the care, protection and guidance of children in care. Evidence: Throughout the months of June, July and August 2023, Staff #1 was observed by two staff using loud voice tones described as yelling and screaming at a classroom of toddler children ranging in age from 16 months to 2 years old. Staff #1 was observed slamming children in their chairs and on the floor ?really hard?, pinning children in their seats with her leg to ensure the children stayed seated at a table and snatching toys and other items from the children. A third staff confirmed witnessing Staff #1 pinning children in their seats. Children’s reactions were described as crying and running away from Staff #1. These behaviors from Staff #1 were reported to management by at least two staff members between 16 to 20 different times and Staff #1 continued to engage in these behaviors for approximately three months.”

8VAC20-780-400-B

“Based on interviews, the center failed to ensure that behavioral guidance is constructive in nature, age and stage appropriate and intended to redirect children to appropriate behavior. Evidence: 1. In an interview on 07/20/2023, Staff #4 stated that on 06/27/2023, Child #1?s parent reported seeing marks on Child #1?s feet when removing their shoes after leaving the center on 06/26/2023. Staff #4 reported that Child #1?s feet looked bad on 06/27/2023. Staff #4 stated that the shoes Child #1 wore on 06/26/2023 were not meant to be tied, so tying them would have caused marks on Child #1?s feet. 2. In an interview on 07/20/2023, Staff #2 stated that Staff #1 was frustrated and told Child #1 two-three times to put on their shoes. Staff #1 tied Child #1?s shoes too tight leaving marks on Child #1?s ankles. Staff #2 stated that Staff #1 said ?we wear shoes in this classroom? and that Staff #1 tied Child #1 shoes on tight because Child #1 kept taking off their shoes. 3. In an interview on 07/20/2023, Staff #3 stated that they saw Staff #1 tie Child #1?s shoes on 06/26/2023, leaving marks on Child #1?s feet. Staff #3 stated that Child #1 did not take the shoes off for the rest of the day. Staff #3 stated that Staff #1 tied the shoes on Child #1 because they kept taking their shoes off and Staff #1 wanted all children to wear shoes in the classroom. 4. Photographs (CDC_1108702(06-26-2023)P1 and CDC_1108702(06-26-2023)P2) taken by the parent of Child #1 on 06/26/2023, provided to the department by the center, showed red marks on both of Child #1?s feet.”

8VAC20-780-260-A

“Based on the review of required documentation, the program failed to provide an annual fire inspection report to the licensing representative. Evidence: The most recent fire inspection report on file was dated 2/8/2022. The administrator confirmed that was the most recent one on file.”

8VAC20-780-260-B

“Based on the review of required documentation, the program failed to provide an annual health inspection report to the licensing representative. Evidence: The most recent health inspection report on file was dated 10/22/2021. The administrator confirmed that was the most recent one on file.”

8VAC20-780-340-A

“Based on interviews, the program failed to ensure the care and protection of children while staff were supervising children. Evidence: Staff #5 stated that while cleaning a bottle warmer, she left the cord dangling as she went to provide behavioral guidance to another child. Another child pulled on the cord and the bottle warmer hit the child on the corner of his eye, needing two stitches.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on the review of eight staff files, the program failed to ensure that one staff completed the orientation course within 90 calendar days of employment. Evidence: 1. The first day of employment for Staff #3 was 2/1/2023. There was no certificate in the file. 2. The administrator confirmed that the training had not be completed.”

22.1-289.035-B-4

“Based on the review of eight staff files, the program failed to ensure that the results of a criminal history record check, sex offender registry check, and a search of the child abuse and neglect registry from any state of residence within five years for one staff. Evidence: 1. The first day of employment for Staff #1 was 5/3/2022. There were no background checks from a previous state of residence in the file.”

8VAC20-770-60-C-2

“Based on the review of eight staff files, the program failed to ensure that the results of central registry check was obtained within 30 days of employment for four staff. Evidence: 1. The first day of employment for Staff #2 was 1/30/2023. The results in the file were dated 3/8/2023. 2. The first day of employment for Staff #3 was 2/1/2023. The results in the file were dated 3/8/2023. 3. The first day of employment for Staff #5 was 1/3/2023. The results in the file were dated 3/8/2023. 4. The first day of employment for Staff #7 was 2/27/2023. The results in the file were dated 4/19/2023.”

8VAC20-780-160-A

“Based on the review of eight staff records, the program failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment for two staff. 1 The first day of employment for Staff #1 was 5/3/2023. The TB screening results were dated 5/14/2023. 2. The first day of employment for Staff #7 was 2/27/2023. The TB screening results were dated 3/15/2023.”

8VAC20-780-260-A

“Based on the review of required documentation, the program failed to provide an annual fire inspection report to the licensing representative. Evidence: The most recent fire inspection report on file was dated 2/8/2022. The administrator confirmed that was the most recent one on file.”

8VAC20-780-260-B

“Based on the review of required documentation, the program failed to provide an annual health inspection report to the licensing representative. Evidence: The most recent health inspection report on file was dated 10/22/2021. The administrator confirmed that was the most recent one on file.”

8VAC20-780-340-A

“Based on interviews, the program failed to ensure the care and protection of children while staff were supervising children. Evidence: Staff #5 stated that while cleaning a bottle warmer, she left the cord dangling as she went to provide behavioral guidance to another child. Another child pulled on the cord and the bottle warmer hit the child on the corner of his eye, needing two stitches.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on the review of eight staff files, the program failed to ensure that one staff completed the orientation course within 90 calendar days of employment. Evidence: 1. The first day of employment for Staff #3 was 2/1/2023. There was no certificate in the file. 2. The administrator confirmed that the training had not be completed.”

22.1-289.035-B-4

“Based on the review of eight staff files, the program failed to ensure that the results of a criminal history record check, sex offender registry check, and a search of the child abuse and neglect registry from any state of residence within five years for one staff. Evidence: 1. The first day of employment for Staff #1 was 5/3/2022. There were no background checks from a previous state of residence in the file.”

8VAC20-770-60-C-2

“Based on the review of eight staff files, the program failed to ensure that the results of central registry check was obtained within 30 days of employment for four staff. Evidence: 1. The first day of employment for Staff #2 was 1/30/2023. The results in the file were dated 3/8/2023. 2. The first day of employment for Staff #3 was 2/1/2023. The results in the file were dated 3/8/2023. 3. The first day of employment for Staff #5 was 1/3/2023. The results in the file were dated 3/8/2023. 4. The first day of employment for Staff #7 was 2/27/2023. The results in the file were dated 4/19/2023.”

8VAC20-780-160-A

“Based on the review of eight staff records, the program failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment for two staff. 1 The first day of employment for Staff #1 was 5/3/2023. The TB screening results were dated 5/14/2023. 2. The first day of employment for Staff #7 was 2/27/2023. The TB screening results were dated 3/15/2023.”

8VAC20-780-260-A

“Based on the review of required documentation, the program failed to provide an annual fire inspection report to the licensing representative. Evidence: The most recent fire inspection report on file was dated 2/8/2022. The administrator confirmed that was the most recent one on file.”

8VAC20-780-260-B

“Based on the review of required documentation, the program failed to provide an annual health inspection report to the licensing representative. Evidence: The most recent health inspection report on file was dated 10/22/2021. The administrator confirmed that was the most recent one on file.”

8VAC20-780-340-A

“Based on interviews, the program failed to ensure the care and protection of children while staff were supervising children. Evidence: Staff #5 stated that while cleaning a bottle warmer, she left the cord dangling as she went to provide behavioral guidance to another child. Another child pulled on the cord and the bottle warmer hit the child on the corner of his eye, needing two stitches.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on the review of eight staff files, the program failed to ensure that one staff completed the orientation course within 90 calendar days of employment. Evidence: 1. The first day of employment for Staff #3 was 2/1/2023. There was no certificate in the file. 2. The administrator confirmed that the training had not be completed.”

22.1-289.035-B-4

“Based on the review of eight staff files, the program failed to ensure that the results of a criminal history record check, sex offender registry check, and a search of the child abuse and neglect registry from any state of residence within five years for one staff. Evidence: 1. The first day of employment for Staff #1 was 5/3/2022. There were no background checks from a previous state of residence in the file.”

8VAC20-770-60-C-2

“Based on the review of eight staff files, the program failed to ensure that the results of central registry check was obtained within 30 days of employment for four staff. Evidence: 1. The first day of employment for Staff #2 was 1/30/2023. The results in the file were dated 3/8/2023. 2. The first day of employment for Staff #3 was 2/1/2023. The results in the file were dated 3/8/2023. 3. The first day of employment for Staff #5 was 1/3/2023. The results in the file were dated 3/8/2023. 4. The first day of employment for Staff #7 was 2/27/2023. The results in the file were dated 4/19/2023.”

8VAC20-780-160-A

“Based on the review of eight staff records, the program failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment for two staff. 1 The first day of employment for Staff #1 was 5/3/2023. The TB screening results were dated 5/14/2023. 2. The first day of employment for Staff #7 was 2/27/2023. The TB screening results were dated 3/15/2023.”

8VAC20-780-260-A

“Based on the review of required documentation, the program failed to provide an annual fire inspection report to the licensing representative. Evidence: The most recent fire inspection report on file was dated 2/8/2022. The administrator confirmed that was the most recent one on file.”

8VAC20-780-260-B

“Based on the review of required documentation, the program failed to provide an annual health inspection report to the licensing representative. Evidence: The most recent health inspection report on file was dated 10/22/2021. The administrator confirmed that was the most recent one on file.”

8VAC20-780-340-A

“Based on interviews, the program failed to ensure the care and protection of children while staff were supervising children. Evidence: Staff #5 stated that while cleaning a bottle warmer, she left the cord dangling as she went to provide behavioral guidance to another child. Another child pulled on the cord and the bottle warmer hit the child on the corner of his eye, needing two stitches.”

8VAC20-780-240-A

“REPEAT VIOLATION Based on the review of eight staff files, the program failed to ensure that one staff completed the orientation course within 90 calendar days of employment. Evidence: 1. The first day of employment for Staff #3 was 2/1/2023. There was no certificate in the file. 2. The administrator confirmed that the training had not be completed.”

22.1-289.035-B-4

“Based on the review of eight staff files, the program failed to ensure that the results of a criminal history record check, sex offender registry check, and a search of the child abuse and neglect registry from any state of residence within five years for one staff. Evidence: 1. The first day of employment for Staff #1 was 5/3/2022. There were no background checks from a previous state of residence in the file.”

8VAC20-770-60-C-2

“Based on the review of eight staff files, the program failed to ensure that the results of central registry check was obtained within 30 days of employment for four staff. Evidence: 1. The first day of employment for Staff #2 was 1/30/2023. The results in the file were dated 3/8/2023. 2. The first day of employment for Staff #3 was 2/1/2023. The results in the file were dated 3/8/2023. 3. The first day of employment for Staff #5 was 1/3/2023. The results in the file were dated 3/8/2023. 4. The first day of employment for Staff #7 was 2/27/2023. The results in the file were dated 4/19/2023.”

8VAC20-780-160-A

“Based on the review of eight staff records, the program failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment for two staff. 1 The first day of employment for Staff #1 was 5/3/2023. The TB screening results were dated 5/14/2023. 2. The first day of employment for Staff #7 was 2/27/2023. The TB screening results were dated 3/15/2023.”

8VAC20-780-500-B

“Based on observation and interviews, the center failed to ensure that for children younger than three years, a changing table or counter top designated for changing was used as the nonabsorbent surface for diapering or changing. Evidence: 1. While touring the facility, the two year old classroom no longer had a changing table. 2. Staff #4 was asked where the changing table was located, and stated that it was not relocated to the space when rooms were switched at the end of the summer. She was then asked to demonstrate diapering procedures. After attempting to use the toilet, the child stands outside the stall to complete the diaper or pull up change. If necessary, the child is placed on the lap of Staff #4 to complete the diaper change. 3. The director confirmed that the changing table was not used in the previous room, so was not relocated. 4. After reviewing the standards regarding diapering and discussing the allowable variance process, the director requested an application.”

22.1-289.035-B-2

“Based on review of three staff files, the program failed to ensure that one staff completed a fingerprint based criminal history check prior to the first day of employment. Evidence: 1. The first day of employment for Staff #2 was 9/12/2022. There was a portability form in the file that had been emailed 9/8/2022, but there were no eligibility dates included. 2. The director was shown how to open encrypted email, and had received an email that Staff #2 did not qualify for portability.”

8VAC20-780-240-A

“Based on review of three staff files, the program failed to ensure that one staff completed the orientation course within 90 calendar days of employment. Evidence: 1. The first day of employment for Staff #1 was 8/8/2022. There was no certificate in the file. 2. The director confirmed that the training had not be completed.”

8VAC20-770-60-C-2

“Based on record review, program did not ensure that central registry results were in the file within thirty days of employment. Evidence: 1. Date of employment for Staff # 2 was 11/11/21. Request was mailed on 3/7/22. 2. Date of employment for Staff # 3 was 2/22/22. Request was mailed on 3/8/22. Results were dated 4/9/22 3. Date of employment for Staff # 4 was 3/28/22. Request was completed on 4/13/22.”

8VAC20-770-60-C-2

“Based on record review, program did not ensure that central registry results were in the file within thirty days of employment. Evidence: 1. Date of employment for Staff # 2 was 11/11/21. Request was mailed on 3/7/22. 2. Date of employment for Staff # 3 was 2/22/22. Request was mailed on 3/8/22. Results were dated 4/9/22 3. Date of employment for Staff # 4 was 3/28/22. Request was completed on 4/13/22.”