KinderCare Learning Centers - Skipwith

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

“COMPLAINT RELATED Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On 9/12/2025, Staff #1 was supervising a group of approximately 17 children with a second staff. Child #1, age 4, was reportedly engaging in disruptive behaviors when Staff #1 used their hand to push the child to the ground.”

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

“COMPLAINT RELATED When staff are supervising children, they shall always ensure their care, protection, and guidance. On 9/12/2025, Staff #1 used their hand to forcefully push Child #1, age 4, to the ground. Witnesses stated that the child was visibly upset during the interaction and said that the push hurt.”

8VAC20-780-520-C

“If diaper ointment or cream is used, written parent authorization noting any known adverse reactions shall be obtained. Child #10 had a diaper ointment that was being used as needed. The center did not have written parent authorization.”

8VAC20-780-70

“Records shall be kept for each staff member that contain the required information. Staff #3, who has been employed for over 2 months, had one reference that was completed three days after employment and one reference that was completed 15 days after employment. Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2 and Staff #3, employed for over two months, did not have documentation to demonstrate that the staff completed the required orientation. Administration stated the orientation was completed but not signed by the staff.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #8's updated screening was due two months ago. The updated screening had not yet been completed.”

8VAC20-780-350-G

“Staff shall be counted in the required staff-to-children ratios only when they are directly supervising children. On 8/19/2025, Staff #8 and Staff #10 were supervising 12 children in the toddler classroom during the designated rest period. Staff #10 fell asleep leaving Staff #8 to directly supervise the children for a period of less than five minutes.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There were no physical examinations in the records of child #1, who had been enrolled for three months, child #2 who had been enrolled for over one month, child #7 who had been enrolled for over one month, and child #8 who had been enrolled for three months.”

8VAC20-780-520-C

“If diaper ointment or cream is used, written parent authorization noting any known adverse reactions shall be obtained. Child #10 had a diaper ointment that was being used as needed. The center did not have written parent authorization.”

8VAC20-780-70

“Records shall be kept for each staff member that contain the required information. Staff #3, who has been employed for over 2 months, had one reference that was completed three days after employment and one reference that was completed 15 days after employment. Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2 and Staff #3, employed for over two months, did not have documentation to demonstrate that the staff completed the required orientation. Administration stated the orientation was completed but not signed by the staff.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #8's updated screening was due two months ago. The updated screening had not yet been completed.”

8VAC20-780-350-G

“Staff shall be counted in the required staff-to-children ratios only when they are directly supervising children. On 8/19/2025, Staff #8 and Staff #10 were supervising 12 children in the toddler classroom during the designated rest period. Staff #10 fell asleep leaving Staff #8 to directly supervise the children for a period of less than five minutes.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There were no physical examinations in the records of child #1, who had been enrolled for three months, child #2 who had been enrolled for over one month, child #7 who had been enrolled for over one month, and child #8 who had been enrolled for three months.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The record of child #2 contained enrollment paperwork that indicated a dietary restriction. The center updated the required list approximately one month after the child's first date of attendance.”

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

“COMPLAINT RELATED Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. On 6/11/2025, poison ivy plants were identified along the edge of the fence within a preschool playground.”

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

“COMPLAINT RELATED When staff are supervising children, they shall always ensure their care and protection. On or around 3/13/2025, Staff #1 supervised a group of preschool aged children for several hours after consuming Marijuana.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Employee #2's national criminal background check was completed 3 days after the start of employment.”

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #7 and child #9, who have been enrolled for six months, have a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the younger infant classroom, a cannister of disinfectant wipes was in an unlocked cabinet, out of the reach of children. In a two year old classroom, a bottle of glass cleaner was unlocked on top of a shelf, out of the reach of children. In a second two year old classroom, an unlocked cabinet contained three cannisters of disinfectant wipes, glass cleaner, and sanitizer. The cabinet was not within the reach of children. In a three year old classroom, a container of bleach was in an unlocked cabinet within the reach of children. The bleach contained warning labels to include, "keep of out of reach of children."”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. Staff #2, who had been employed for 2 weeks, did not have a completed TB on file. Administration stated that the TB screening had not been submitted to the center.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Employee #2's national criminal background check was completed 3 days after the start of employment.”

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #7 and child #9, who have been enrolled for six months, have a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the younger infant classroom, a cannister of disinfectant wipes was in an unlocked cabinet, out of the reach of children. In a two year old classroom, a bottle of glass cleaner was unlocked on top of a shelf, out of the reach of children. In a second two year old classroom, an unlocked cabinet contained three cannisters of disinfectant wipes, glass cleaner, and sanitizer. The cabinet was not within the reach of children. In a three year old classroom, a container of bleach was in an unlocked cabinet within the reach of children. The bleach contained warning labels to include, "keep of out of reach of children."”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. Staff #2, who had been employed for 2 weeks, did not have a completed TB on file. Administration stated that the TB screening had not been submitted to the center.”

8VAC20-780-520-A

“Based on observation and interview, the center did not ensure that over-the counter skin products were not kept or used beyond the expiration date of the product. Evidence: 1. Expired diaper ointment for an enrolled child was observed under the diaper changing station. The ointment expired in July of 2024. 2. Administration acknowledged that the ointment was expired.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure that prepared infant formula was dated as required. Evidence: 1. Two bottles of prepared infant formula were labeled with a child's name but were missing the required date. 2. Administration acknowledged that the date was missing from the bottles.”

8VAC20-780-520-A

“Based on observation and interview, the center did not ensure that over-the counter skin products were not kept or used beyond the expiration date of the product. Evidence: 1. Expired diaper ointment for an enrolled child was observed under the diaper changing station. The ointment expired in July of 2024. 2. Administration acknowledged that the ointment was expired.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure that prepared infant formula was dated as required. Evidence: 1. Two bottles of prepared infant formula were labeled with a child's name but were missing the required date. 2. Administration acknowledged that the date was missing from the bottles.”

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

“Based on a review of documentation and interview, the center did not ensure 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. Child #1 (date of attendance: 2/5/2024) sustained an injury on 6/6/2024 that required outside medical attention. In interview, staff stated that they were made aware on 6/6/2024 that the child received medical care. 2. The department did not receive notification from the center within the two business days. 3. Administration acknowledged that the required notification to the department's representative was not made.”

8VAC20-790-600-F

“Based on a review of eight staff records and interview, the vendor did not ensure that one staff annually completed the department's health and safety update course as required. Evidence: 1, The record of staff #6 (date of employment: 5/30/2022) contained an annual health and safety update certificate dated 6/16/2022. The record did not contain a 2023 certificate. 2. The vendor acknowledged that staff #6 had not completed the 2023 update.”

8VAC20-780-520-C

“Based on a review of documentation and interview, the center did not ensure to obtain written parent authorization for the use of diaper cream for three children. Evidence: 1. One diaper cream in the toddler room was labeled with child #6's name and did not have an authorization. Two diaper creams in the infant room labeled to belong to child #4 and #8 did not have an authorization. 2. Classroom staff and administration acknowledged that the authorizations had not been obtained.”

8VAC20-780-420-E-3

“Based on a review of eight child records and interview, the center did not ensure to request at least annually parent confirmation that the required information in the child's record is up to date for two children as required. Evidence: 1. The records of child #6 (date of enrollment: 12/18/2022) and child #8 (date of enrollment: 1/8/2023) did not contain the required documentation of an annual record update. 2. Administration acknowledged that the updated information had not been obtained for the two children.”

8VAC20-780-140-A

“Based on a review of eight child records and interview, the center did not ensure that one child had a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1. The record of child #3 (date of enrollment: 1/8/2024) did not contain a physical. 2. Administration acknowledged that the physical record had not been obtained.”

8VAC20-780-270-A

“Based on observation and interview the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. In the infant classrooms, rust was observed on the metal hinges of all of the cribs. Rusted areas were observed on one of the outdoor picnic tables. The top coat of a second picnic table was observed to be peeling. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-790-600-F

“Based on a review of eight staff records and interview, the vendor did not ensure that one staff annually completed the department's health and safety update course as required. Evidence: 1, The record of staff #6 (date of employment: 5/30/2022) contained an annual health and safety update certificate dated 6/16/2022. The record did not contain a 2023 certificate. 2. The vendor acknowledged that staff #6 had not completed the 2023 update.”

8VAC20-780-520-C

“Based on a review of documentation and interview, the center did not ensure to obtain written parent authorization for the use of diaper cream for three children. Evidence: 1. One diaper cream in the toddler room was labeled with child #6's name and did not have an authorization. Two diaper creams in the infant room labeled to belong to child #4 and #8 did not have an authorization. 2. Classroom staff and administration acknowledged that the authorizations had not been obtained.”

8VAC20-780-420-E-3

“Based on a review of eight child records and interview, the center did not ensure to request at least annually parent confirmation that the required information in the child's record is up to date for two children as required. Evidence: 1. The records of child #6 (date of enrollment: 12/18/2022) and child #8 (date of enrollment: 1/8/2023) did not contain the required documentation of an annual record update. 2. Administration acknowledged that the updated information had not been obtained for the two children.”

8VAC20-780-140-A

“Based on a review of eight child records and interview, the center did not ensure that one child had a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1. The record of child #3 (date of enrollment: 1/8/2024) did not contain a physical. 2. Administration acknowledged that the physical record had not been obtained.”

8VAC20-780-270-A

“Based on observation and interview the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. In the infant classrooms, rust was observed on the metal hinges of all of the cribs. Rusted areas were observed on one of the outdoor picnic tables. The top coat of a second picnic table was observed to be peeling. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-780-530-A-1

“Based on a review of 6 staff records and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Evidence: 1. The record of staff #4 (date of employment: 1/22/2022) contained a current CPR certification that was obtained online. The certification did not include the required in-person competency demonstration. Staff #4 was observed supervising a group of children in a classroom independently. 2. Administration acknowledged that staff #4's certification did not meet the requirements.”

8VAC20-780-530-A-1

“Based on a review of 6 staff records and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Evidence: 1. The record of staff #4 (date of employment: 1/22/2022) contained a current CPR certification that was obtained online. The certification did not include the required in-person competency demonstration. Staff #4 was observed supervising a group of children in a classroom independently. 2. Administration acknowledged that staff #4's certification did not meet the requirements.”

8VAC20-780-550-D

“Based on a review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill as required. Evidence: 1. An evacuation drill was not documented in March and July of 2023. 2. Administration acknowledged that evacuations drills had not been conducted.”

8VAC20-770-60-C-2

“Based on a review of five staff records and interview, the center did not ensure that one staff had a central registry finding by the end of the 30th day of employment as required. Evidence: 1. The record of staff #1 (date of employment: 5/17/2023) contained a central registry finding dated 8/4/2023. 2. Administration acknowledged that the finding was not received within the required time frame.”

8VAC20-780-410-1

“Based on documentation and interviews, the facility did not ensure the forbidden action of restricting movement through binding or tying and forcing a child to assume an uncomfortable position did not occur. Evidence: 1. On July 11, 2023, staff #1 stated the following occurred on June 21, 2023: a. Staff #2 wrapped a weighted blanket around child #1 (age 5 years). Staff #2 began to kneel over child #1 with the weighted blanket wrapped around the child, pinning the blanket over the child on the floor. Child #1?s arms were pinned under the blanket, he was kicking his feet and heard exclaiming, ?you?re hurting me?. b. While on the phone, child #1?s parent recommended that child #1 should put on a mask because he was spitting. Staff #2 put the child’s face mask on his face and tied the mask loops around the back of the child’s head. Staff #1 stated that the mask looked like it was tied ?entirely too tight?. c. Staff #2 took the jacket hood and put it on child #1?s head and then wrapped it around his face and held it in the back. Staff #1 stated ?The hood was not wrapped around his face for long, but it was tight enough that if it stayed that way he could have struggled breathing.? 2. On July 17, 2023, staff #2 stated the following occurred on June 21, 2023: a. Staff #2 wrapped child #1?s weighted blanket around the child holding the blanket together on the child’s right shoulder so that his arms would be down. Somehow the child got to the floor and staff #2 stated, ?I?m kneeling over him, he’s underneath me?. Staff #2 explained that she was kneeling over the child with both hands holding the weighted blanket. Child #1 was kicking and screaming. Staff #2 stated, ?he would say let me go? several different times, both in reference to moving out of the wrapped weighted blanket and leaving out of the room but does not remember him saying that he was hurt. b. Staff #2 attempted to use a ?quick tie method? to tie the mask around child #1?s head. The mask shortly came off. c. Staff #2 laid the child’s weighted jacket on the child’s head to prevent him from spitting. Staff #2 stated that the weighted jacket was ?just a temporary barrier until I can get the mask?. Before she could bend down to get the mask, the jacket was off his head. 3. On July 20, 2023, the parent of child #1 stated the following occurred on June 21, 2023: Staff #2 called the parent for assistance with child #1. The parent could hear staff #2 yelling and explaining that child #1?s spit was coming down her face. The parent also asked the staff to wrap child #1 with his weighted blanket ?like a burrito? to calm the child down. The parent reported hearing ?a power struggle? and ?the level of panic in her [staff #2] voice upset me?. The parent also reported that child #1 stated that staff #2 held him down with the weighted blanket and didn?t let him up. The child also stated that staff #2 put a mask on his face ?really tight? and he did not like it.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure care and protection for a child in care on June 21, 2023. Evidence: On July 11, 2023 and July 17, 2023, both staff #1 and staff #2 stated the following: 1. a. On multiple occasions on June 21,2023, child #1 (Age 5 years) was wrapped in a weighted blanket restricting the child’s movement in an effort to calm the child down. b. Staff #2 stated that the child asked to be released more than once. c. Staff #1 stated that the child said that staff #2 was hurting him. 2. Staff #2 tied a mask around child #1?s head to prevent the child from spitting on the staff. It was reported that the mask looked ?entirely too tight? and child #1 struggled to get the mask off. Child #1 reported the mask was ?really tight?. 3. Staff #2 put the hood of a weighted jacket on child #1?s to prevent the child from spitting on the staff. Staff #2 stated that the weighted jacket was ?just a temporary barrier until I can get the mask?. Staff #1 stated ?The hood was not wrapped around his face for long, but it was tight enough that if it stayed that way, he could have struggled breathing.? 4. Staff #2 called the parent for assistance with child #1 on June 21, 2023. During the phone call, the parent could hear staff #2 yelling and stating that child #1?s spit was dripping down her [staff #2] face. The parent reported hearing ?a power struggle? and ?the level of panic in her [staff #2] voice? was upsetting. The parent reported that child #1 stated that staff #2 held him down with the weighted blanket and didn?t let him up. The child reenacted the incident for approximately 7-10 days. The child also stated that staff #2 put a mask on his face ?really tight? and he did not like it. 5. When asked by the Licensing inspector if the report made by staff #1 regarding staff #2?s actions towards child #1 was considered child abuse or neglect, staff #1?s response was, ?yes, abusive?.”

8VAC20-780-80-B

“Based on an interview, the center did not ensure any suspected incident of child abuse be reported in accordance with ?63.2-1509 of the Code of Virginia. Evidence: 1. When asked by the Licensing inspector if the report made by staff #1 regarding staff #2?s actions towards child #1 on June 21, 2023 was considered child abuse or neglect, staff #1?s response was, ?yes, abusive?. 2. On July 11, 2023, staff #1 stated, ?I feel like [staff #2] took it a couple steps further than what was asked.? 3. Staff #1 failed to report suspected child abuse in accordance with ? 63.2-1509 of the Code of Virginia.”

8VAC20-780-40-E

“Based on documentation review and interviews, the center did not maintain compliance with their own policies and procedures required by standards. Evidence: The center's discipline policies and procedures were not followed on Wednesday, June 21, 2023, when the following occurred: a. Staff #2 wrapped a weighted blanked around child #1 (age 5 years) holding the blanket together on the child’s right shoulder with the child’s arms down. Child #1 drops to the floor. Staff #2 kneeled over child #1 and continued to hold the weighted blanket restricting child’s #1?s upper body movement. Child #1 screamed. Child #1 reported, ?[Staff #2] held me down and didn?t let me up.? b. Staff #2 tied a face mask around the face and head of child #1 to prevent the child from spitting. It was reported that the mask looked ?entirely too tight?. Child #1 reported the mask was ?really tight?. c. Staff #2 put the hood of a weighted jacket on child #1?s head to prevent the child from spitting. d. The center’s policies and procedures for guidance, protection of and respect for children states that, ?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 any unacceptable measures while caring for children on behalf of the Company. Unacceptable measures include: Employees may not use physical actions to punish or humiliate children in any way or to demonstrate to a child what it ?feels like" to be the victim of aggression. Employee may not threaten or imply that physical punishment may occur as the result of a child's behavior. Employee may never physically restrain a child as punishment.? These policies and procedures were not followed by staff #2 on Wednesday, June 21, 2023.”

8VAC20-780-400-B

“Based on interviews, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. On June 21, 2023, child #1 (age 5 years) was wrapped in a weighted blanket multiple times by staff #1 and staff #2 as a means to manage behavior. 2. On June 21, 2023, staff #2 tied a mask around the head of child #1 to prevent him from spitting. 3. On June 21, 2023, staff #2 put a weighted jacket on child #1?s head to prevent the child from spitting on the staff.”

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

“Based on observation and an interview, the center did not ensure to maintain the required staff-to-children ratio of 1:10 for three year olds up to school age eligible children. Evidence: 1. The Preschool classroom was at a ratio of 11:1 from approximately 8:22am to 8:27am on the morning of May 3, 2023. 2. In order to maintain compliance with the required ratio the preschool teacher said she moved a child to the Pre-K classroom until another teacher arrived.”

8VAC20-770-60-B Complaint related: No

“Based on record review, the center did not ensure two of three staff records contained documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (employment date: 4/23/2023) did not have documentation of a completed sworn statement or affirmation. 2. The record of staff #3 (employment date: 4/10/2023) did not have documentation of a completed sworn statement or affirmation.”

8VAC20-780-160-A Complaint related: No

“Based on record review, thecenter did not ensure each staff member submitted a negative tuberculosis screening at the time of employment and prior to coming in contact with children. Evidence: 1. The record of staff #2 (employment date: 4/24/23) did not contain documentation of a tuberculosis screening. 2. The record of staff #3 (employment date: 4/10/23) did not contain documentation of a tuberculosis screening.”

8VAC20-780-350-B-1 Complaint related: Yes

“Based on observation and an interview, the center did not ensure the required staff-to-children ratio for infant children, birth to 16 months remained 1:4. Evidence: 1. The infant B classroom was at a ratio of 1:5 for approximately 2 to 3 minutes on the morning of May 3, 2023. 2. The center representative stated that a staff member was late to work which caused the infant B room to temporarily be out of ratio.”

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

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The Preschool / Pre-K playground had a yellow slide that was broken and missing a large piece of the slide shoot. 2. The center representative stated that some of the teachers still allow children to use the slide.”

22.1-289.035-B-2 Complaint related: No

“Based on record review, the vendor did not ensure three of three staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #1 (employment date: 4/23/2023) did not have documentation of fingerprint based national criminal history search results. 2. The record of staff #2 ( employment date: 4/24/2023) had documentation of fingerprint based national criminal history search results dated 4/26/2023. 3. The record of staff #3 (employment date: 4/10/2023) did not have documentation of fingerprint based national criminal history search results.”

8VAC20-780-70 Complaint related: Yes

“Based on record review and an interview, the center did not ensure two of three staff records contained all required documentation. Evidence: 1. The record of staff #3 (employment date: 4/10/2023) did not have the following: two references, health information, orientation training, emergency contact address and date of separation from employment. 2. The center representative stated that staff #3 only worked a few days and that another person from her team had the electronic records for staff #3. The center did not provide proof of the information listed above.”

8VAC20-780-160-A

“Based on record review, the center did not ensure each staff member submitted a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #3 (employment date: 11/2/21) contained documentation of a tuberculosis screening dated 11/12/21. 2. The record of staff #2 (employment date: 12/20/21) did not contain documentation of a tuberculosis screening. 3. The record of the center representative (employment date: 1/30/23) contained documentation of a tuberculosis screening dated 2/18/23.”

8VAC20-780-130-A

“Based on record review, the center did not ensure one of two children’s records contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of Child #1 had documentation of immunizations required by the State Board of Health dated 12/14/22.”

8VAC20-780-340-A

“Based on interviews, the center staff did not ensure the care and protection of a child they were supervising on March 20, 2023. Evidence: On March 28, 2023, April 6, 2023, and April 18, 2023, the licensing inspector conducted interviews with the center director, staff #1, staff #2, staff #3 and an additional witness. Additionally, the inspector received two separate reports regarding the same incident from a local agency. The following was determined: 1. Staff #1 and staff #3 was supervising the preschool classroom, which included child #1 (age 3 years) on the afternoon of March 20, 2023, while playing on the playground. 3. On the evening of March 20, 2023, Child #1 reported to their mother the following: child #2 put a stick in between her legs and touched her ?no no spot? while playing on the playground on the afternoon of March 20, 2023. As a result, she was hurt. 2. A local agency reported the following: a. The center representative reported child #1 told her mother that child #2 touched her vagina with a stick. b. The parent of child #1 took the child to the doctor and the doctor observed redness and soreness. C. ?[Child #2] was reprimanded for having a stick the staff took the stick away.? 3. On March 22, 2023, the Office of Child Care Health and Safety received an additional report from the local agency which stated the following information was received from child #1?s healthcare provider: ?The night of 3/20/23, [Child #1] complained to her mom about being in pain from where she was hit. On 3/21/23, [Child #1] was taken to the doctor. [Child #1] showed signs of vaginal trauma but there was no bleeding, lacerations, or sign of infection. ?”

8VAC20-780-240-B

“Based on record review, the center did not ensure staff completed orientation training no later than seven days from the date of assuming job responsibilities. Evidence: The record of staff #2 (employment date: 12/20/21) had documentation of completed orientation training as required by the Standards dated 1/22/22.”

8VAC20-780-80-B-2

“Based on an interview, the center did not ensure 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. On the evening of March 20, 2023, Child #1 stated to her mother that she was injured while playing on the playground. 2. The parent of child #1 reported that she took the child to be examined by a medical professional on March 21, 2023. 3. The center representative did not make a report the serious injury to the OCCHS or the Licensing Inspector within two business days of the injury.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The Preschool / Pre-K playground had a yellow slide with exposed sharp plastic on the edge of the slide shoot. 2. The inspector observed one child slide down the broken slide.”

8VAC20-780-140-A

“Based on record review and interviews, the center did not ensure each child had a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. The record of Child #1 (date of enrollment: 2/22/22) contained documentation of a physical examination dated 6/22/22, which is beyond 30 days of the first day of attendance. 2. The record of Child # 6 (date of enrollment: 9/4/22) did not contain documentation of a physical examination.”

8VAC20-780-330-B

“Based on observations, the center did not ensure that playground equipment had resilient surfacing that complies with the minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials. Evidence: 1. The slides located on the center’s preschool playground did not have enough resilient surfacing throughout the fall zones. Fall zones are defined as the areas underneath and surrounding equipment that requires a resilient surface. 2. The center had approximately 0 to 6 inches of wooden mulch, decomposed mulch and dirt throughout the fall zones on the preschool ground. 3. The equipment required a minimum of 6 inches of resilient material underneath and around the slides and in the fall zones.”

8VAC20-780-130-A

“immunizations required by the State Board of Health before the child attended the center. Evidence: The records for Child #5, Child #6 and child #7 did not document immunizations required by the State Board of Health”

8VAC20-780-60-A

“Based on record review and interviews, the center did not ensure the record for each child enrolled contained all the required information. Evidence: 1. The record for child #5 (date of enrollment:1/23/23), Child #6 (Date of enrollment:9/4/22) did not document signed written agreements between the parents and the center as required by 8VAC20-780-90. 2. The records for Child #5, Child #6 and Child #7(date of enrollment: 2/18/22) did not include documentation of viewing proof of identity and age. 3. The record for Child #4 (date of enrollment: 2/21/23) and Child #9 (date of enrollment: 11/22/22) did not document 1 of the 2 required names of designated people to call in an emergency, if a parent cannot be reached. 4. The record for Child #10 (date of enrollment: 11/2/21) did not document child updates and confirmation of up-to-date information as required by 8VAC20-780-420 E.3. 5. The record for Child #6 and Child #7 did not have documentation of a written allergy care plan. Both Child #6 and Child #7 had documented diagnosed food allergies.”

8VAC20-770-60-C-2

“Based on review of staff records and interviews, the center did not ensure that staff had central registry findings within 30 days of employment. Evidence: 1. Staff #1 (employment date: 2/7/22) record documents central registry findings dated 3/10/22, which is beyond 30 days of employment. 2. Staff #4 (employment date: 1/18/23) record did not document results of a central registry findings. 3. Staff # 3 (employment date: 11/22/22) record documents central registry findings dated 2/6/23, which is beyond 30 days of employment. 4. Staff #9 (employment date: 11/8/22) record documents central registry findings dated 2/6/23, which is beyond 30 days of employment. 5. Additional information was not provided regarding the central registry findings being out of compliance for the staff.”

8VAC20-780-160-A

“Based on record review and interviews, the center did not ensure each staff member submitted a negative tuberculosis screening. Evidence: 1. The record of staff #2 (employment date: 10/26/22) did not contain documentation of a tuberculosis screening. 2. The record of staff #4 (employment date: 1/18/23) did not contain documentation of a tuberculosis screening. 3. The record of staff #5 (employment date: 11/20/19) did not contain documentation of a tuberculosis screening. 4. The record of staff #7 (employment date: 1/9/23) did not contain documentation of a tuberculosis screening. 5. The record of staff #10 (employment date: 11/15/21) did not contain documentation of a tuberculosis screening.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that prepared infant formula was refrigerated, dated and labeled with the child's name. Evidence: The refrigerators in the infant rooms contained a total of 11 infant bottles with no dates and 3 bottles with no name.”

8VAC20-780-240-B

“Based on record review and interviews, the center did not ensure staff completed orientation training no later than seven days from the date of assuming job responsibilities. Evidence: 1. The record of staff #2 (employment date: 10/26/22) did not contain documentation of completed orientation training as required by the Standards. 2. The record of staff #4 (employment date: 1/18/23) record did not contain documentation of completed orientation training as required by the Standards.”

8VAC20-780-240-A

“Based on review of staff records and interviews, the center did not ensure staff completed, The Virginia Department of Education- sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #1 (employment date: 2/7/22) record did not document completion of The Virginia Department of Education-sponsored orientation. 2. Staff #2 (employment date: 2/7/22) record did not document completion of The Virginia Department of Education-sponsored orientation. 3. Staff #3 (employment date: 11/22/22) record did not document completion of The Virginia Department of Education-sponsored orientation. 4. Staff #7 (employment date: 1/9/23) record did not document completion of The Virginia Department of Education-sponsored orientation. 5. Staff #10 (employment date: 11/15/21) record did not document completion of The Virginia Department of Education-sponsored orientation.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were 3 bottles containing cleaning solution stored in an unlocked cabinet in toddler room B where children were in care. 2. During an interview, Staff #5 observed and acknowledged the cleaning solutions were not properly stored and locked in toddler room B.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The Preschool / Pre-K playground had a yellow slide with exposed sharp plastic on the edge of the slide shoot. 2. The entrance to the slide had a piece of cardboard taped to the slide to prevent children from entering the slide. However, the piece of cardboard was lifted which could possibly allow entrance. 3. There were two broken ball carts that had several rusted areas, peeling and chipped paint within the reach of children.”

8VAC20-780-520-C

“Based on observation, interviews and record review, the center did not ensure that used diaper creams had written parent authorizations and labeled with child’s name. Evidence: 1. There were 2 diaper creams that had expired parent authorizations. The infants' records did not contain current written parent authorizations. 2. There were 3 diaper creams that had no parent authorizations. The infants' records did not contain written parent authorizations. 3. There was 1 diaper cream that was not labeled with a child’s name on it. 4. During observations and interviews, Staff #5 and Staff #11 acknowledged the diaper creams and authorizations were out of compliance.”

8VAC20-780-140-A

“Based on record review and interviews, the center did not ensure each child had a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1. The record of Child #1 (date of enrollment: 2/22/22) contained documentation of a physical examination dated 6/22/22, which is beyond 30 days of the first day of attendance. 2. The record of Child # 6 (date of enrollment: 9/4/22) did not contain documentation of a physical examination.”

8VAC20-780-330-B

“Based on observations, the center did not ensure that playground equipment had resilient surfacing that complies with the minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials. Evidence: 1. The slides located on the center’s preschool playground did not have enough resilient surfacing throughout the fall zones. Fall zones are defined as the areas underneath and surrounding equipment that requires a resilient surface. 2. The center had approximately 0 to 6 inches of wooden mulch, decomposed mulch and dirt throughout the fall zones on the preschool ground. 3. The equipment required a minimum of 6 inches of resilient material underneath and around the slides and in the fall zones.”

8VAC20-780-130-A

“immunizations required by the State Board of Health before the child attended the center. Evidence: The records for Child #5, Child #6 and child #7 did not document immunizations required by the State Board of Health”

8VAC20-780-60-A

“Based on record review and interviews, the center did not ensure the record for each child enrolled contained all the required information. Evidence: 1. The record for child #5 (date of enrollment:1/23/23), Child #6 (Date of enrollment:9/4/22) did not document signed written agreements between the parents and the center as required by 8VAC20-780-90. 2. The records for Child #5, Child #6 and Child #7(date of enrollment: 2/18/22) did not include documentation of viewing proof of identity and age. 3. The record for Child #4 (date of enrollment: 2/21/23) and Child #9 (date of enrollment: 11/22/22) did not document 1 of the 2 required names of designated people to call in an emergency, if a parent cannot be reached. 4. The record for Child #10 (date of enrollment: 11/2/21) did not document child updates and confirmation of up-to-date information as required by 8VAC20-780-420 E.3. 5. The record for Child #6 and Child #7 did not have documentation of a written allergy care plan. Both Child #6 and Child #7 had documented diagnosed food allergies.”

8VAC20-770-60-C-2

“Based on review of staff records and interviews, the center did not ensure that staff had central registry findings within 30 days of employment. Evidence: 1. Staff #1 (employment date: 2/7/22) record documents central registry findings dated 3/10/22, which is beyond 30 days of employment. 2. Staff #4 (employment date: 1/18/23) record did not document results of a central registry findings. 3. Staff # 3 (employment date: 11/22/22) record documents central registry findings dated 2/6/23, which is beyond 30 days of employment. 4. Staff #9 (employment date: 11/8/22) record documents central registry findings dated 2/6/23, which is beyond 30 days of employment. 5. Additional information was not provided regarding the central registry findings being out of compliance for the staff.”

8VAC20-780-160-A

“Based on record review and interviews, the center did not ensure each staff member submitted a negative tuberculosis screening. Evidence: 1. The record of staff #2 (employment date: 10/26/22) did not contain documentation of a tuberculosis screening. 2. The record of staff #4 (employment date: 1/18/23) did not contain documentation of a tuberculosis screening. 3. The record of staff #5 (employment date: 11/20/19) did not contain documentation of a tuberculosis screening. 4. The record of staff #7 (employment date: 1/9/23) did not contain documentation of a tuberculosis screening. 5. The record of staff #10 (employment date: 11/15/21) did not contain documentation of a tuberculosis screening.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that prepared infant formula was refrigerated, dated and labeled with the child's name. Evidence: The refrigerators in the infant rooms contained a total of 11 infant bottles with no dates and 3 bottles with no name.”

8VAC20-780-240-B

“Based on record review and interviews, the center did not ensure staff completed orientation training no later than seven days from the date of assuming job responsibilities. Evidence: 1. The record of staff #2 (employment date: 10/26/22) did not contain documentation of completed orientation training as required by the Standards. 2. The record of staff #4 (employment date: 1/18/23) record did not contain documentation of completed orientation training as required by the Standards.”

8VAC20-780-240-A

“Based on review of staff records and interviews, the center did not ensure staff completed, The Virginia Department of Education- sponsored orientation course within 90 calendar days of employment. Evidence: 1. Staff #1 (employment date: 2/7/22) record did not document completion of The Virginia Department of Education-sponsored orientation. 2. Staff #2 (employment date: 2/7/22) record did not document completion of The Virginia Department of Education-sponsored orientation. 3. Staff #3 (employment date: 11/22/22) record did not document completion of The Virginia Department of Education-sponsored orientation. 4. Staff #7 (employment date: 1/9/23) record did not document completion of The Virginia Department of Education-sponsored orientation. 5. Staff #10 (employment date: 11/15/21) record did not document completion of The Virginia Department of Education-sponsored orientation.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were 3 bottles containing cleaning solution stored in an unlocked cabinet in toddler room B where children were in care. 2. During an interview, Staff #5 observed and acknowledged the cleaning solutions were not properly stored and locked in toddler room B.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The Preschool / Pre-K playground had a yellow slide with exposed sharp plastic on the edge of the slide shoot. 2. The entrance to the slide had a piece of cardboard taped to the slide to prevent children from entering the slide. However, the piece of cardboard was lifted which could possibly allow entrance. 3. There were two broken ball carts that had several rusted areas, peeling and chipped paint within the reach of children.”

8VAC20-780-520-C

“Based on observation, interviews and record review, the center did not ensure that used diaper creams had written parent authorizations and labeled with child’s name. Evidence: 1. There were 2 diaper creams that had expired parent authorizations. The infants' records did not contain current written parent authorizations. 2. There were 3 diaper creams that had no parent authorizations. The infants' records did not contain written parent authorizations. 3. There was 1 diaper cream that was not labeled with a child’s name on it. 4. During observations and interviews, Staff #5 and Staff #11 acknowledged the diaper creams and authorizations were out of compliance.”

8VAC20-780-350-B-1 Complaint related: No

“Based on a review of documentation and interviews, the center did not maintain the required ratios for children from birth to the age of 16 months of one staff member for every four children. Evidence: 1) The Infant B's Child Supervision Record and the Teacher/Staff Attendance record for the Infant B classroom reviewed for 10/17/2022 showed Staff #1 was the only staff member present with nine children between 7:46am and 9:05am when a second staff member arrived. Two additional children were dropped off between 9:07am and 9:08am. A third staff member arrived at 9:29am. 2) Staff interviewed confirmed that on 10/17/2022, the Infant B classroom was out of ratio in the morning due to staff calling out sick. Staff reported the youngest child in the Infant B classroom was under 16 months old. The applicable staff-to-child ratio for children birth up to 16 months of age is one staff member for every four children.”

8VAC20-780-510-F

“Based on a review of three medications on 08/31/22, the center did not ensure that two medication authorizations were available to staff during the entire time they were effective for two out of three children. Evidence: 1) A prescription medication was observed on site for Child #9, but the authorization to administer the medication expired on 03/13/22. 2) A prescription medication was observation on site for Child #10, but the authorization to administer the medication expired on 09/20/21.”

8VAC20-780-280-B

“Based on observations at the center on 08/31/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed bottles of cleaning solution in unlocked cabinets in the Preschool classroom. 2) The licensing inspector observed a can of air freshener in the bathroom shared by the Toddler and Twos classroom.”

8VAC20-780-240-A

“Based on a review of ten staff records and interview, the center did not ensure six staff members completed The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The records for Staff #2 (employed: 05/26/22), Staff #3 (employed: 02/14/22), Staff #5 (employed: 02/10/22), Staff #6 (employed: 01/22/22), Staff #7 (employed: 02/07/22), and Staff #8 (employed: 05/22/22), did not contain documentation of The Virginia Department of Education-sponsored orientation course. 2) During interview, Staff #11 reported the staff members have not completed the training to date.”

8VAC20-780-60-A

“Based on a review of ten children’s records and interview, the center did not ensure one child’s record contained all the required information. Evidence: 1) The record for Child #8 (date of attendance: 07/01/19) did not contain a second emergency contact. 2) During interview, Staff #11 confirmed the record was missing a second emergency contact other than the parents. The record for each child enrolled should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-160-C

“Based on a review of ten staff records, the center did not ensure two staff members had a repeat tuberculosis (TB) screening at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department. Evidence: 1) The TB screening in the record for Staff #1 (employed 08/13/21) expired on 4/10/22. 2) The TB screening in the record for Staff #9 (employed: 11/20/19) expired on 11/18/21.”

8VAC20-780-160-A

“Based on a review of ten staff records and interview, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Evidence: 1) The TB screening in the record for Staff #4 (employed: 05/31/22) was dated 02/27/22. 2) During interview, Staff #11 confirmed the TB screening in the record for Staff #4 was completed more than 30 calendar days of the date of employment.”

8VAC20-780-130-A

“Based on a review of ten children’s records and interview, the center did not ensure two children had received the immunizations required by the State Board of Health before the child attended the center. Evidence: 1) The record for Child #1, date of attendance 08/29/22, did not contain documentation of the child’s immunizations. 2) The immunizations in the record for Child #10, enrolled on 09/07/21, were dated 10/06/21. 3) During interview, Staff #11 confirmed the immunizations for Child #1 and Child #10 were obtained before the children attended the center.”

8VAC20-770-60-C-2

“Based on a review of ten staff records and interviews, the center did not ensure that four staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #2 (employed: 05/26/22) was dated 07/21/22. 2) The record for Staff #4 (employed: 05/31/22) did not contain a central registry finding. Staff #11 reported the central registry finding for Staff #4 could not be located. 3) The central registry finding in the record for Staff #6 (employed: 01/22/22) was dated 02/28/22. 4) The record for Staff #8 (employed 05/22/22) did not contain a central registry finding. Staff #11 reported the central registry finding for Staff #8 could not be located. 5) During interview, Staff #11 confirmed the results of the central finding for Staff #2 and Staff #6 were not received within the required time frame and the center did not follow up within 30 days of employment.”

8VAC20-770-60-B

“Based on a review of ten staff records and interview, the center did not obtain a completed sworn statement or affirmation for three staff members prior to employment. Evidence: 1) The sworn statement in the record for Staff #2 (employed: 05/26/22) was dated 05/30/22. 2) The sworn statement in the record for Staff #4 (employed: 05/31/22) was dated 06/01/22. 3) The sworn statement in the record for Staff #5 (employed: 02/10/22) was dated 02/17/22. 4) During interview, Staff #11 reported the sworn statements for Staff #2, Staff #4, and Staff #5 were not completed prior to employment.”

8VAC20-780-160-B

“Based on a review of ten staff records, the center did not obtain an acceptable form of documentation of tuberculosis (TB) screening for one staff member. Evidence: The record of Staff #7 (employed: 02/07/22) contained documentation of a tuberculosis screening that was not signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-790-600-D-1

“Based on a review of ten staff records, the vendor did not ensure two staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #2, hired on 05/26/22, did not contain current CPR certification. 2) The CPR certification in the record for Staff #5, hired on 02/10/22, was completed on 06/23/22.”

8VAC20-790-600-D-2

“Based on a review of ten staff records, the vendor did not ensure two staff who work directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #2, hired on 05/26/22, did not contain current first aid certification. 2) The first aid certification in the record for Staff #5, hired on 02/10/22, was completed on 06/23/22.”

8VAC20-780-510-F

“Based on a review of three medications on 08/31/22, the center did not ensure that two medication authorizations were available to staff during the entire time they were effective for two out of three children. Evidence: 1) A prescription medication was observed on site for Child #9, but the authorization to administer the medication expired on 03/13/22. 2) A prescription medication was observation on site for Child #10, but the authorization to administer the medication expired on 09/20/21.”

8VAC20-780-280-B

“Based on observations at the center on 08/31/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed bottles of cleaning solution in unlocked cabinets in the Preschool classroom. 2) The licensing inspector observed a can of air freshener in the bathroom shared by the Toddler and Twos classroom.”

8VAC20-780-240-A

“Based on a review of ten staff records and interview, the center did not ensure six staff members completed The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The records for Staff #2 (employed: 05/26/22), Staff #3 (employed: 02/14/22), Staff #5 (employed: 02/10/22), Staff #6 (employed: 01/22/22), Staff #7 (employed: 02/07/22), and Staff #8 (employed: 05/22/22), did not contain documentation of The Virginia Department of Education-sponsored orientation course. 2) During interview, Staff #11 reported the staff members have not completed the training to date.”

8VAC20-780-60-A

“Based on a review of ten children’s records and interview, the center did not ensure one child’s record contained all the required information. Evidence: 1) The record for Child #8 (date of attendance: 07/01/19) did not contain a second emergency contact. 2) During interview, Staff #11 confirmed the record was missing a second emergency contact other than the parents. The record for each child enrolled should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-160-C

“Based on a review of ten staff records, the center did not ensure two staff members had a repeat tuberculosis (TB) screening at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department. Evidence: 1) The TB screening in the record for Staff #1 (employed 08/13/21) expired on 4/10/22. 2) The TB screening in the record for Staff #9 (employed: 11/20/19) expired on 11/18/21.”

8VAC20-780-160-A

“Based on a review of ten staff records and interview, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Evidence: 1) The TB screening in the record for Staff #4 (employed: 05/31/22) was dated 02/27/22. 2) During interview, Staff #11 confirmed the TB screening in the record for Staff #4 was completed more than 30 calendar days of the date of employment.”

8VAC20-780-130-A

“Based on a review of ten children’s records and interview, the center did not ensure two children had received the immunizations required by the State Board of Health before the child attended the center. Evidence: 1) The record for Child #1, date of attendance 08/29/22, did not contain documentation of the child’s immunizations. 2) The immunizations in the record for Child #10, enrolled on 09/07/21, were dated 10/06/21. 3) During interview, Staff #11 confirmed the immunizations for Child #1 and Child #10 were obtained before the children attended the center.”

8VAC20-770-60-C-2

“Based on a review of ten staff records and interviews, the center did not ensure that four staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #2 (employed: 05/26/22) was dated 07/21/22. 2) The record for Staff #4 (employed: 05/31/22) did not contain a central registry finding. Staff #11 reported the central registry finding for Staff #4 could not be located. 3) The central registry finding in the record for Staff #6 (employed: 01/22/22) was dated 02/28/22. 4) The record for Staff #8 (employed 05/22/22) did not contain a central registry finding. Staff #11 reported the central registry finding for Staff #8 could not be located. 5) During interview, Staff #11 confirmed the results of the central finding for Staff #2 and Staff #6 were not received within the required time frame and the center did not follow up within 30 days of employment.”

8VAC20-770-60-B

“Based on a review of ten staff records and interview, the center did not obtain a completed sworn statement or affirmation for three staff members prior to employment. Evidence: 1) The sworn statement in the record for Staff #2 (employed: 05/26/22) was dated 05/30/22. 2) The sworn statement in the record for Staff #4 (employed: 05/31/22) was dated 06/01/22. 3) The sworn statement in the record for Staff #5 (employed: 02/10/22) was dated 02/17/22. 4) During interview, Staff #11 reported the sworn statements for Staff #2, Staff #4, and Staff #5 were not completed prior to employment.”

8VAC20-780-160-B

“Based on a review of ten staff records, the center did not obtain an acceptable form of documentation of tuberculosis (TB) screening for one staff member. Evidence: The record of Staff #7 (employed: 02/07/22) contained documentation of a tuberculosis screening that was not signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-790-600-D-1

“Based on a review of ten staff records, the vendor did not ensure two staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #2, hired on 05/26/22, did not contain current CPR certification. 2) The CPR certification in the record for Staff #5, hired on 02/10/22, was completed on 06/23/22.”

8VAC20-790-600-D-2

“Based on a review of ten staff records, the vendor did not ensure two staff who work directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #2, hired on 05/26/22, did not contain current first aid certification. 2) The first aid certification in the record for Staff #5, hired on 02/10/22, was completed on 06/23/22.”

8VAC20-780-510-F

“Based on a review of three medications on 08/31/22, the center did not ensure that two medication authorizations were available to staff during the entire time they were effective for two out of three children. Evidence: 1) A prescription medication was observed on site for Child #9, but the authorization to administer the medication expired on 03/13/22. 2) A prescription medication was observation on site for Child #10, but the authorization to administer the medication expired on 09/20/21.”

8VAC20-780-280-B

“Based on observations at the center on 08/31/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed bottles of cleaning solution in unlocked cabinets in the Preschool classroom. 2) The licensing inspector observed a can of air freshener in the bathroom shared by the Toddler and Twos classroom.”

8VAC20-780-240-A

“Based on a review of ten staff records and interview, the center did not ensure six staff members completed The Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1) The records for Staff #2 (employed: 05/26/22), Staff #3 (employed: 02/14/22), Staff #5 (employed: 02/10/22), Staff #6 (employed: 01/22/22), Staff #7 (employed: 02/07/22), and Staff #8 (employed: 05/22/22), did not contain documentation of The Virginia Department of Education-sponsored orientation course. 2) During interview, Staff #11 reported the staff members have not completed the training to date.”

8VAC20-780-60-A

“Based on a review of ten children’s records and interview, the center did not ensure one child’s record contained all the required information. Evidence: 1) The record for Child #8 (date of attendance: 07/01/19) did not contain a second emergency contact. 2) During interview, Staff #11 confirmed the record was missing a second emergency contact other than the parents. The record for each child enrolled should contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-160-C

“Based on a review of ten staff records, the center did not ensure two staff members had a repeat tuberculosis (TB) screening at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department. Evidence: 1) The TB screening in the record for Staff #1 (employed 08/13/21) expired on 4/10/22. 2) The TB screening in the record for Staff #9 (employed: 11/20/19) expired on 11/18/21.”

8VAC20-780-160-A

“Based on a review of ten staff records and interview, the center did not ensure one staff member had documentation of a negative tuberculosis (TB) screening completed within the last 30 calendar days of the date of employment. Evidence: 1) The TB screening in the record for Staff #4 (employed: 05/31/22) was dated 02/27/22. 2) During interview, Staff #11 confirmed the TB screening in the record for Staff #4 was completed more than 30 calendar days of the date of employment.”

8VAC20-780-130-A

“Based on a review of ten children’s records and interview, the center did not ensure two children had received the immunizations required by the State Board of Health before the child attended the center. Evidence: 1) The record for Child #1, date of attendance 08/29/22, did not contain documentation of the child’s immunizations. 2) The immunizations in the record for Child #10, enrolled on 09/07/21, were dated 10/06/21. 3) During interview, Staff #11 confirmed the immunizations for Child #1 and Child #10 were obtained before the children attended the center.”

8VAC20-770-60-C-2

“Based on a review of ten staff records and interviews, the center did not ensure that four staff members had a central registry finding within 30 days of employment. Evidence: 1) The central registry finding in record for Staff #2 (employed: 05/26/22) was dated 07/21/22. 2) The record for Staff #4 (employed: 05/31/22) did not contain a central registry finding. Staff #11 reported the central registry finding for Staff #4 could not be located. 3) The central registry finding in the record for Staff #6 (employed: 01/22/22) was dated 02/28/22. 4) The record for Staff #8 (employed 05/22/22) did not contain a central registry finding. Staff #11 reported the central registry finding for Staff #8 could not be located. 5) During interview, Staff #11 confirmed the results of the central finding for Staff #2 and Staff #6 were not received within the required time frame and the center did not follow up within 30 days of employment.”

8VAC20-770-60-B

“Based on a review of ten staff records and interview, the center did not obtain a completed sworn statement or affirmation for three staff members prior to employment. Evidence: 1) The sworn statement in the record for Staff #2 (employed: 05/26/22) was dated 05/30/22. 2) The sworn statement in the record for Staff #4 (employed: 05/31/22) was dated 06/01/22. 3) The sworn statement in the record for Staff #5 (employed: 02/10/22) was dated 02/17/22. 4) During interview, Staff #11 reported the sworn statements for Staff #2, Staff #4, and Staff #5 were not completed prior to employment.”

8VAC20-780-160-B

“Based on a review of ten staff records, the center did not obtain an acceptable form of documentation of tuberculosis (TB) screening for one staff member. Evidence: The record of Staff #7 (employed: 02/07/22) contained documentation of a tuberculosis screening that was not signed by a physician, physician's designee, or an official of the local health department.”

8VAC20-790-600-D-1

“Based on a review of ten staff records, the vendor did not ensure two staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #2, hired on 05/26/22, did not contain current CPR certification. 2) The CPR certification in the record for Staff #5, hired on 02/10/22, was completed on 06/23/22.”

8VAC20-790-600-D-2

“Based on a review of ten staff records, the vendor did not ensure two staff who work directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1) The record for Staff #2, hired on 05/26/22, did not contain current first aid certification. 2) The first aid certification in the record for Staff #5, hired on 02/10/22, was completed on 06/23/22.”

8VAC20-780-550-D

“Based on record review, the center did not ensure to implement a monthly practice evacuation drill. Evidence: The center did not have documentation showing that monthly evacuation drills were practiced during the following months in 2021; February, May, June and July.”

8VAC20-780-160-A

“Based on record review, the center did not ensure two of nineteen staff records contained documentation of a negative tuberculosis screening. Evidence: 1. The record of staff #4 (start date: 11/15/2021) did not have documentation of a negative tuberculosis screening. 2. The record of staff #9 (start date: 12/13/2021) did not have documentation of a negative tuberculosis screening.”

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure ten of nineteen staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #3 (start date: 9/15/21) had documentation of central registry results dated 12/15/2021. 2. The record of staff #4 (start date: 11/15/21) did not have documentation of central registry results. 3. The record of staff #5 (start date: 12/1/21) had documentation of central registry results dated 1/18/2021. 4. The record of staff #7 (start date: 11/1/21) had documentation of central registry results dated 12/15/2021. 5. The record of staff #9 (start date: 12/13/20) had documentation of central registry results 1/27/2021. 6. The record of staff #10 (start date: 12/20/21) did not have documentation of central registry results. 7. The record of staff #11 (start date: 11/30/21) had documentation of central registry results dated 1/18/2022. 8. The record of staff #12 (start date: 10/04/21) had documentation of central registry results dated 11/08/21. 9. The record of staff #13 (start date: 11/02/21) had documentation of central registry results dated 12/15/21. 10. The record of staff #14 (start date: 11/17/21) did not have documentation of central registry results.”

22.1-289.035-B-4

“Based on record review, the center did not ensure one of nineteen staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: The record of staff #11 (start date: 11/30/2021) did not have documentation of sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.”

8VAC20-780-550-E

“Based on record review, the center did not ensure to practice shelter-in-place procedures a minimum of twice per year. Evidence: The center had documentation showing that only one shelter-in-place drill was practiced during the year 2021.”

8VAC20-790-600-D-1

“Based on record review, the center did not ensure all staff had documentation of a current certification CPR within 90 days of employment. Evidence: The record of staff #1 (start date: 7/28/21) did not have documentation of a current certification CPR.”

8VAC20-790-600-D-2

“Based on record review, the center did not ensure all staff had documentation of a current certification First Aid within 90 days of employment. Evidence: The record of staff #1 (start date: 7/28/21) did not have documentation of a current certification First Aid.”