Learn N' Play Child Care Center

8VAC20-780-330-B

“Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The moveable small red slide on the playground was located over dirt and grass and not over an acceptable form of resilient surfacing; children were observed using the slide during the inspection.”

8VAC20-780-350-B-4

“Based on observation and record review, the center failed to maintain the required staff-to-child ratio whenever children are in care. Evidence: There were 35 children and 2 staff members observed with the school-age group of children at approximately 9:00 am during the 06/25/2024 inspection. Child 7 was determined to be 4 years old and will not be school-age eligible by September 30. The required staff-to-child ratio for children 3 years old up to school age eligible is 1:10. Four staff would be required for this group of children.”

8VAC20-780-500-C

“Based on observations, the center failed to ensure that toilet chairs shall be emptied promptly and cleaned and sanitized after each use. Evidence: There was a urinal style toilet chair in the restroom that contained urine. The toilet chair was not promptly cleaned and sanitized after each use.”

8VAC20-780-420-E-1

“Based on staff interviews, the center failed to ensure that for each infant, the center shall post a daily record which can be easily accessed by both parent and the staff working with the child that contains all of the elements required by the standard. Evidence: Staff 7 confirmed that there was not a daily record for the 2 infants in care on 06/25/2024.”

22.1-289.035-B-2

“SYSTEMIC VIOLATION Based on document review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 5 contained a documented hire date of 10/04/2023; the employment eligibility letter for Staff 5 was dated 10/10/2023.”

22.1-289.035-B-4

“SYSTEMIC VIOLATION Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 4 contained documentation that Staff 4 has resided outside of the state of Virginia within the preceding five years. The record for Staff 4 had a documented hire date of 02/20/2024. There was not a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

8VAC20-780-350-B-3

“Based on observation and record review, the center failed to maintain the required staff-to-child ratio whenever children are in care. Evidence: There were 9 children and 1 staff member observed with the Pre-K Classroom during the 03/25/2024 inspection. Child 5 was observed in the Pre-K class and was determined to be 2 years old. The required staff-to-child ratio for children 2 years old is 1:8. Two staff would be required for this group of children.”

8VAC20-780-80-A

“SYSTEMIC VIOLATION Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance record for the group of children that attend the program before being transported to school via center transportation, does not document the departure of each child as it occurs.”

8VAC20-780-580-C

“REPEAT VIOLATION Based on observations and staff interviews, the center failed to ensure that during transportation of children the Virginia state statutes about safety belts and child restraints are followed as required by the Code of Virginia and that the information required by the standard is in the transportation vehicle. Evidence: 1. The attendance record for 03/25/2024 contained documentation that there were a total of 15 children in attendance for before school care and transportation to school on that day. Staff 1 stated that they made two trips the morning of 03/25/2024; Staff 1 stated that there was one child on the first trip and the remaining 14 children on the second trip. Observations of the Learn N Play Van 1 (a 15 passenger van) determined that there were only 13 operable seatbelts on the van resulting in one child not being properly restrained during transportation. 2. Staff 6 verified that the binders containing the following required information: a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center; the center’s name, address and phone number; a list of the names of the children being transported, were not on the Learn N Play Van 1 during the 03/25/2024 morning routes, Staff 6 verified that the binders were left at the center on 03/25/2024. Staff 1 verified that they did not have a list of the names of the children being transported on the morning of 03/25/2024 during transportation.”

8VAC20-780-500-B

“Based on observations, the center failed to ensure that the diapering surface shall be used only for diapering or cleaning children. Evidence: There were 2 boxes of cereal sitting on top of the diapering surface in the 2 year old classroom.”

8VAC20-780-60-A-8

“SYSTEMIC VIOLATION Based on record review, the center failed to obtain a written care plan 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. Evidence: The record for Child 3 contained documentation of a diagnosed food allergy. The record did not contain the required written care plan.”

8VAC20-780-160-C

“SYSTEMIC VIOLATION Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent tuberculosis screening in the record for Staff 5 was dated 10/20/2021; there was not a follow-up tuberculosis screening available for review which would have been required by 10/20/2023.”

22.1-289.036-A

“SYSTEMIC VIOLATION Based on record review, the center failed to ensure that every applicant for licensure of a child day center shall undergo a background check in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter. Evidence: The most recent search of the central registry for Applicant 1 was dated 02/11/2019. There was not an updated search of the central registry obtained by 02/11/2024 available for review.”

22.1-289.035-B-2

“SYSTEMIC VIOLATION Based on document review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 5 contained a documented hire date of 10/04/2023; the employment eligibility letter for Staff 5 was dated 10/10/2023.”

22.1-289.035-B-4

“SYSTEMIC VIOLATION Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 4 contained documentation that Staff 4 has resided outside of the state of Virginia within the preceding five years. The record for Staff 4 had a documented hire date of 02/20/2024. There was not a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

8VAC20-780-350-B-3

“Based on observation and record review, the center failed to maintain the required staff-to-child ratio whenever children are in care. Evidence: There were 9 children and 1 staff member observed with the Pre-K Classroom during the 03/25/2024 inspection. Child 5 was observed in the Pre-K class and was determined to be 2 years old. The required staff-to-child ratio for children 2 years old is 1:8. Two staff would be required for this group of children.”

8VAC20-780-80-A

“SYSTEMIC VIOLATION Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance record for the group of children that attend the program before being transported to school via center transportation, does not document the departure of each child as it occurs.”

8VAC20-780-580-C

“REPEAT VIOLATION Based on observations and staff interviews, the center failed to ensure that during transportation of children the Virginia state statutes about safety belts and child restraints are followed as required by the Code of Virginia and that the information required by the standard is in the transportation vehicle. Evidence: 1. The attendance record for 03/25/2024 contained documentation that there were a total of 15 children in attendance for before school care and transportation to school on that day. Staff 1 stated that they made two trips the morning of 03/25/2024; Staff 1 stated that there was one child on the first trip and the remaining 14 children on the second trip. Observations of the Learn N Play Van 1 (a 15 passenger van) determined that there were only 13 operable seatbelts on the van resulting in one child not being properly restrained during transportation. 2. Staff 6 verified that the binders containing the following required information: a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center; the center’s name, address and phone number; a list of the names of the children being transported, were not on the Learn N Play Van 1 during the 03/25/2024 morning routes, Staff 6 verified that the binders were left at the center on 03/25/2024. Staff 1 verified that they did not have a list of the names of the children being transported on the morning of 03/25/2024 during transportation.”

8VAC20-780-500-B

“Based on observations, the center failed to ensure that the diapering surface shall be used only for diapering or cleaning children. Evidence: There were 2 boxes of cereal sitting on top of the diapering surface in the 2 year old classroom.”

8VAC20-780-60-A-8

“SYSTEMIC VIOLATION Based on record review, the center failed to obtain a written care plan 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. Evidence: The record for Child 3 contained documentation of a diagnosed food allergy. The record did not contain the required written care plan.”

8VAC20-780-160-C

“SYSTEMIC VIOLATION Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent tuberculosis screening in the record for Staff 5 was dated 10/20/2021; there was not a follow-up tuberculosis screening available for review which would have been required by 10/20/2023.”

22.1-289.036-A

“SYSTEMIC VIOLATION Based on record review, the center failed to ensure that every applicant for licensure of a child day center shall undergo a background check in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter. Evidence: The most recent search of the central registry for Applicant 1 was dated 02/11/2019. There was not an updated search of the central registry obtained by 02/11/2024 available for review.”

8VAC20-780-340-A

“Based on photographs and staff interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: On 01/25/2024 Staff 2 was notified that upon arriving at home from care that day, the parent of Child 1 (age 9 months) discovered that Child 1?s Velcro bib had been tied tightly in a double knot around their neck. Pictures of Child 1 show that the bib was double-knotted and tied tight enough to leave a visible red mark around the child’s neck. It was determined through staff interviews that Staff 1 had tied the bib around Child 1?s neck. Staff 1 did not ensure the care and protection of Child 1 when she tied the bib tightly around the child’s neck.”

8VAC20-780-350-B-2

“Based on observation and record review, the center failed to maintain the required staff-to-child ratio whenever children are in care. Evidence: There were 16 children and 2 staff members observed in the Toddler-2?s Classroom during the 01/30/2024 inspection. Child 2 was determined to be 17 months old. The required staff-to-child ratio for children 16 months- 24 months is 1:5. Three staff would be required for this group of children.”

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

“COMPLAINT RELATED Based on video footage and staff interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: Video footage from 11/29/2023 shows Staff 1 putting 5 children (ages 3 years and 4 years) into the backseat of a mid-sized car. Based on Staff 1 statements, the same 5 children were transported to the center for afterschool care on 11/28/2023 and 11/29/2023 in the mid-sized car that was their personal vehicle. Staff 1 stated that one child got into a car seat that was in the backseat of the car and the other four children were also in the back seat buckled into the same seatbelt and not in a child restraint device. The children were transported approximately 3 miles. The Code of Virginia requires that any child, up to age eight, shall be properly secured in a child restraint device of a type which meets the standards adopted by the United States Department of Transportation. The center did not ensure the care, protection and guidance for the children during their transportation to the center when four preschool age children were transported in a mid-size care without the required child restraint devices.”

8VAC20-780-440-B Complaint related: No

“Based on observations, the center did not ensure that cribs shall be identified for use by a specific child. Evidence: The cribs in the infant room were not labeled to identify the use by a specific child. Four children were observed sleeping in the unlabeled cribs during the inspection.”

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

“COMPLAINT RELATED Based on staff interviews, the center failed to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc. that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles use to transport children to and from the center. Evidence: Staff 1 and Staff 2 both verified that there was not a document with the required emergency information and information on routes frequently driven in the mid-size car that was used to transport children to the center on 11/28/2023 and 11/29/2023.”

8VAC20-780-580-C Complaint related: Yes

“COMPLAINT RELATED Based on staff interviews, the center failed to ensure that during transportation of children the Virginia state statutes about safety belts and child restraints are followed as required by the Code of Virginia and that the information required by the standard is in the transportation vehicle. Evidence: 1. Staff 1 verified that on 11/28/2029 and 11/29/2023 they picked up the same 5 children (ages 3 years and 4 years) to transport them to the center for afterschool care in a mid-sized car. Staff 1 stated that four of the children were in the back seat buckled into the same seatbelt and not in a child restraint device. The Code of Virginia requires that any child, up to age eight, shall be properly secured in a child restraint device of a type which meets the standards adopted by the United States Department of Transportation. 2. Staff 1 and Staff 2 both verified that the vehicle used for transportation did not contain the following required information: a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center; the center’s name, address and phone number; a list of the names of the children being transported.”

8VAC20-780-580-L Complaint related: Yes

“COMPLAINT RELATED Based on record review and staff interviews, the center failed to ensure that parental permission for transportation and field trips shall be secured before the scheduled activity. Evidence: The records for Child 1, 2, 3, 4 and 5 did not contain parental permission for transportation. Staff 2 verified that they did not have transportation permission forms.”

8VAC20-780-570-B Complaint related: No

“Based on observations, the center did not ensure that bottles shall not be used while the child is in their designated sleeping location. Evidence: There was a bottle observed laying in the crib with Child 6. The child was asleep.”

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

“Based on document review, the center failed to ensure that the written record of children’s serious and minor injuries shall contain all of the elements as required by the standards. Evidence: Injury Report 1 did not contain the following information: date and time when parents were notified; and documentation on how parent was notified.”

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

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number of child’s physician; and allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. The record for Child 2 did not contain the following information: phone number of child’s physician; and allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 3. The record for Child 3 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 2. The record for Staff 5 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review).”

8VAC20-780-130-E

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 5 contained a documented start date of 04/13/2022. Child 5 was determined to be 17 months old. The record for Child 5 contained two immunization records dated 03/11/2022 and 04/11/2023; additional immunizations were not obtained every 6 months between 03/11/2022 and 04/11/2023.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance. Evidence: 1. The record for Child 1 contained a documented start date of 06/05/2023; there was not a physical examination in the record. 2. The record for Child 3 contained a documented start date of 05/23/2022; there was not a physical examination in the record. 3. The record for Child 4 contained a documented start date of 06/23/2023; there was not a physical examination in the record.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 05/30/2023; the tuberculosis screening was dated 06/02/2023. The tuberculosis screening was not obtain prior to contact with children.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain the following information: the phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child’s record. 2. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there were no addresses were not provided for the designated people).”

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

“Based on document review, the center failed to ensure that the written record of children’s serious and minor injuries shall contain all of the elements as required by the standards. Evidence: Injury Report 1 did not contain the following information: date and time when parents were notified; and documentation on how parent was notified.”

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

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number of child’s physician; and allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. The record for Child 2 did not contain the following information: phone number of child’s physician; and allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 3. The record for Child 3 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 2. The record for Staff 5 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review).”

8VAC20-780-130-E

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 5 contained a documented start date of 04/13/2022. Child 5 was determined to be 17 months old. The record for Child 5 contained two immunization records dated 03/11/2022 and 04/11/2023; additional immunizations were not obtained every 6 months between 03/11/2022 and 04/11/2023.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance. Evidence: 1. The record for Child 1 contained a documented start date of 06/05/2023; there was not a physical examination in the record. 2. The record for Child 3 contained a documented start date of 05/23/2022; there was not a physical examination in the record. 3. The record for Child 4 contained a documented start date of 06/23/2023; there was not a physical examination in the record.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 05/30/2023; the tuberculosis screening was dated 06/02/2023. The tuberculosis screening was not obtain prior to contact with children.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain the following information: the phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child’s record. 2. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there were no addresses were not provided for the designated people).”

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

“Based on document review, the center failed to ensure that the written record of children’s serious and minor injuries shall contain all of the elements as required by the standards. Evidence: Injury Report 1 did not contain the following information: date and time when parents were notified; and documentation on how parent was notified.”

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

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number of child’s physician; and allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. The record for Child 2 did not contain the following information: phone number of child’s physician; and allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 3. The record for Child 3 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 2. The record for Staff 5 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review).”

8VAC20-780-130-E

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 5 contained a documented start date of 04/13/2022. Child 5 was determined to be 17 months old. The record for Child 5 contained two immunization records dated 03/11/2022 and 04/11/2023; additional immunizations were not obtained every 6 months between 03/11/2022 and 04/11/2023.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance. Evidence: 1. The record for Child 1 contained a documented start date of 06/05/2023; there was not a physical examination in the record. 2. The record for Child 3 contained a documented start date of 05/23/2022; there was not a physical examination in the record. 3. The record for Child 4 contained a documented start date of 06/23/2023; there was not a physical examination in the record.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 05/30/2023; the tuberculosis screening was dated 06/02/2023. The tuberculosis screening was not obtain prior to contact with children.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain the following information: the phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child’s record. 2. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there were no addresses were not provided for the designated people).”

8VAC20-780-510-L

“Based on staff interviews and review of photographs, the center failed to ensure that medication, expect for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s person medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Staff 1 stated that on 02/14/2023, Staff 3 sent a photograph via text message of a box of pills, containing 21 individual compartments full of pills, that was found on top of the refrigerator in the infant classroom. Staff 1 stated that the pill box belonged to Staff 2. The staff persons medication was not kept in a locked place to prevent access by children.”

8VAC20-780-560-M

“Based on observations, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child 4 was observed walking in the infant room while drinking a bottle.”

8VAC20-780-530-A

“Based on observation and record review, the center failed to ensure that at least one staff in each classroom or are where children are present shall have a current certification in CPR and first aid. Evidence: Staff 4 was the only staff member observed in the 2 year old class. Staff 4 does not have a current certification in CPR or first aid.”

8VAC20-780-350-B-3

“Based on observation and record review, the center failed to ensure that the required staff to child ratio, 1 staff for every 8 children for children 2 years old, is met whenever children are in care. Evidence: There were 11 children and 1 staff observed in the 2 year old class during the inspection. The youngest child in the room was determined to be 2 years old.”

8VAC20-780-350-B-1

“Based on observation and record review, the center failed to ensure that the required staff to child ratio, 1 staff for every 4 children for children birth-16 months, is met whenever children are in care. Evidence: 1. At approximately 9:05 am, Staff 2 was observed arriving to the center and Staff 1 was observed caring for the Pre-K class. At approximately 9:15 am Staff 2 assumed the responsibility of the Pre-K class and Staff 1 went to the infant room. 2. Staff 3 stated that until Staff 1 arrived the infant room, at approximately 9:15 am, they had been the only staff member caring for the 8 children in the room. The youngest child in the room was determined to be 3 months old. 3. Staff 1 stated that they had not been in the infant room until Staff 2 arrived to the center.”

8VAC20-780-290-A-3

“Based on observations, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There was an uncovered outlet near the microwave of the 2 year old classroom. 2. There were 2 uncovered outlets on a surge protector located in the front door area of the building.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The cleaning supplies cabinet located on the wall near the door of the 2 year old classroom was unlocked. The cabinet contained a container of disinfecting wipes and an aerosol spray bottle of Microban.”

8VAC20-780-240-B

“Based on record review, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff 5 contained a documented hire date of 03/17/2023. There was no documentation to verify that Staff 5 has completed orientation training. Staff 5 was working during the 03/28/2023 inspection.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Staff 2 stated that they take attendance at 9:00 am daily. The arrival of children is not documented as it occurs. 2. Review of the written attendance document confirmed that the daily attendance record does not document the departure of each child. Staff 3 confirmed that they do not document the departure of the children.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 2. The record for Staff 4 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 3. The record for Staff 5 did not contain the following information:documentation that two or more references as to character and reputation as well as competency were checked before employment (there were no references available for review); and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: name and phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one contact provided and the designated contact provided did not contain an address); documentation of viewing proof of the child’s identity and age; and first date of attendance. 2. The record for Child 2 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second designated contact was incomplete). 3. The record for Child 4 did contain the following information: allergies and intolerances to medication or any other substances, and actions to take in an emergency; and documentation of child updates and confirmation of up-to-date information in the child’s record. 4. The record for Child 5 did not contain the following information: child’s sex; and the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for the designated contacts were incomplete).”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 03/17/2023; there was not documentation of a negative tuberculosis screening available for review during the inspection. Staff 5 was working at the center on 03/28/2023.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 4 contained a documented start date of 11/16/2021. Child 4 was determined to be 18 months old. The record for Child 4 contained two immunization records dated 11/14/2021 and 01/16/2023; additional immunizations were not obtained every 6 months between 11/14/2021 and 01/16/2023.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for Child 2 contained a documented start date of 08/24/2022. The date on the immunization record was 10/24/2022. 2. The record for Child 5 contained a documented start date of 01/23/2023. There was not an immunization record available for review during the inspection.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 1 contained documentation that Staff 1 has resided outside of the state of Virginia within the preceding five years. The documented hire date for Staff 1 was 07/20/2022. There was not a criminal history record check or a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection. Staff 1 was observed working during the inspection.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that milk, formula or breast milk shall not be heated or warmed directly in a microwave. Evidence: Staff 3 was observed heating a bottle in the microwave.”

8VAC20-780-510-L

“Based on staff interviews and review of photographs, the center failed to ensure that medication, expect for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s person medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Staff 1 stated that on 02/14/2023, Staff 3 sent a photograph via text message of a box of pills, containing 21 individual compartments full of pills, that was found on top of the refrigerator in the infant classroom. Staff 1 stated that the pill box belonged to Staff 2. The staff persons medication was not kept in a locked place to prevent access by children.”

8VAC20-780-560-M

“Based on observations, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child 4 was observed walking in the infant room while drinking a bottle.”

8VAC20-780-530-A

“Based on observation and record review, the center failed to ensure that at least one staff in each classroom or are where children are present shall have a current certification in CPR and first aid. Evidence: Staff 4 was the only staff member observed in the 2 year old class. Staff 4 does not have a current certification in CPR or first aid.”

8VAC20-780-350-B-3

“Based on observation and record review, the center failed to ensure that the required staff to child ratio, 1 staff for every 8 children for children 2 years old, is met whenever children are in care. Evidence: There were 11 children and 1 staff observed in the 2 year old class during the inspection. The youngest child in the room was determined to be 2 years old.”

8VAC20-780-350-B-1

“Based on observation and record review, the center failed to ensure that the required staff to child ratio, 1 staff for every 4 children for children birth-16 months, is met whenever children are in care. Evidence: 1. At approximately 9:05 am, Staff 2 was observed arriving to the center and Staff 1 was observed caring for the Pre-K class. At approximately 9:15 am Staff 2 assumed the responsibility of the Pre-K class and Staff 1 went to the infant room. 2. Staff 3 stated that until Staff 1 arrived the infant room, at approximately 9:15 am, they had been the only staff member caring for the 8 children in the room. The youngest child in the room was determined to be 3 months old. 3. Staff 1 stated that they had not been in the infant room until Staff 2 arrived to the center.”

8VAC20-780-290-A-3

“Based on observations, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There was an uncovered outlet near the microwave of the 2 year old classroom. 2. There were 2 uncovered outlets on a surge protector located in the front door area of the building.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The cleaning supplies cabinet located on the wall near the door of the 2 year old classroom was unlocked. The cabinet contained a container of disinfecting wipes and an aerosol spray bottle of Microban.”

8VAC20-780-240-B

“Based on record review, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff 5 contained a documented hire date of 03/17/2023. There was no documentation to verify that Staff 5 has completed orientation training. Staff 5 was working during the 03/28/2023 inspection.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Staff 2 stated that they take attendance at 9:00 am daily. The arrival of children is not documented as it occurs. 2. Review of the written attendance document confirmed that the daily attendance record does not document the departure of each child. Staff 3 confirmed that they do not document the departure of the children.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 2. The record for Staff 4 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 3. The record for Staff 5 did not contain the following information:documentation that two or more references as to character and reputation as well as competency were checked before employment (there were no references available for review); and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: name and phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one contact provided and the designated contact provided did not contain an address); documentation of viewing proof of the child’s identity and age; and first date of attendance. 2. The record for Child 2 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second designated contact was incomplete). 3. The record for Child 4 did contain the following information: allergies and intolerances to medication or any other substances, and actions to take in an emergency; and documentation of child updates and confirmation of up-to-date information in the child’s record. 4. The record for Child 5 did not contain the following information: child’s sex; and the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for the designated contacts were incomplete).”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 03/17/2023; there was not documentation of a negative tuberculosis screening available for review during the inspection. Staff 5 was working at the center on 03/28/2023.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 4 contained a documented start date of 11/16/2021. Child 4 was determined to be 18 months old. The record for Child 4 contained two immunization records dated 11/14/2021 and 01/16/2023; additional immunizations were not obtained every 6 months between 11/14/2021 and 01/16/2023.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for Child 2 contained a documented start date of 08/24/2022. The date on the immunization record was 10/24/2022. 2. The record for Child 5 contained a documented start date of 01/23/2023. There was not an immunization record available for review during the inspection.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 1 contained documentation that Staff 1 has resided outside of the state of Virginia within the preceding five years. The documented hire date for Staff 1 was 07/20/2022. There was not a criminal history record check or a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection. Staff 1 was observed working during the inspection.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that milk, formula or breast milk shall not be heated or warmed directly in a microwave. Evidence: Staff 3 was observed heating a bottle in the microwave.”

8VAC20-780-510-L

“Based on staff interviews and review of photographs, the center failed to ensure that medication, expect for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s person medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Staff 1 stated that on 02/14/2023, Staff 3 sent a photograph via text message of a box of pills, containing 21 individual compartments full of pills, that was found on top of the refrigerator in the infant classroom. Staff 1 stated that the pill box belonged to Staff 2. The staff persons medication was not kept in a locked place to prevent access by children.”

8VAC20-780-560-M

“Based on observations, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: Child 4 was observed walking in the infant room while drinking a bottle.”

8VAC20-780-530-A

“Based on observation and record review, the center failed to ensure that at least one staff in each classroom or are where children are present shall have a current certification in CPR and first aid. Evidence: Staff 4 was the only staff member observed in the 2 year old class. Staff 4 does not have a current certification in CPR or first aid.”

8VAC20-780-350-B-3

“Based on observation and record review, the center failed to ensure that the required staff to child ratio, 1 staff for every 8 children for children 2 years old, is met whenever children are in care. Evidence: There were 11 children and 1 staff observed in the 2 year old class during the inspection. The youngest child in the room was determined to be 2 years old.”

8VAC20-780-350-B-1

“Based on observation and record review, the center failed to ensure that the required staff to child ratio, 1 staff for every 4 children for children birth-16 months, is met whenever children are in care. Evidence: 1. At approximately 9:05 am, Staff 2 was observed arriving to the center and Staff 1 was observed caring for the Pre-K class. At approximately 9:15 am Staff 2 assumed the responsibility of the Pre-K class and Staff 1 went to the infant room. 2. Staff 3 stated that until Staff 1 arrived the infant room, at approximately 9:15 am, they had been the only staff member caring for the 8 children in the room. The youngest child in the room was determined to be 3 months old. 3. Staff 1 stated that they had not been in the infant room until Staff 2 arrived to the center.”

8VAC20-780-290-A-3

“Based on observations, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There was an uncovered outlet near the microwave of the 2 year old classroom. 2. There were 2 uncovered outlets on a surge protector located in the front door area of the building.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The cleaning supplies cabinet located on the wall near the door of the 2 year old classroom was unlocked. The cabinet contained a container of disinfecting wipes and an aerosol spray bottle of Microban.”

8VAC20-780-240-B

“Based on record review, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff 5 contained a documented hire date of 03/17/2023. There was no documentation to verify that Staff 5 has completed orientation training. Staff 5 was working during the 03/28/2023 inspection.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Staff 2 stated that they take attendance at 9:00 am daily. The arrival of children is not documented as it occurs. 2. Review of the written attendance document confirmed that the daily attendance record does not document the departure of each child. Staff 3 confirmed that they do not document the departure of the children.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 2. The record for Staff 4 did not contain documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. 3. The record for Staff 5 did not contain the following information:documentation that two or more references as to character and reputation as well as competency were checked before employment (there were no references available for review); and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: name and phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was only one contact provided and the designated contact provided did not contain an address); documentation of viewing proof of the child’s identity and age; and first date of attendance. 2. The record for Child 2 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second designated contact was incomplete). 3. The record for Child 4 did contain the following information: allergies and intolerances to medication or any other substances, and actions to take in an emergency; and documentation of child updates and confirmation of up-to-date information in the child’s record. 4. The record for Child 5 did not contain the following information: child’s sex; and the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for the designated contacts were incomplete).”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 03/17/2023; there was not documentation of a negative tuberculosis screening available for review during the inspection. Staff 5 was working at the center on 03/28/2023.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for Child 4 contained a documented start date of 11/16/2021. Child 4 was determined to be 18 months old. The record for Child 4 contained two immunization records dated 11/14/2021 and 01/16/2023; additional immunizations were not obtained every 6 months between 11/14/2021 and 01/16/2023.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for Child 2 contained a documented start date of 08/24/2022. The date on the immunization record was 10/24/2022. 2. The record for Child 5 contained a documented start date of 01/23/2023. There was not an immunization record available for review during the inspection.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 1 contained documentation that Staff 1 has resided outside of the state of Virginia within the preceding five years. The documented hire date for Staff 1 was 07/20/2022. There was not a criminal history record check or a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection. Staff 1 was observed working during the inspection.”

8VAC20-780-560-G

“Based on observation, the center failed to ensure that milk, formula or breast milk shall not be heated or warmed directly in a microwave. Evidence: Staff 3 was observed heating a bottle in the microwave.”

8VAC20-780-560-M

“Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: 1. A child in the infant classroom was observed walking around while eating a large cracker. 2. A child was observed walking around eating green beans during lunch.”

8VAC20-780-450-E

“Based on observation, the center failed to ensure that mattress when used shall be covered with a waterproof material which can be cleaned and sanitized. Evidence: Three of the crib mattresses in the infant room were made of a foam material that were not covered with a waterproof material that could be cleaned and sanitized. One of those cribs was observed in use during the inspection.”

8VAC20-780-320-B

“Based on observation, the center failed to ensure that restroom areas shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Evidence: 1. None of the four restrooms in the center (2 boys and 2 girls restrooms) were equipped with paper towels or an air dryer. 2. Only one of the four restrooms was equipped with soap.”

8VAC20-780-270-A

“Based on observation and discussion, the center failed to ensure that the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The crib closest to the refrigerator in the infant room had several loose screws that were protruding and could snag skin. 2. There was a chair in the after school room that was cracked and created a pinch point. 3. The table in the 2 year old room was broken and had a jagged edge. 4. There was peeling paint that was accessible to the children in both the infant and 2 year old room. 5. Staff confirmed that the light in the hallway by the restrooms was inoperable. It was very dark in the hallway. The children had to walk down this hallway to access the infant and 2 year old classroom.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance for the 2 year old class and the pre-k class was combined into one attendance record; the attendance was not taken for each group of children. 2. Review of the written attendance document confirmed that the daily attendance record does not document the departure of each child. The staff confirmed that they do not document the departure of the children.”

8VAC20-780-70

“Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 2 did not contain a job title. 2. The record for Staff 3 did not contain a job title. 3. The record for Staff 4 did not contain a job title. 4. The record for Staff 5 did not contain the following information: job title and date of employment; two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review); and documentation to demonstrate that the individual possesses orientation training.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: name and phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached; and documentation of viewing proof of the child’s identity and age. 2. The record for Child 5 did not contain the following information: first date of attendance; and documentation of health information as required.”

8VAC20-780-150-A

“Based on record review, the center failed to ensure that each immunization and physical record shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. Evidence: 1. The immunization in the record for Child 1 was not signed by a physician, his designee or an official of a local health department. 2. The immunization in the record for Child 2 was not signed by a physician, his designee or an official of a local health department. 3. The immunization in the record for Child 3 was not signed by a physician, his designee or an official of a local health department. 4. The immunization in the record for Child 4 was not signed by a physician, his designee or an official of a local health department.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 5 contained documentation that Staff 5 has resided outside of the state of Virginia within the preceding five years. Staff 2 verified that the hire date for Staff 5 was 09/08/2022. There was not a criminal history record check or a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The record for Staff 4 contained a documented hire date of 05/03/2022. There was not a search of the central registry available for review during the inspection.”

8VAC20-780-560-M

“Based on observation, the center failed to ensure that no child shall be allowed to drink or eat while walking around. Evidence: 1. A child in the infant classroom was observed walking around while eating a large cracker. 2. A child was observed walking around eating green beans during lunch.”

8VAC20-780-450-E

“Based on observation, the center failed to ensure that mattress when used shall be covered with a waterproof material which can be cleaned and sanitized. Evidence: Three of the crib mattresses in the infant room were made of a foam material that were not covered with a waterproof material that could be cleaned and sanitized. One of those cribs was observed in use during the inspection.”

8VAC20-780-320-B

“Based on observation, the center failed to ensure that restroom areas shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Evidence: 1. None of the four restrooms in the center (2 boys and 2 girls restrooms) were equipped with paper towels or an air dryer. 2. Only one of the four restrooms was equipped with soap.”

8VAC20-780-270-A

“Based on observation and discussion, the center failed to ensure that the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The crib closest to the refrigerator in the infant room had several loose screws that were protruding and could snag skin. 2. There was a chair in the after school room that was cracked and created a pinch point. 3. The table in the 2 year old room was broken and had a jagged edge. 4. There was peeling paint that was accessible to the children in both the infant and 2 year old room. 5. Staff confirmed that the light in the hallway by the restrooms was inoperable. It was very dark in the hallway. The children had to walk down this hallway to access the infant and 2 year old classroom.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance for the 2 year old class and the pre-k class was combined into one attendance record; the attendance was not taken for each group of children. 2. Review of the written attendance document confirmed that the daily attendance record does not document the departure of each child. The staff confirmed that they do not document the departure of the children.”

8VAC20-780-70

“Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 2 did not contain a job title. 2. The record for Staff 3 did not contain a job title. 3. The record for Staff 4 did not contain a job title. 4. The record for Staff 5 did not contain the following information: job title and date of employment; two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review); and documentation to demonstrate that the individual possesses orientation training.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: name and phone number of child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached; and documentation of viewing proof of the child’s identity and age. 2. The record for Child 5 did not contain the following information: first date of attendance; and documentation of health information as required.”

8VAC20-780-150-A

“Based on record review, the center failed to ensure that each immunization and physical record shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. Evidence: 1. The immunization in the record for Child 1 was not signed by a physician, his designee or an official of a local health department. 2. The immunization in the record for Child 2 was not signed by a physician, his designee or an official of a local health department. 3. The immunization in the record for Child 3 was not signed by a physician, his designee or an official of a local health department. 4. The immunization in the record for Child 4 was not signed by a physician, his designee or an official of a local health department.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of a criminal history record check and a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 5 contained documentation that Staff 5 has resided outside of the state of Virginia within the preceding five years. Staff 2 verified that the hire date for Staff 5 was 09/08/2022. There was not a criminal history record check or a copy of a child abuse and neglect search from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The record for Staff 4 contained a documented hire date of 05/03/2022. There was not a search of the central registry available for review during the inspection.”

8VAC20-780-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: There were two small plastic climbing/slide/swings for infants and toddlers on the playground. These structures were directly on top of grass and did not have resilient surfacing that complies with the minimum safety standards under and around the structures to create a fall zone. The children were observed playing on these during the inspection.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The record for Staff 2 contained a documented hire date of 10/13/2021. The central registry search was dated 11/24/2021.”

8VAC20-780-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain first date of attendance. 2. The record for Child 5 did not contain the following information: written care plan 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; and the documentation of child updates and confirmation of up-to-date information in the child’s record as required by the standards.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Review of the written attendance document confirmed that the daily attendance record does not document the departure of each child. 2. Attendance for the Infant Classroom had not been taken during the 04/26/2022 inspection; there were 2 children in the classroom during the inspection.”

8VAC20-780-570-C

“Based on discussion with staff, the center failed to maintain a record for each child on formula that contains the brand of formula and the child’s feeding schedule. Evidence: Staff 2 and Staff 5 verified that there was not a record that contained the brand of formula and the child’s feeding schedule for Child 4.”

8VAC20-780-350-C

“Based on observation and discussion with staff, the center failed to ensure that when children are in on-going mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: There were 9 children, ages 6 weeks to 3 years, and 2 staff observed outside on the playground as one group of children; the required staff-to-child ratio for this group of children was 1:4.”

8VAC20-780-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: There were two small plastic climbing/slide/swings for infants and toddlers on the playground. These structures were directly on top of grass and did not have resilient surfacing that complies with the minimum safety standards under and around the structures to create a fall zone. The children were observed playing on these during the inspection.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The record for Staff 2 contained a documented hire date of 10/13/2021. The central registry search was dated 11/24/2021.”

8VAC20-780-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain first date of attendance. 2. The record for Child 5 did not contain the following information: written care plan 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; and the documentation of child updates and confirmation of up-to-date information in the child’s record as required by the standards.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Review of the written attendance document confirmed that the daily attendance record does not document the departure of each child. 2. Attendance for the Infant Classroom had not been taken during the 04/26/2022 inspection; there were 2 children in the classroom during the inspection.”

8VAC20-780-570-C

“Based on discussion with staff, the center failed to maintain a record for each child on formula that contains the brand of formula and the child’s feeding schedule. Evidence: Staff 2 and Staff 5 verified that there was not a record that contained the brand of formula and the child’s feeding schedule for Child 4.”

8VAC20-780-350-C

“Based on observation and discussion with staff, the center failed to ensure that when children are in on-going mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. Evidence: There were 9 children, ages 6 weeks to 3 years, and 2 staff observed outside on the playground as one group of children; the required staff-to-child ratio for this group of children was 1:4.”

22VAC40-665-520-B-11

“Based on record review and discussion, the vendor failed to obtain a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child 2 contained documentation of a diagnosed food allergy. There was not a written allergy care plan to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction in the record for Child 2.”

22VAC40-665-510-B

“Based on document review and discussion, the vendor failed to ensure that the written hard copy of daily attendance documents the arrival and departure of each child in care as it occurs. Evidence: The written hard copy attendance record did not document the arrival and departure of each child as it occurred.”

63.2(17)-1720.1-A

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment, continue to employee or permit to serve as a volunteer, any person who has been convicted of any barrier crime as defined by the Code of Virginia. Evidence: The employment eligibility letter, based on a fingerprint criminal record search, Staff 5 was Not Eligible for employment in a Child Day Center. Staff 6 stated that Staff 5 had worked the morning of 10/28/2021.”

22VAC40-185-580-B

“Based on observation and discussion with staff, the center failed to ensure that any vehicle used by the center for transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. Evidence: The inspection sticker on Van LEARNP2 expired in 06/2019. Staff 6 confirmed that Van LEARNP2 was used for transportation on the morning of 10/28/2021.”

22VAC40-185-560-F-4

“Based on observation and discussion with staff, the center failed to ensure that children three years of age or younger may not be offered food that are considered to be potential choking hazards. Evidence: Children three years of age and younger were served corndogs for lunch on 10/28/2021. The corndogs were cut into smaller pieces but still remained large enough to be a choking hazard to children 3 years of age and younger.”

63.2(17)-1720.1-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The documented hire date in the record for Staff 2 was 10/13/2021. The date on the employment eligibility letter was 10/15/2021.”

22VAC40-185-550-H

“Based on discussion with staff, the center failed to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pick-up/drop off of children to and from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: Staff 6 stated that there was not a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pick-up/drop off of children to and from schools, etc.) in any of the vehicles used for transportation.”

22VAC40-185-510-J

“Based on observation and discussion with staff, the center failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were 3 first-aid kits in the building and 1 first-aid kit in each van that contained individual packets of aspirin, non-aspirin and antacids. The first-aid kits were not locked but were not accessible by children.”

22VAC40-185-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with the minimum safety standards. Evidence: There was no resilient surfacing underneath the following pieces of playground equipment: the climbing truck, the climbing tractor, the climbing train, the toddler slide and the toddler swing; grass and dirt was the only surfacing underneath these pieces of equipment. The children were observed using the playground equipment during the 10/28/2021 inspection.”

22VAC40-185-70-A

“Based on record review and discussion with staff, the center failed to ensure that each staff record shall contain all of the elements as required by the standards. Evidence: The record for Staff 5 did not contain the following: the name, address, verification of age requirement, job title, date of employment, name, documentation that two or more references as to character and reputation as well as competency were checked before employment, and written information to demonstrate that the individual possesses the education, orientation training, staff development, certification and experience required by the job position.”

22VAC40-185-580-C

“Based on discussion with staff, the center failed to ensure that during the transportation of children the following information is in the transportation vehicles: a list of the names of children being transported. Evidence: Staff 6 stated that there was not a list of children being transported on the vehicles during transportation.”

22VAC40-665-520-B-11

“Based on record review and discussion, the vendor failed to obtain a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child 2 contained documentation of a diagnosed food allergy. There was not a written allergy care plan to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction in the record for Child 2.”

22VAC40-665-510-B

“Based on document review and discussion, the vendor failed to ensure that the written hard copy of daily attendance documents the arrival and departure of each child in care as it occurs. Evidence: The written hard copy attendance record did not document the arrival and departure of each child as it occurred.”

63.2(17)-1720.1-A

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment, continue to employee or permit to serve as a volunteer, any person who has been convicted of any barrier crime as defined by the Code of Virginia. Evidence: The employment eligibility letter, based on a fingerprint criminal record search, Staff 5 was Not Eligible for employment in a Child Day Center. Staff 6 stated that Staff 5 had worked the morning of 10/28/2021.”

22VAC40-185-580-B

“Based on observation and discussion with staff, the center failed to ensure that any vehicle used by the center for transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. Evidence: The inspection sticker on Van LEARNP2 expired in 06/2019. Staff 6 confirmed that Van LEARNP2 was used for transportation on the morning of 10/28/2021.”

22VAC40-185-560-F-4

“Based on observation and discussion with staff, the center failed to ensure that children three years of age or younger may not be offered food that are considered to be potential choking hazards. Evidence: Children three years of age and younger were served corndogs for lunch on 10/28/2021. The corndogs were cut into smaller pieces but still remained large enough to be a choking hazard to children 3 years of age and younger.”

63.2(17)-1720.1-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The documented hire date in the record for Staff 2 was 10/13/2021. The date on the employment eligibility letter was 10/15/2021.”

22VAC40-185-550-H

“Based on discussion with staff, the center failed to prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pick-up/drop off of children to and from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: Staff 6 stated that there was not a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pick-up/drop off of children to and from schools, etc.) in any of the vehicles used for transportation.”

22VAC40-185-510-J

“Based on observation and discussion with staff, the center failed to ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were 3 first-aid kits in the building and 1 first-aid kit in each van that contained individual packets of aspirin, non-aspirin and antacids. The first-aid kits were not locked but were not accessible by children.”

22VAC40-185-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with the minimum safety standards. Evidence: There was no resilient surfacing underneath the following pieces of playground equipment: the climbing truck, the climbing tractor, the climbing train, the toddler slide and the toddler swing; grass and dirt was the only surfacing underneath these pieces of equipment. The children were observed using the playground equipment during the 10/28/2021 inspection.”

22VAC40-185-70-A

“Based on record review and discussion with staff, the center failed to ensure that each staff record shall contain all of the elements as required by the standards. Evidence: The record for Staff 5 did not contain the following: the name, address, verification of age requirement, job title, date of employment, name, documentation that two or more references as to character and reputation as well as competency were checked before employment, and written information to demonstrate that the individual possesses the education, orientation training, staff development, certification and experience required by the job position.”

22VAC40-185-580-C

“Based on discussion with staff, the center failed to ensure that during the transportation of children the following information is in the transportation vehicles: a list of the names of children being transported. Evidence: Staff 6 stated that there was not a list of children being transported on the vehicles during transportation.”