Learning Paths Academy at Cardinal #16

8VAC20-780-70

“(Repeat violation) Based on review of six staff records, not all records contained all required information. Evidence: 1) The record for staff #2 (date of hire: 12/20/21) and staff #6 (date of hire: 12/7/23) did not have documentation that two or more references were checked before employment. 2) The record for staff #1 (date of hire: 10/18/23), staff #2 (date of hire: 12/20/21), staff #4 (date of hire: 5/22/23) and staff #5: (date of hire: 11/7/22) did not have complete documentation to demonstrate that the individual possesses the education, certification, and experience required by the position, and orientation and training as required.”

8VAC20-780-340-D

“(Repeat violation) Based on observation and review of documentation, the facility failed to ensure that in each grouping of children at least one staff member meets the qualifications of program leader. Evidence: staff #5 was observed working alone in the baby steps A classroom and does not have documentation of group leader qualifications (age/education/experience) in their record.”

8VAC20-780-510-E

“Based on review of documentation and staff interview, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #1, child #2 and child #4 did not contain written authorization from the child's parent or physician for long term emergency medication that was observed on site.”

22.1-289.035-B-4

“Based on review of six staff records, it was determined that no out of state child abuse and neglect search was requested within 30 days of hire, and no out of state criminal history name check was conducted prior to hire, for all staff who stated they have lived outside of Virginia in the past five years. Evidence: the record for staff #1, (date of hire: 10/18/23) who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state central registry search or a criminal history name check.”

8VAC20-780-140-A

“(Repeat violation) Based on a review of five child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #5 (date of first attendance: 10/2/23) did not have documentation of a physical examination.”

8VAC20-780-70

“(Repeat violation) Based on review of six staff records, not all records contained all required information. Evidence: 1) The record for staff #2 (date of hire: 12/20/21) and staff #6 (date of hire: 12/7/23) did not have documentation that two or more references were checked before employment. 2) The record for staff #1 (date of hire: 10/18/23), staff #2 (date of hire: 12/20/21), staff #4 (date of hire: 5/22/23) and staff #5: (date of hire: 11/7/22) did not have complete documentation to demonstrate that the individual possesses the education, certification, and experience required by the position, and orientation and training as required.”

8VAC20-780-340-D

“(Repeat violation) Based on observation and review of documentation, the facility failed to ensure that in each grouping of children at least one staff member meets the qualifications of program leader. Evidence: staff #5 was observed working alone in the baby steps A classroom and does not have documentation of group leader qualifications (age/education/experience) in their record.”

8VAC20-780-510-E

“Based on review of documentation and staff interview, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use may be allowed with written authorization from the child’s physician and parent. Evidence: the record for child #1, child #2 and child #4 did not contain written authorization from the child's parent or physician for long term emergency medication that was observed on site.”

22.1-289.035-B-4

“Based on review of six staff records, it was determined that no out of state child abuse and neglect search was requested within 30 days of hire, and no out of state criminal history name check was conducted prior to hire, for all staff who stated they have lived outside of Virginia in the past five years. Evidence: the record for staff #1, (date of hire: 10/18/23) who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state central registry search or a criminal history name check.”

8VAC20-780-140-A

“(Repeat violation) Based on a review of five child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #5 (date of first attendance: 10/2/23) did not have documentation of a physical examination.”

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

“Based on multiple interviews, and a review of documentation, it was determined that staff used a forbidden action of roughly handling a child and restricting movement. Evidence: Interviews revealed that on 10/24/2023, in the toddler classroom, between approximately 11:00 - 11:30am, Staff #1 was observed "forcefully" trying to get child #1 (19 months old) to lay quietly on their cot to nap. First, Staff #1 attempted to keep child #1 still by placing their hand/arm on the child's back and then by pushing the child's head down towards the cot. Then staff #1 was observed changing the child's position on the cot by roughly picking them up and switching the child's head/feet location to the opposite side. It was reported that Child #1 was crying before, during and after this incident.”

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

“Based on review of documentation and interview, the facility failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the facility and requires outside medical attention. Evidence: On 6/5/2023, between approximately 5:00-5:30pm, child #1, age five, sustained a head injury outside on the playground. The child was taken by the parent to the emergency room on 6/6/23 and was diagnosed with a concussion. The parent informed the center director, who then completed a report for the company, but the facility did not report this injury to the department.”

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

“Based on review of documentation, and interviews, the facility did not ensure that when staff are supervising children, they ensure the care and protection of all children. Evidence: on 6/5/2023, between approximately 5:00-5:30pm, child #1, age five, was crying when they approached staff #1 and stated that they had been pushed by another child. Staff asked the child if they were ok, but did not conduct an assessment to determine what happened, how and where it happened, or whether or where the child had sustained an injury. Staff stated they went and talked to the group of children and allowed the child to continue playing. The child had sustained a red mark, approximately 2 inches long, on the left side of their head above the ear, and was diagnosed with a concussion the next day.”

8VAC20-780-530-A Complaint related: No

“Based on staff interview, and review of documentation, the facility failed to have at least one staff in each classroom or area where children are present with current certification in CPR and first aid. Evidence: on 6/5/2023, between approximately 5:00-5:30pm, staff #1 was alone outside on the playground supervising approximately four children in the JK class. The record for staff #1 did not have documentation of CPR and first aid training.”

8VAC20-780-70

“Based on review of four staff records, not all records contained all required information. Evidence: 1) The record for staff #1 (date of hire: 1/10/23) and staff #4 (date of hire: 5/8/23) did not have documentation that two or more references were checked before employment. 2) The record for staff #2, who was observed alone in a classroom, did not have documentation of education and experience required by the job.”

8VAC20-780-80-A

“Based on observation, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: the attendance record kept in the prep classroom did not list any children in attendance and ten children were observed in care. The tablet had a passcode so the LI couldn?t review the electronic attendance.”

8VAC20-780-240-B

“Based on review of four staff records, the center did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #1 (date of hire: 1/10/23), staff #2 (date of hire: 5/22/23), staff #3 (date of hire: 11/3/2022) and staff #4 (date of hire: 5/8/23) did not contain documentation of completed orientation training.”

8VAC20-780-260-B

“Based on review of documentation, the facility failed to obtain documentation of annual approval from the health department. Evidence: the documented health department inspection was dated: 3/3/2022.”

8VAC20-780-340-D

“Based on observation and review of documentation, the facility failed to ensure that in each grouping of children at least one staff member meets the qualifications of program leader. Evidence: staff #3 was observed working alone in the prep classroom and staff #5 was observed working alone in the toddler classroom. The records for staff #1 and staff #2 do not contain documentation of group leader qualifications (age/education/experience.)”

8VAC20-780-530-A

“Based observation and review of documentation, the facility failed to have at least one staff in each classroom where children are present current certification in CPR and first aid. Evidence: the record for staff #3, who was observed alone in the prep classroom, did not have documentation of CPR and first aid training. The record for staff #5, who was observed alone in the toddler classroom, had expired CPR/First aid certification dated: 9/27/2019.”

8VAC20-770-60-C-2

“Based on review of four staff records, the center did not have an original central registry report within 30 days of employment of a staff member, and no follow up was documented as required. Evidence: the record for staff #2 (date of hire: 5/22/2023) and staff #4 (date of hire: 5/8/2023) did not contain documentation of a central registry search report or evidence that follow up was conducted.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment and prior to coming into contact with children that was completed within 30 days of the date of employment. Evidence: the record for staff #4 (date of hire: 5/8/2023) did not have documentation of a TB test/screening and was observed working in a classroom with children. The record for staff #2 (date of hire: 5/22/2023) had a TB test/screening dated: 9/23/2022.”

8VAC20-780-40-M

“Based on review of documentation, and staff interviews, the facility failed to maintain a current written list of all children's allergies, sensitivities and dietary restrictions. The list shall be dated and kept confidential in each area where children are present. Evidence: 1) The list was dated 1/2023 and not current per staff interview; 2) The list included children that no longer attend; 3) The list did not include multiple children that had sensitivities and preferences; 4) Per staff and observation, the list is posted in the classrooms and is not kept in each area where children are in care such as the playground. The LI had to remind school age staff to take the list on their field trip.”

8VAC20-780-140-A

“Based on a review of five child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 7/24/22) did not have documentation of a physical examination.”

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

“Based on review of documentation and interview, the facility failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the facility and requires outside medical attention. Evidence: On 6/5/2023, between approximately 5:00-5:30pm, child #1, age five, sustained a head injury outside on the playground. The child was taken by the parent to the emergency room on 6/6/23 and was diagnosed with a concussion. The parent informed the center director, who then completed a report for the company, but the facility did not report this injury to the department.”

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

“Based on review of documentation, and interviews, the facility did not ensure that when staff are supervising children, they ensure the care and protection of all children. Evidence: on 6/5/2023, between approximately 5:00-5:30pm, child #1, age five, was crying when they approached staff #1 and stated that they had been pushed by another child. Staff asked the child if they were ok, but did not conduct an assessment to determine what happened, how and where it happened, or whether or where the child had sustained an injury. Staff stated they went and talked to the group of children and allowed the child to continue playing. The child had sustained a red mark, approximately 2 inches long, on the left side of their head above the ear, and was diagnosed with a concussion the next day.”

8VAC20-780-530-A Complaint related: No

“Based on staff interview, and review of documentation, the facility failed to have at least one staff in each classroom or area where children are present with current certification in CPR and first aid. Evidence: on 6/5/2023, between approximately 5:00-5:30pm, staff #1 was alone outside on the playground supervising approximately four children in the JK class. The record for staff #1 did not have documentation of CPR and first aid training.”

8VAC20-780-70

“Based on review of four staff records, not all records contained all required information. Evidence: 1) The record for staff #1 (date of hire: 1/10/23) and staff #4 (date of hire: 5/8/23) did not have documentation that two or more references were checked before employment. 2) The record for staff #2, who was observed alone in a classroom, did not have documentation of education and experience required by the job.”

8VAC20-780-80-A

“Based on observation, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: the attendance record kept in the prep classroom did not list any children in attendance and ten children were observed in care. The tablet had a passcode so the LI couldn?t review the electronic attendance.”

8VAC20-780-240-B

“Based on review of four staff records, the center did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #1 (date of hire: 1/10/23), staff #2 (date of hire: 5/22/23), staff #3 (date of hire: 11/3/2022) and staff #4 (date of hire: 5/8/23) did not contain documentation of completed orientation training.”

8VAC20-780-260-B

“Based on review of documentation, the facility failed to obtain documentation of annual approval from the health department. Evidence: the documented health department inspection was dated: 3/3/2022.”

8VAC20-780-340-D

“Based on observation and review of documentation, the facility failed to ensure that in each grouping of children at least one staff member meets the qualifications of program leader. Evidence: staff #3 was observed working alone in the prep classroom and staff #5 was observed working alone in the toddler classroom. The records for staff #1 and staff #2 do not contain documentation of group leader qualifications (age/education/experience.)”

8VAC20-780-530-A

“Based observation and review of documentation, the facility failed to have at least one staff in each classroom where children are present current certification in CPR and first aid. Evidence: the record for staff #3, who was observed alone in the prep classroom, did not have documentation of CPR and first aid training. The record for staff #5, who was observed alone in the toddler classroom, had expired CPR/First aid certification dated: 9/27/2019.”

8VAC20-770-60-C-2

“Based on review of four staff records, the center did not have an original central registry report within 30 days of employment of a staff member, and no follow up was documented as required. Evidence: the record for staff #2 (date of hire: 5/22/2023) and staff #4 (date of hire: 5/8/2023) did not contain documentation of a central registry search report or evidence that follow up was conducted.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment and prior to coming into contact with children that was completed within 30 days of the date of employment. Evidence: the record for staff #4 (date of hire: 5/8/2023) did not have documentation of a TB test/screening and was observed working in a classroom with children. The record for staff #2 (date of hire: 5/22/2023) had a TB test/screening dated: 9/23/2022.”

8VAC20-780-40-M

“Based on review of documentation, and staff interviews, the facility failed to maintain a current written list of all children's allergies, sensitivities and dietary restrictions. The list shall be dated and kept confidential in each area where children are present. Evidence: 1) The list was dated 1/2023 and not current per staff interview; 2) The list included children that no longer attend; 3) The list did not include multiple children that had sensitivities and preferences; 4) Per staff and observation, the list is posted in the classrooms and is not kept in each area where children are in care such as the playground. The LI had to remind school age staff to take the list on their field trip.”

8VAC20-780-140-A

“Based on a review of five child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 7/24/22) did not have documentation of a physical examination.”

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

“Based on review of documentation and interview, the facility failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the facility and requires outside medical attention. Evidence: On 6/5/2023, between approximately 5:00-5:30pm, child #1, age five, sustained a head injury outside on the playground. The child was taken by the parent to the emergency room on 6/6/23 and was diagnosed with a concussion. The parent informed the center director, who then completed a report for the company, but the facility did not report this injury to the department.”

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

“Based on review of documentation, and interviews, the facility did not ensure that when staff are supervising children, they ensure the care and protection of all children. Evidence: on 6/5/2023, between approximately 5:00-5:30pm, child #1, age five, was crying when they approached staff #1 and stated that they had been pushed by another child. Staff asked the child if they were ok, but did not conduct an assessment to determine what happened, how and where it happened, or whether or where the child had sustained an injury. Staff stated they went and talked to the group of children and allowed the child to continue playing. The child had sustained a red mark, approximately 2 inches long, on the left side of their head above the ear, and was diagnosed with a concussion the next day.”

8VAC20-780-530-A Complaint related: No

“Based on staff interview, and review of documentation, the facility failed to have at least one staff in each classroom or area where children are present with current certification in CPR and first aid. Evidence: on 6/5/2023, between approximately 5:00-5:30pm, staff #1 was alone outside on the playground supervising approximately four children in the JK class. The record for staff #1 did not have documentation of CPR and first aid training.”

8VAC20-780-70

“Based on review of four staff records, not all records contained all required information. Evidence: 1) The record for staff #1 (date of hire: 1/10/23) and staff #4 (date of hire: 5/8/23) did not have documentation that two or more references were checked before employment. 2) The record for staff #2, who was observed alone in a classroom, did not have documentation of education and experience required by the job.”

8VAC20-780-80-A

“Based on observation, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: the attendance record kept in the prep classroom did not list any children in attendance and ten children were observed in care. The tablet had a passcode so the LI couldn?t review the electronic attendance.”

8VAC20-780-240-B

“Based on review of four staff records, the center did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #1 (date of hire: 1/10/23), staff #2 (date of hire: 5/22/23), staff #3 (date of hire: 11/3/2022) and staff #4 (date of hire: 5/8/23) did not contain documentation of completed orientation training.”

8VAC20-780-260-B

“Based on review of documentation, the facility failed to obtain documentation of annual approval from the health department. Evidence: the documented health department inspection was dated: 3/3/2022.”

8VAC20-780-340-D

“Based on observation and review of documentation, the facility failed to ensure that in each grouping of children at least one staff member meets the qualifications of program leader. Evidence: staff #3 was observed working alone in the prep classroom and staff #5 was observed working alone in the toddler classroom. The records for staff #1 and staff #2 do not contain documentation of group leader qualifications (age/education/experience.)”

8VAC20-780-530-A

“Based observation and review of documentation, the facility failed to have at least one staff in each classroom where children are present current certification in CPR and first aid. Evidence: the record for staff #3, who was observed alone in the prep classroom, did not have documentation of CPR and first aid training. The record for staff #5, who was observed alone in the toddler classroom, had expired CPR/First aid certification dated: 9/27/2019.”

8VAC20-770-60-C-2

“Based on review of four staff records, the center did not have an original central registry report within 30 days of employment of a staff member, and no follow up was documented as required. Evidence: the record for staff #2 (date of hire: 5/22/2023) and staff #4 (date of hire: 5/8/2023) did not contain documentation of a central registry search report or evidence that follow up was conducted.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment and prior to coming into contact with children that was completed within 30 days of the date of employment. Evidence: the record for staff #4 (date of hire: 5/8/2023) did not have documentation of a TB test/screening and was observed working in a classroom with children. The record for staff #2 (date of hire: 5/22/2023) had a TB test/screening dated: 9/23/2022.”

8VAC20-780-40-M

“Based on review of documentation, and staff interviews, the facility failed to maintain a current written list of all children's allergies, sensitivities and dietary restrictions. The list shall be dated and kept confidential in each area where children are present. Evidence: 1) The list was dated 1/2023 and not current per staff interview; 2) The list included children that no longer attend; 3) The list did not include multiple children that had sensitivities and preferences; 4) Per staff and observation, the list is posted in the classrooms and is not kept in each area where children are in care such as the playground. The LI had to remind school age staff to take the list on their field trip.”

8VAC20-780-140-A

“Based on a review of five child records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 7/24/22) did not have documentation of a physical examination.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment and prior to coming into contact with children. Evidence: the record for staff #1 (date of hire: 8/2/2021), staff #3 (date of hire: 1/5/2023) and staff #4 (date of hire: 11/3/2022) did not have documentation of a TB test/screening and were observed working in a classroom with children.”

8VAC20-770-60-C-2

“Based on review of four staff records, the center did not have an original central registry report within 30 days of employment of a staff member, and no follow up was documented as required. Evidence: the record for staff #4 (date of hire: 11/3/2022) did not contain documentation of a central registry search report or evidence that follow up was conducted.”

8VAC20-780-500-B

“Based on observation, and an interview with staff, not all diapering procedures were followed, as required. Evidence: staff in the infant A classroom was observed changing a child's diaper and staff did not clean the diapering surface with soap and water before using sanitizer, as required. Staff stated that they only use sanitizing solution which was sprayed on and wiped off immediately afterwards.”

8VAC20-780-280-G

“Based on observation, and interview with staff, not all hazardous substances in substitute containers were clearly labeled with their contents. Evidence: the bottles of sanitizing solution observed in each of the classrooms were not in original containers, were unmarked and did not have a label identifying their contents.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) There was a bottle of sanitizing solution in an unlocked cabinet in the prep and JK classroom; 2) There was a bottle of sanitizing solution sitting on a counter in the two’s classroom; 3) There was a bottle of sanitizing solution sitting on an open shelf in the toddler classroom.”

8VAC20-780-240-B

“Based on review of four staff records, the center did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: the record for staff #1 (date of hire: 8/2/2021) and staff #4 (date of hire: 11/3/2022) did not contain documentation of completed orientation training.”

8VAC20-780-70

“Based on review of four staff records, not all records contained all required information. Evidence: the record for staff #1 (date of hire: 8/2/2021) and staff #4 (date of hire: 11/3/2022) did not have documentation that two or more references were checked before employment.”

8VAC20-780-40-M

“Based on review of documentation, and an interview with staff, the facility failed to maintain a current written list of all children's allergies, sensitivities and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1) The list posted in the infant A, infant B, toddler and prep classrooms was dated: 10/2022 and not current per staff interview; 2) The list posted in the two's room was dated September, 2018; 3) There was no list posted in the JK classroom; 4) There was one child with food sensitivities/preferences that was not listed, and at least one child listed who no longer has a food sensitivity/preference; 5) Per staff and observation, the list is posted in the classrooms and is not kept in each area where children are in care such as the playground.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment and prior to coming into contact with children. Evidence: the record for staff #1 (date of hire: 8/2/2021), staff #3 (date of hire: 1/5/2023) and staff #4 (date of hire: 11/3/2022) did not have documentation of a TB test/screening and were observed working in a classroom with children.”

8VAC20-770-60-C-2

“Based on review of four staff records, the center did not have an original central registry report within 30 days of employment of a staff member, and no follow up was documented as required. Evidence: the record for staff #4 (date of hire: 11/3/2022) did not contain documentation of a central registry search report or evidence that follow up was conducted.”

8VAC20-780-500-B

“Based on observation, and an interview with staff, not all diapering procedures were followed, as required. Evidence: staff in the infant A classroom was observed changing a child's diaper and staff did not clean the diapering surface with soap and water before using sanitizer, as required. Staff stated that they only use sanitizing solution which was sprayed on and wiped off immediately afterwards.”

8VAC20-780-280-G

“Based on observation, and interview with staff, not all hazardous substances in substitute containers were clearly labeled with their contents. Evidence: the bottles of sanitizing solution observed in each of the classrooms were not in original containers, were unmarked and did not have a label identifying their contents.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children's allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) There was a bottle of sanitizing solution in an unlocked cabinet in the prep and JK classroom; 2) There was a bottle of sanitizing solution sitting on a counter in the two’s classroom; 3) There was a bottle of sanitizing solution sitting on an open shelf in the toddler classroom.”

8VAC20-780-240-B

“Based on review of four staff records, the center did not have complete documentation that all staff received orientation training, as required, prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: the record for staff #1 (date of hire: 8/2/2021) and staff #4 (date of hire: 11/3/2022) did not contain documentation of completed orientation training.”

8VAC20-780-70

“Based on review of four staff records, not all records contained all required information. Evidence: the record for staff #1 (date of hire: 8/2/2021) and staff #4 (date of hire: 11/3/2022) did not have documentation that two or more references were checked before employment.”

8VAC20-780-40-M

“Based on review of documentation, and an interview with staff, the facility failed to maintain a current written list of all children's allergies, sensitivities and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1) The list posted in the infant A, infant B, toddler and prep classrooms was dated: 10/2022 and not current per staff interview; 2) The list posted in the two's room was dated September, 2018; 3) There was no list posted in the JK classroom; 4) There was one child with food sensitivities/preferences that was not listed, and at least one child listed who no longer has a food sensitivity/preference; 5) Per staff and observation, the list is posted in the classrooms and is not kept in each area where children are in care such as the playground.”

8VAC20-790-600-D-2

“Based on review of documentation, not all staff who work directly with children have current certification in First Aid. Evidence: the record for staff #2 has First Aid that expired: 3/21. The record for staff #1 (date of hire: 8/2/21) and staff #4 (date of hire: 5/13/22) do not have documentation of First Aid certification.”

8VAC20-790-600-D-1

“Based on review of documentation, not all staff who work directly with children have current certification in CPR. Evidence: the record for staff #2 has CPR that expired: 3/21. The record for staff #1 (date of hire: 8/2/21) and staff #4 (date of hire: 5/13/22) do not have documentation of CPR certification.”

8VAC20-780-80-A

“Based on observation, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: the attendance record kept in the infant classroom listed three children however five children were observed.”

8VAC20-780-130-E

“Based on review of seven children’s records, the facility did not obtain documentation of updated immunizations every six months for a child under two years of age. Evidence: the most recent immunizations for child #6, date of birth: 6/18/21, were dated: 8/23/21.”

8VAC20-780-530-A

“Based observation and review of documentation, the facility failed to have at least one staff in each classroom where children are present current certification in CPR and first aid. Evidence: the record for staff #1, did not have documentation of CPR and first aid training. Staff #1 was observed alone with a classroom of children.”

8VAC20-780-140-A

“Based on a review of seven children’s records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #5 (date of first attendance: 4/4/22) did not have documentation of a physical examination.”

8VAC20-780-130-A

“Based on a review of seven children's records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #5 (date of first attendance: 4/4/2022) did not have documentation of immunizations.”

8VAC20-780-160-A

“Based on review of documentation, not all staff had documentation of a negative Tuberculosis (TB) test/screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #1 (date of hire: 8/2/21) did not have documentation of a negative TB test/screening and was observed working in a classroom with children.”

8VAC20-780-40-M

“Based on review of documentation, the facility failed to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: 1) The list posted in the school age room was not dated. 2) There was no list posted in the three’s classroom 3) The list posted in the infant and two’s classrooms was dated: 2/22/22. 4) Child #4 (date of first attendance: 3/28/22) and child #5 (date of first attendance: 4/4/22) have diagnosed food allergies and are not included on the written list”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the school age classroom, Ecolab and Clorox cleaners were accessible to children because the door to the janitorial closet was unlocked and left cracked open. There was a box of Swiffer wipes, that stated ?keep out of reach of children? stored on a table in the hallway.”

8VAC20-780-160-C

“Based on review of documentation, not all staff had documentation of a negative Tuberculosis (TB) test/screening at least every two years form the date of the initial screening. Evidence: The record for staff #2 (date of hire: 9/28/20) had a TB test/screening dated: 9/7/18.”

8VAC20-780-70

“Based on review of four staff records, not all records contained all required information. Evidence: 1) The records for staff #1 (date of hire: 8/2/21), staff #3 (date of hire: 10/28/21) and staff #4 (date of hire: 5/13/22 did not have documentation that two or more references were checked before employment 2) The record for staff #3 did not have documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. Staff #3 was observed alone, as a lead teacher, with a classroom of children. 3) The records for staff #1 and staff #3 did not contain documentation of completion of orientation and training as required 4) The records for staff #3 and staff #4 did not contain the name, address and telephone number of a person to be notified in an emergency”

8VAC20-790-600-D-2

“Based on review of documentation, not all staff who work directly with children have current certification in First Aid. Evidence: the record for staff #2 has First Aid that expired: 3/21. The record for staff #1 (date of hire: 8/2/21) and staff #4 (date of hire: 5/13/22) do not have documentation of First Aid certification.”

8VAC20-790-600-D-1

“Based on review of documentation, not all staff who work directly with children have current certification in CPR. Evidence: the record for staff #2 has CPR that expired: 3/21. The record for staff #1 (date of hire: 8/2/21) and staff #4 (date of hire: 5/13/22) do not have documentation of CPR certification.”

8VAC20-780-80-A

“Based on observation, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: the attendance record kept in the infant classroom listed three children however five children were observed.”

8VAC20-780-130-E

“Based on review of seven children’s records, the facility did not obtain documentation of updated immunizations every six months for a child under two years of age. Evidence: the most recent immunizations for child #6, date of birth: 6/18/21, were dated: 8/23/21.”

8VAC20-780-530-A

“Based observation and review of documentation, the facility failed to have at least one staff in each classroom where children are present current certification in CPR and first aid. Evidence: the record for staff #1, did not have documentation of CPR and first aid training. Staff #1 was observed alone with a classroom of children.”

8VAC20-780-140-A

“Based on a review of seven children’s records, the facility did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #5 (date of first attendance: 4/4/22) did not have documentation of a physical examination.”

8VAC20-780-130-A

“Based on a review of seven children's records, the facility did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #5 (date of first attendance: 4/4/2022) did not have documentation of immunizations.”

8VAC20-780-160-A

“Based on review of documentation, not all staff had documentation of a negative Tuberculosis (TB) test/screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #1 (date of hire: 8/2/21) did not have documentation of a negative TB test/screening and was observed working in a classroom with children.”

8VAC20-780-40-M

“Based on review of documentation, the facility failed to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: 1) The list posted in the school age room was not dated. 2) There was no list posted in the three’s classroom 3) The list posted in the infant and two’s classrooms was dated: 2/22/22. 4) Child #4 (date of first attendance: 3/28/22) and child #5 (date of first attendance: 4/4/22) have diagnosed food allergies and are not included on the written list”

8VAC20-780-280-B

“Based on observation, it was determined that not all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the school age classroom, Ecolab and Clorox cleaners were accessible to children because the door to the janitorial closet was unlocked and left cracked open. There was a box of Swiffer wipes, that stated ?keep out of reach of children? stored on a table in the hallway.”

8VAC20-780-160-C

“Based on review of documentation, not all staff had documentation of a negative Tuberculosis (TB) test/screening at least every two years form the date of the initial screening. Evidence: The record for staff #2 (date of hire: 9/28/20) had a TB test/screening dated: 9/7/18.”

8VAC20-780-70

“Based on review of four staff records, not all records contained all required information. Evidence: 1) The records for staff #1 (date of hire: 8/2/21), staff #3 (date of hire: 10/28/21) and staff #4 (date of hire: 5/13/22 did not have documentation that two or more references were checked before employment 2) The record for staff #3 did not have documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. Staff #3 was observed alone, as a lead teacher, with a classroom of children. 3) The records for staff #1 and staff #3 did not contain documentation of completion of orientation and training as required 4) The records for staff #3 and staff #4 did not contain the name, address and telephone number of a person to be notified in an emergency”

8VAC20-790-600-D-2

“Based on review of documentation, not all staff had current certification in first aid appropriate to the ages of children in care. Evidence: the record for staff #2 (date of hire: 8/2/2021) did not contain documentation of first aid. The record for staff #3 had documentation of first aid that expired 3/21.”

8VAC20-790-600-D-1

“Based on review of documentation, not all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: the record for staff #2 (date of hire: 8/2/2021) did not contain documentation of CPR. The record for staff #3 had documentation of CPR that expired 3/21.”

8VAC20-780-60-A-8

“Based on a review of documentation, not all children with a diagnosed food allergy had a written care plan, 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 #1, with a diagnosed food allergy, did not contain a written allergy action plan.”

8VAC20-780-280-B

“Based on observation, not all hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: there were two bottles of Multi Quat sanitizing solution sitting in an unlocked cabinet in the prep classroom.”

8VAC20-780-80-A

“Based on review of documentation, and an interview with staff, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: there was no written attendance record for the babysteps 1 or babysteps 2 classrooms (password required for access) and the prep room attendance listed eight children but nine children were observed.”

8VAC20-780-40-M

“Based on observation, and review of documentation, the facility failed to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: staff stated the posted list of allergies, sensitivities and dietary restrictions was not current; some lists did not have dates and one was dated September, 2018.”

8VAC20-780-560-G

“Based on observation, not all bottles were dated as required. Evidence: none of the bottles in the babysteps 1 or babysteps 2 classroom refrigerators were labeled with the date.”

8VAC20-780-70

“Based on review of three staff records, not all records contained all required information. Evidence: 1) the record for staff #2 (date of hire: 8/2/2021)did not contain documentation that: two references were checked before employment; the individual possesses the education, certification, and experience required by the job position; and completion of orientation and training as required. 2) the record for staff #3 (date of hire: 9/28/2020) did not contain documentation that: the individual possesses the education, certification, and experience required by the job position; and completion of orientation and training as required.”

8VAC20-780-160-A-1

“Based on review of documentation, not all staff had documentation of a negative Tuberculosis (TB) test/screening at the time of employment and prior to coming into contact with children. Evidence: the record for staff #2 (date of hire: 8/2/2021) did not have documentation of a negative TB test/screening and was observed working in a classroom with children.”

8VAC20-790-600-D-2

“Based on review of documentation, not all staff had current certification in first aid appropriate to the ages of children in care. Evidence: the record for staff #2 (date of hire: 8/2/2021) did not contain documentation of first aid. The record for staff #3 had documentation of first aid that expired 3/21.”

8VAC20-790-600-D-1

“Based on review of documentation, not all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: the record for staff #2 (date of hire: 8/2/2021) did not contain documentation of CPR. The record for staff #3 had documentation of CPR that expired 3/21.”

8VAC20-780-60-A-8

“Based on a review of documentation, not all children with a diagnosed food allergy had a written care plan, 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 #1, with a diagnosed food allergy, did not contain a written allergy action plan.”

8VAC20-780-280-B

“Based on observation, not all hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: there were two bottles of Multi Quat sanitizing solution sitting in an unlocked cabinet in the prep classroom.”

8VAC20-780-80-A

“Based on review of documentation, and an interview with staff, the facility did not maintain an accurate written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: there was no written attendance record for the babysteps 1 or babysteps 2 classrooms (password required for access) and the prep room attendance listed eight children but nine children were observed.”

8VAC20-780-40-M

“Based on observation, and review of documentation, the facility failed to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions. Evidence: staff stated the posted list of allergies, sensitivities and dietary restrictions was not current; some lists did not have dates and one was dated September, 2018.”

8VAC20-780-560-G

“Based on observation, not all bottles were dated as required. Evidence: none of the bottles in the babysteps 1 or babysteps 2 classroom refrigerators were labeled with the date.”

8VAC20-780-70

“Based on review of three staff records, not all records contained all required information. Evidence: 1) the record for staff #2 (date of hire: 8/2/2021)did not contain documentation that: two references were checked before employment; the individual possesses the education, certification, and experience required by the job position; and completion of orientation and training as required. 2) the record for staff #3 (date of hire: 9/28/2020) did not contain documentation that: the individual possesses the education, certification, and experience required by the job position; and completion of orientation and training as required.”

8VAC20-780-160-A-1

“Based on review of documentation, not all staff had documentation of a negative Tuberculosis (TB) test/screening at the time of employment and prior to coming into contact with children. Evidence: the record for staff #2 (date of hire: 8/2/2021) did not have documentation of a negative TB test/screening and was observed working in a classroom with children.”