Learning Paths Academy

8VAC20-780-560-F-4 Complaint related: No

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. On 12/06/2024, in the toddler classroom, the children were given full size marshmallows to eat. All children in the class are under the age of two.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of child in care. Staff #7 completed nine and a half hours of training for the training year of 2023-2024.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunization once every six months for children under the age of two years. Immunization records for Child #5 were obtained when the child was seven months old, 15 months old and 23 months old.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record for Child #3 was dated almost one month after the first day of attendance.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be kept confidential in each room or area where children are present. The list in the Stepping Stones room was posted on the front of a cabinet and in plain sight. The list in the Toddler room was posted on the side of a cabinet and in plain sight.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of child in care. Staff #7 completed nine and a half hours of training for the training year of 2023-2024.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunization once every six months for children under the age of two years. Immunization records for Child #5 were obtained when the child was seven months old, 15 months old and 23 months old.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record for Child #3 was dated almost one month after the first day of attendance.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be kept confidential in each room or area where children are present. The list in the Stepping Stones room was posted on the front of a cabinet and in plain sight. The list in the Toddler room was posted on the side of a cabinet and in plain sight.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, enrolled for one month, was missing the following required component: documentation of viewing proof of child’s identity and age.”

8VAC20-780-90-A

“A written agreement between the parents and the center shall be in each child’s record by the first day of the child’s attendance. The agreement shall be signed by the parent. Child #4, who had been attending one month, did not have the required signed agreement on file.”

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per four children. Staff #2 was observed supervising seven children (youngest child 15 months old).”

8VAC20-790-600-F

“REPEAT VIOLATION Based on review of records, the center failed to ensure that staff complete the department’s health and safety updated course annually. Evidence: 1. Staff #5 last completed the department’s health and safety update course on 03/29/2023. Staff #9 confirmed that Staff #5 had not completed the department’s health and safety update course annually.”

8VAC20-780-520-A

“Based on observation, the center failed to ensure that over-the-counter skin product are not kept or used past their expiration date. Evidence: 1. In the older 2?s classroom, there was one container of Boudreaux’s Butt Paste that expired on 05/2024. 2. In the Prep B classroom, there was one container of Babygonic’s sunscreen that had expired on 12/2023 and one container of Banana Boat sunscreen that had expired on 10/2023.”

22.1-289.035-B-4

“REPEAT VIOALTION Based on review of records, the center failed to receive, before the first day of employment, Out-of-State Criminal History background check for staff who had lived out of state within the past five years. Evidence: 1. Staff #4 indicated on the sworn disclosure that hey had lived in Rhode Island withing in the last five years. Staff #4?s start date was 05/20/2024. There was no Out-of-State Criminal History check for Rhode Island on file for Staff #4.”

8VAC20-790-600-F

“REPEAT VIOLATION Based on review of records, the center failed to ensure that staff complete the department’s health and safety updated course annually. Evidence: 1. Staff #5 last completed the department’s health and safety update course on 03/29/2023. Staff #9 confirmed that Staff #5 had not completed the department’s health and safety update course annually.”

8VAC20-780-520-A

“Based on observation, the center failed to ensure that over-the-counter skin product are not kept or used past their expiration date. Evidence: 1. In the older 2?s classroom, there was one container of Boudreaux’s Butt Paste that expired on 05/2024. 2. In the Prep B classroom, there was one container of Babygonic’s sunscreen that had expired on 12/2023 and one container of Banana Boat sunscreen that had expired on 10/2023.”

22.1-289.035-B-4

“REPEAT VIOALTION Based on review of records, the center failed to receive, before the first day of employment, Out-of-State Criminal History background check for staff who had lived out of state within the past five years. Evidence: 1. Staff #4 indicated on the sworn disclosure that hey had lived in Rhode Island withing in the last five years. Staff #4?s start date was 05/20/2024. There was no Out-of-State Criminal History check for Rhode Island on file for Staff #4.”

8VAC20-780-500-B Complaint related: Yes

“Complaint Related Based on review of documentation and interview, the center failed to ensure that when a child’s diaper becomes wet or soiled, the child is changed and clean immediately. Evidence: 1. Review of diapering logs showed the following: 1) Between the dates of 03/04/2024 and 03/22/2024, there were seven occasions that Child #1?s diaper changes were three to six hours apart. 2) Between the dates of 03/13/2024 and 03/27/2024, there were four occasions that Child #3?s diaper changes were four to seven hours apart. 3) Between the dates of 03/04/2024 and 03/17/2024, there were eight occasions that Child #4?s diaper changes were three to nine hours apart. 4) Between the dates of 03/04/2024 and 03/27/2024, there were five occasions that Child #5?s diaper changes were three and a half to five hours apart. 2. When asked, Six of the seven staff members stated that the center’s policy is that diaper changes are to be at least every two hours or as needed. 3. Interviews revealed diapers aren?t changed in a timely manner, feces are dry/caked on/hard to wipe, diaper rashes have been noticed, and multiple parents have complained about diapers being full at pick up.”

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

“Complaint Related Based on observation and interview, the center failed to maintain the required staff:child ratio of 1:10 for children three years up to school age eligible. Evidence: 1. In the school age classroom, there were 12 children with Staff #8. Staff #8 confirmed that the age of the youngest child was three years old.”

8VAC20-790-600-F

“Based on review of records, the center failed to ensure that each staff member completes the department’s health and safety update annually. Evidence: 1. Staff #5 last completed the department’s health and safety update on 05/23/2022. Staff #13 confirmed there was evidence on file that Staff #5 had completed the departments health and safety update annually.”

8VAC20-780-160-C

“Based on review of records, the center failed to ensure staff obtain and submitted the results of a follow-up tuberculosis (TB) screening every two years. Evidence: 1. The TB screening on file for Staff #5 was dated 11/10/2021. Staff #13 confirmed there was not a follow up TB screening every two years.”

8VAC20-780-60-A

“Based on review of records, the center failed to ensure that each children’s record contained the required information. Evidence: 1. Child #1?s file did not contain a work phone number for one parent. 2. Child #2?s file did not contain an address for one emergency contact and work phone numbers for both parents.”

8VAC20-780-60-A-8

“Based on review of records and interview, the center failed to ensure that each child with a diagnosed food allergy had a written care plan from a physician on file. Evidence: 1. Documentation revealed that Child #1 had a diagnosed food allergy. There was no written care plan from a physician on file. 2. Staff #13 confirmed that there was no written care plan from a physician on file for Child #1.”

8VAC20-780-240-A

“Based on review of records, the center failed to ensure that each staff completed the Virginia Department of Education ? sponsored orientation course within 90 days of employment. Evidence: 1. Staff #2?s start date was 05/04/2023. There was no evidence that Staff #2 had completed the Virginia Department of Education ? sponsored orientation course. 2. Staff #13 confirmed that Staff #2 had not completed the Virginia Department of Education ? sponsored orientation course within 90 days of employment.”

8VAC20-780-140-A

“Based on review of records, the center failed to obtain documentation of a physical examination for each child before the child’s attendance or within 30 days of the first day of attendance. Evidence: 1. Child #5?s start date was 08/14/2023. There was no documentation of a physical examination on file. Staff #13 confirmed that there was no documentation of a physical examination on file.”

8VAC20-780-130-E

“Based on review of records, the center failed to obtain documentation of additional immunization once every six months for children under the age of two years. Evidence: 1. The record of immunizations on file for Child #3 were dated 10/14/2022 at three months old. Staff #13 confirmed there was no other record of immunization on file for Child #3 and that the center had no obtained documentation of additional immunization every six months. 2. The record of immunizations on file for Child #8 were dated 06/06/2022 at six months old and 08/21/2023 at one year and seven months old. Staff #13 confirmed that there was no documentation of immunization at one year old and that center had no obtained documentation of additional immunization every six months.”

8VAC20-780-130-A

“Based on review of records, the center failed to ensure that each report of immunization are signed by a physician, his designee, or an official of the local health department. Evidence: 1. Child #6?s immunization dated 08/02/2022 were not signed by a physician. 2. Child #8?s immunization dated 06/06/2022 and 08/21/2023 were not signed by a physician.”

22.1-289.035-B-4

“Based on review of records, the center failed to ensure that out of state sex offender registry check was completed by the first day of employment. Evidence: 1. Staff #6?s start date was 11/08/2023. The out of state sex offender registry check on file was not dated. Staff #13 could not provide documentation that the out of state sex offender registry check was completed before Staff #6?s first day of employment.”

8VAC20-780-130-E

“Based on review of records, the center failed to obtain documentation of additional immunization once every six months for children under the age of two years. Evidence: 1. The record of immunizations on file for Child #3 were dated 10/14/2022 at three months old. Staff #13 confirmed there was no other record of immunization on file for Child #3 and that the center had no obtained documentation of additional immunization every six months. 2. The record of immunizations on file for Child #8 were dated 06/06/2022 at six months old and 08/21/2023 at one year and seven months old. Staff #13 confirmed that there was no documentation of immunization at one year old and that center had no obtained documentation of additional immunization every six months.”

8VAC20-780-560-G

“Based on observation and interview, the cetner failed to ensure that when food is brought from home, it is clearly dated and labelled in a way that identifies the owner. Evidence: 1. In the JK classroom, there were five cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 2. in the toddler classroom, there were nine cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 3. In the Montessori B classroom, there was one cup without a name and six cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 4. In the Prep classroom, there were four cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 5. In the Preschool A classroom, there were 2 cups without names and eight cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 6. In the Stepping Stones classroom, there were two cups without names or dates and two cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 7. In the Montessori A classroom, there were two cups without names and dates and four cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home.”

8VAC20-780-240-E

“Based on review of record, the center failed to ensure that the required information in each child’s file is review by parents annually. Evidence: 1. Child #4?s start date was 08/16/2021. There was no update on file. 2. Child #6?s start date was 08/22/2022. There was no update on file. 3. Child #10?s start date was 10/22/2021. There was not update on file. 3. Staff #13 confirmed that the information had not be review annually by parents.”

8VAC20-780-530-A-2

“Based on review of record and interview, the center failed to ensure that at least one staff in each classroom or area where children are present has first aid certification. Evidence: 1. Staff #8 was the only staff member in the Prep classroom. Staff #8?s first aid certification expired on 05/31/2023. 2. Staff #13 confirmed that Staff #8?s first aid certification was expired and there was no staff member with first aid certification in the Prep classroom.”

8VAC20-780-530-A-1

“Based on review of record and interview, the center failed to ensure that at least one staff in each classroom or area where children are present has current cardiopulmonary resuscitation (CPR) certification. Evidence: 1. Staff #8 was the only staff member in the Prep classroom. Staff #8?s CPR certification expired on 05/31/2023. 2. Staff #13 confirmed that Staff #8?s CPR certification was expired and there was no staff member with CPR certification in the Prep classroom.”

8VAC20-780-510-F

“Based on review of records and interview, the center failed to ensure that the medication authorization is available to staff the entire time it is effective. Evidence: 1. Documentation revealed that Benadryl is to be use for Child #1 in the event of an allergic reaction. There was no authorization form on file for Benadryl for Child #1. 2. Staff #13 confirmed that the medication was effective and there was no authorization form on file.”

8VAC20-780-340-D

“Based on review of records and interview, the center failed to ensure that in each group of children at least one staff member who meets the program leader qualifications is regularly present. Evidence: 1. In the Prek B classroom, Staff #13 confirmed that Staff #14 is the lead teacher that is regularly present. Staff #14 did not have evidence of lead qualification on file. 2. In the Infant room, there was four staff present. Staff #7 was the only lead qualified staff member present. Staff #13 confirmed that there was no other staff member in the classroom that had lead qualifications on file.”

8VAC20-780-330-B

“Based on measurement, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. On the school age playground, the mulch measure four to four and half inches in varies spots. 2. On the preschool playground, the mulch measure four to four and half inches in varies spots.”

8VAC20-790-600-F

“Based on review of records, the center failed to ensure that each staff member completes the department’s health and safety update annually. Evidence: 1. Staff #5 last completed the department’s health and safety update on 05/23/2022. Staff #13 confirmed there was evidence on file that Staff #5 had completed the departments health and safety update annually.”

8VAC20-780-160-C

“Based on review of records, the center failed to ensure staff obtain and submitted the results of a follow-up tuberculosis (TB) screening every two years. Evidence: 1. The TB screening on file for Staff #5 was dated 11/10/2021. Staff #13 confirmed there was not a follow up TB screening every two years.”

8VAC20-780-60-A

“Based on review of records, the center failed to ensure that each children’s record contained the required information. Evidence: 1. Child #1?s file did not contain a work phone number for one parent. 2. Child #2?s file did not contain an address for one emergency contact and work phone numbers for both parents.”

8VAC20-780-60-A-8

“Based on review of records and interview, the center failed to ensure that each child with a diagnosed food allergy had a written care plan from a physician on file. Evidence: 1. Documentation revealed that Child #1 had a diagnosed food allergy. There was no written care plan from a physician on file. 2. Staff #13 confirmed that there was no written care plan from a physician on file for Child #1.”

8VAC20-780-240-A

“Based on review of records, the center failed to ensure that each staff completed the Virginia Department of Education ? sponsored orientation course within 90 days of employment. Evidence: 1. Staff #2?s start date was 05/04/2023. There was no evidence that Staff #2 had completed the Virginia Department of Education ? sponsored orientation course. 2. Staff #13 confirmed that Staff #2 had not completed the Virginia Department of Education ? sponsored orientation course within 90 days of employment.”

8VAC20-780-140-A

“Based on review of records, the center failed to obtain documentation of a physical examination for each child before the child’s attendance or within 30 days of the first day of attendance. Evidence: 1. Child #5?s start date was 08/14/2023. There was no documentation of a physical examination on file. Staff #13 confirmed that there was no documentation of a physical examination on file.”

8VAC20-780-130-E

“Based on review of records, the center failed to obtain documentation of additional immunization once every six months for children under the age of two years. Evidence: 1. The record of immunizations on file for Child #3 were dated 10/14/2022 at three months old. Staff #13 confirmed there was no other record of immunization on file for Child #3 and that the center had no obtained documentation of additional immunization every six months. 2. The record of immunizations on file for Child #8 were dated 06/06/2022 at six months old and 08/21/2023 at one year and seven months old. Staff #13 confirmed that there was no documentation of immunization at one year old and that center had no obtained documentation of additional immunization every six months.”

8VAC20-780-130-A

“Based on review of records, the center failed to ensure that each report of immunization are signed by a physician, his designee, or an official of the local health department. Evidence: 1. Child #6?s immunization dated 08/02/2022 were not signed by a physician. 2. Child #8?s immunization dated 06/06/2022 and 08/21/2023 were not signed by a physician.”

22.1-289.035-B-4

“Based on review of records, the center failed to ensure that out of state sex offender registry check was completed by the first day of employment. Evidence: 1. Staff #6?s start date was 11/08/2023. The out of state sex offender registry check on file was not dated. Staff #13 could not provide documentation that the out of state sex offender registry check was completed before Staff #6?s first day of employment.”

8VAC20-780-130-E

“Based on review of records, the center failed to obtain documentation of additional immunization once every six months for children under the age of two years. Evidence: 1. The record of immunizations on file for Child #3 were dated 10/14/2022 at three months old. Staff #13 confirmed there was no other record of immunization on file for Child #3 and that the center had no obtained documentation of additional immunization every six months. 2. The record of immunizations on file for Child #8 were dated 06/06/2022 at six months old and 08/21/2023 at one year and seven months old. Staff #13 confirmed that there was no documentation of immunization at one year old and that center had no obtained documentation of additional immunization every six months.”

8VAC20-780-560-G

“Based on observation and interview, the cetner failed to ensure that when food is brought from home, it is clearly dated and labelled in a way that identifies the owner. Evidence: 1. In the JK classroom, there were five cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 2. in the toddler classroom, there were nine cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 3. In the Montessori B classroom, there was one cup without a name and six cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 4. In the Prep classroom, there were four cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 5. In the Preschool A classroom, there were 2 cups without names and eight cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 6. In the Stepping Stones classroom, there were two cups without names or dates and two cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 7. In the Montessori A classroom, there were two cups without names and dates and four cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home.”

8VAC20-780-240-E

“Based on review of record, the center failed to ensure that the required information in each child’s file is review by parents annually. Evidence: 1. Child #4?s start date was 08/16/2021. There was no update on file. 2. Child #6?s start date was 08/22/2022. There was no update on file. 3. Child #10?s start date was 10/22/2021. There was not update on file. 3. Staff #13 confirmed that the information had not be review annually by parents.”

8VAC20-780-530-A-2

“Based on review of record and interview, the center failed to ensure that at least one staff in each classroom or area where children are present has first aid certification. Evidence: 1. Staff #8 was the only staff member in the Prep classroom. Staff #8?s first aid certification expired on 05/31/2023. 2. Staff #13 confirmed that Staff #8?s first aid certification was expired and there was no staff member with first aid certification in the Prep classroom.”

8VAC20-780-530-A-1

“Based on review of record and interview, the center failed to ensure that at least one staff in each classroom or area where children are present has current cardiopulmonary resuscitation (CPR) certification. Evidence: 1. Staff #8 was the only staff member in the Prep classroom. Staff #8?s CPR certification expired on 05/31/2023. 2. Staff #13 confirmed that Staff #8?s CPR certification was expired and there was no staff member with CPR certification in the Prep classroom.”

8VAC20-780-510-F

“Based on review of records and interview, the center failed to ensure that the medication authorization is available to staff the entire time it is effective. Evidence: 1. Documentation revealed that Benadryl is to be use for Child #1 in the event of an allergic reaction. There was no authorization form on file for Benadryl for Child #1. 2. Staff #13 confirmed that the medication was effective and there was no authorization form on file.”

8VAC20-780-340-D

“Based on review of records and interview, the center failed to ensure that in each group of children at least one staff member who meets the program leader qualifications is regularly present. Evidence: 1. In the Prek B classroom, Staff #13 confirmed that Staff #14 is the lead teacher that is regularly present. Staff #14 did not have evidence of lead qualification on file. 2. In the Infant room, there was four staff present. Staff #7 was the only lead qualified staff member present. Staff #13 confirmed that there was no other staff member in the classroom that had lead qualifications on file.”

8VAC20-780-330-B

“Based on measurement, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. On the school age playground, the mulch measure four to four and half inches in varies spots. 2. On the preschool playground, the mulch measure four to four and half inches in varies spots.”

8VAC20-790-600-F

“Based on review of records, the center failed to ensure that each staff member completes the department’s health and safety update annually. Evidence: 1. Staff #5 last completed the department’s health and safety update on 05/23/2022. Staff #13 confirmed there was evidence on file that Staff #5 had completed the departments health and safety update annually.”

8VAC20-780-160-C

“Based on review of records, the center failed to ensure staff obtain and submitted the results of a follow-up tuberculosis (TB) screening every two years. Evidence: 1. The TB screening on file for Staff #5 was dated 11/10/2021. Staff #13 confirmed there was not a follow up TB screening every two years.”

8VAC20-780-60-A

“Based on review of records, the center failed to ensure that each children’s record contained the required information. Evidence: 1. Child #1?s file did not contain a work phone number for one parent. 2. Child #2?s file did not contain an address for one emergency contact and work phone numbers for both parents.”

8VAC20-780-60-A-8

“Based on review of records and interview, the center failed to ensure that each child with a diagnosed food allergy had a written care plan from a physician on file. Evidence: 1. Documentation revealed that Child #1 had a diagnosed food allergy. There was no written care plan from a physician on file. 2. Staff #13 confirmed that there was no written care plan from a physician on file for Child #1.”

8VAC20-780-240-A

“Based on review of records, the center failed to ensure that each staff completed the Virginia Department of Education ? sponsored orientation course within 90 days of employment. Evidence: 1. Staff #2?s start date was 05/04/2023. There was no evidence that Staff #2 had completed the Virginia Department of Education ? sponsored orientation course. 2. Staff #13 confirmed that Staff #2 had not completed the Virginia Department of Education ? sponsored orientation course within 90 days of employment.”

8VAC20-780-140-A

“Based on review of records, the center failed to obtain documentation of a physical examination for each child before the child’s attendance or within 30 days of the first day of attendance. Evidence: 1. Child #5?s start date was 08/14/2023. There was no documentation of a physical examination on file. Staff #13 confirmed that there was no documentation of a physical examination on file.”

8VAC20-780-130-E

“Based on review of records, the center failed to obtain documentation of additional immunization once every six months for children under the age of two years. Evidence: 1. The record of immunizations on file for Child #3 were dated 10/14/2022 at three months old. Staff #13 confirmed there was no other record of immunization on file for Child #3 and that the center had no obtained documentation of additional immunization every six months. 2. The record of immunizations on file for Child #8 were dated 06/06/2022 at six months old and 08/21/2023 at one year and seven months old. Staff #13 confirmed that there was no documentation of immunization at one year old and that center had no obtained documentation of additional immunization every six months.”

8VAC20-780-130-A

“Based on review of records, the center failed to ensure that each report of immunization are signed by a physician, his designee, or an official of the local health department. Evidence: 1. Child #6?s immunization dated 08/02/2022 were not signed by a physician. 2. Child #8?s immunization dated 06/06/2022 and 08/21/2023 were not signed by a physician.”

22.1-289.035-B-4

“Based on review of records, the center failed to ensure that out of state sex offender registry check was completed by the first day of employment. Evidence: 1. Staff #6?s start date was 11/08/2023. The out of state sex offender registry check on file was not dated. Staff #13 could not provide documentation that the out of state sex offender registry check was completed before Staff #6?s first day of employment.”

8VAC20-780-130-E

“Based on review of records, the center failed to obtain documentation of additional immunization once every six months for children under the age of two years. Evidence: 1. The record of immunizations on file for Child #3 were dated 10/14/2022 at three months old. Staff #13 confirmed there was no other record of immunization on file for Child #3 and that the center had no obtained documentation of additional immunization every six months. 2. The record of immunizations on file for Child #8 were dated 06/06/2022 at six months old and 08/21/2023 at one year and seven months old. Staff #13 confirmed that there was no documentation of immunization at one year old and that center had no obtained documentation of additional immunization every six months.”

8VAC20-780-560-G

“Based on observation and interview, the cetner failed to ensure that when food is brought from home, it is clearly dated and labelled in a way that identifies the owner. Evidence: 1. In the JK classroom, there were five cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 2. in the toddler classroom, there were nine cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 3. In the Montessori B classroom, there was one cup without a name and six cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 4. In the Prep classroom, there were four cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 5. In the Preschool A classroom, there were 2 cups without names and eight cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 6. In the Stepping Stones classroom, there were two cups without names or dates and two cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home. 7. In the Montessori A classroom, there were two cups without names and dates and four cups without out dates. Staff #13 confirmed that the contains of the cups were brought from home.”

8VAC20-780-240-E

“Based on review of record, the center failed to ensure that the required information in each child’s file is review by parents annually. Evidence: 1. Child #4?s start date was 08/16/2021. There was no update on file. 2. Child #6?s start date was 08/22/2022. There was no update on file. 3. Child #10?s start date was 10/22/2021. There was not update on file. 3. Staff #13 confirmed that the information had not be review annually by parents.”

8VAC20-780-530-A-2

“Based on review of record and interview, the center failed to ensure that at least one staff in each classroom or area where children are present has first aid certification. Evidence: 1. Staff #8 was the only staff member in the Prep classroom. Staff #8?s first aid certification expired on 05/31/2023. 2. Staff #13 confirmed that Staff #8?s first aid certification was expired and there was no staff member with first aid certification in the Prep classroom.”

8VAC20-780-530-A-1

“Based on review of record and interview, the center failed to ensure that at least one staff in each classroom or area where children are present has current cardiopulmonary resuscitation (CPR) certification. Evidence: 1. Staff #8 was the only staff member in the Prep classroom. Staff #8?s CPR certification expired on 05/31/2023. 2. Staff #13 confirmed that Staff #8?s CPR certification was expired and there was no staff member with CPR certification in the Prep classroom.”

8VAC20-780-510-F

“Based on review of records and interview, the center failed to ensure that the medication authorization is available to staff the entire time it is effective. Evidence: 1. Documentation revealed that Benadryl is to be use for Child #1 in the event of an allergic reaction. There was no authorization form on file for Benadryl for Child #1. 2. Staff #13 confirmed that the medication was effective and there was no authorization form on file.”

8VAC20-780-340-D

“Based on review of records and interview, the center failed to ensure that in each group of children at least one staff member who meets the program leader qualifications is regularly present. Evidence: 1. In the Prek B classroom, Staff #13 confirmed that Staff #14 is the lead teacher that is regularly present. Staff #14 did not have evidence of lead qualification on file. 2. In the Infant room, there was four staff present. Staff #7 was the only lead qualified staff member present. Staff #13 confirmed that there was no other staff member in the classroom that had lead qualifications on file.”

8VAC20-780-330-B

“Based on measurement, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. On the school age playground, the mulch measure four to four and half inches in varies spots. 2. On the preschool playground, the mulch measure four to four and half inches in varies spots.”

8VAC20-780-240-A Complaint related: No

“Based on record review the center failed to have one staff member complete the Virginia Department of Education sponsored orientation course within 90 days of employment. Evidence: 1. Two staff records were reviewed. 2. Staff # 2 did not have documentation of completing the Virginia Department of Education's sponsored orientation course within 90 days of employment. 3. Staff #2's date of hire was documented 04/24/2023. 4. The director confirmed there was no documentation for Staff #2 completing the Virginia Department of Education's orientation within 90 days of employments.”

8VAC20-780-560-G

“Based on observation and interview, the center failed to ensure that when food is brought from home, the container is sealed and clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the JK classroom, there were six cups that were not clearly dated and labeled in a way that identifies the owner. 2. Staff #1 confirmed that the of contains the cups came from home and that the cups were not labelled.”

8VAC20-780-150-B

“Based on review of records and interview, the center failed to ensure that each physical examination report was signed by a physician or his designee. Evidence: 1. Child #1?s physical examination report on file did not contain a signature from the physician or his designee. Staff #11 confirmed that there was no signature on the physical examination report. 2. Child #3?s physical examination report on file did not contain a signature from the physician or his designee. Staff #11 confirmed that there was no signature on the physical examination report. 3. Child #8 ?s physical examination report on file did not contain a date or a signature from the physician or his designee. Staff #11 confirmed that there was no signature or date on the physical examination report.”

8VAC20-780-560-G

“Based on observation and interview, the center failed to ensure that when food is brought from home, the container is sealed and clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the JK classroom, there were six cups that were not clearly dated and labeled in a way that identifies the owner. 2. Staff #1 confirmed that the of contains the cups came from home and that the cups were not labelled.”

8VAC20-780-150-B

“Based on review of records and interview, the center failed to ensure that each physical examination report was signed by a physician or his designee. Evidence: 1. Child #1?s physical examination report on file did not contain a signature from the physician or his designee. Staff #11 confirmed that there was no signature on the physical examination report. 2. Child #3?s physical examination report on file did not contain a signature from the physician or his designee. Staff #11 confirmed that there was no signature on the physical examination report. 3. Child #8 ?s physical examination report on file did not contain a date or a signature from the physician or his designee. Staff #11 confirmed that there was no signature or date on the physical examination report.”

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

“Based on documentation, the center failed to ensure that behavioral guidance is constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior. Evidence: 1. The document ?Significant Event Summary? completed by Staff #3 on 12/30/2022 indicated that on 12/29/2022, Staff #4 reported seeing Staff #5 ?hit (Child #1?s) hands after (Child #1) had hit children and scratched (Staff #5)?. 2. A written statement by Staff #5 dated 12/29/22, stated ?I was sitting with (Child #1) when she started pinching me and hitting a friend and I gently tapped her hand.? 3. A written statement by Staff #4, dated 12/29/2022, indicated that Staff #5 ?was holding (Child #1) in her lap when (Child #1) went to smack another child. (Staff #5) smacked (Child #1?s) hands about 3 times then took (Child #1) out of her lap and put her on the ground kinda hard. (Staff #5) then pushed (Child #1) away stating (Child #1) could no longer have attention because she hit someone.? 4. A written statement by Staff #6, dated 1/10/2023, stated ?(Staff #5) smacked (Child #2?s) hand after pushing it away several times did not work? and ?(Child #3) was trying to get in her highchair and was standing on it so (Staff #5) smacks her hand after telling her to get down several times?. 5. A written statement by Staff #2, dated 1/9/23 stated that Staff #2 had noticed Staff #5 being rougher with the babies by ?yelling at them?. Staff #2 stated ?(Staff #5) has also kinda slammed them down when she has been frustrated?.”

8VAC20-780-410-1

“Based on documentation and interview, the center failed to ensure that forbidden action of roughly handling a child did not occur. Evidence 1. Documentation provided by local police regarding an incident that occurred at the facility on 03/17/2023, ?Field Case Supplemental Report? dated 4/11/2023, stated that ?(Staff #1) admitted to sometime before lunch, she grabbed (Child #1) on his cheeks using her hand.? Staff #1 grabbing kids and screaming at them. 3. During an interview on 4/6/2023, Staff #4 stated that they had seen Staff #1 ?being rough with children?. 4. During an interview on 4/6/2023, Staff #5 stated that they had seen Staff #1 grab a child’s collar that was standing behind Staff #1 and then pull the child around to the front of them Staff #5 also stated that they had seen Staff #1 roughly pulling a diaper off a child.”

8VAC20-780-260-B

“Based on review of records and interviews, the center failed to provide annual approval from the health department. Evidence: 1. The date of the last health inspection was 11/9/2021. 2. Staff #9 confirmed that a health inspection had not been conducted since 11/9/2021”

8VAC20-780-260-B

“Based on review of records and interviews, the center failed to provide annual approval from the health department. Evidence: 1. The date of the last health inspection was 11/9/2021. 2. Staff #9 confirmed that a health inspection had not been conducted since 11/9/2021”

8VAC20-780-320-B

“Based on measurements taken and discussion with director, the running water used for washing hands in three areas was not warm. Evidence: 1. On 05/12/2022, the running water was not warm to touch and measured to be 72.4 degrees Fahrenheit in Classroom A, 63.4 degrees in children's restrooms in the center of the building, and 61.5 degrees in Classroom C. 2. The director confirmed that the water was not warm to touch.”

8VAC20-780-320-B

“Based on measurements taken and discussion with director, the running water used for washing hands in three areas was not warm. Evidence: 1. On 05/12/2022, the running water was not warm to touch and measured to be 72.4 degrees Fahrenheit in Classroom A, 63.4 degrees in children's restrooms in the center of the building, and 61.5 degrees in Classroom C. 2. The director confirmed that the water was not warm to touch.”

8VAC20-780-40-G

“Based on review of children's records and verification from the director, the center did not obtain proof of one child's identity and age. Evidence: 1. The record for Child #2 did not contain documented proof of the child's age and identity. The date of birth for Child #2 was 02/03/2017 and date of enrollment was 12/10/2021.. 2. The director confirmed there was no proof of birth in the child's record.”

8VAC20-780-140-B

“Based on review of children's records and confirmation from the director, the center failed to ensure that the physical examination report for one child had been completed within the required time period. Evidence: 1. The record for Child #2 contained a physical examination report dated 08/21/2020 which was more than a year old at the time of enrollment. The date of birth of the child was 02/03/2017 and the date of enrollment for the child was 12/10/2021. 2. The director confirmed that the physical examination had been completed more than one year before the child enrolled.”

22.1-289.035-B-4

“Based on review of staff records and verification from the director, the center failed to obtain all of the required out-of-state background checks in the required timeframe for one staff member who had lived outside of Virginia within the last five years. Evidence: 1. The record for new Staff Member #13 contained an out-of state criminal history record check which was not dated before the date of hire. The check was completed and dated 11/03/2021 and the date of hire was 08/30/2021. 2. The record for new Staff Member #13 contained an out-of state sex offender check which was not dated before the date of hire. The check was completed and dated 09/01/2021 and the date of hire was 08/30/2021. 3. The record for new Staff Member #13 did not contain an out-of-state search of the child abuse and neglect registry. Date of hire for Staff Member #13 was 08/30/2021. 4. The director confirmed that one out-of-state background check had not been obtained and two had been obtained after the date of hire.”

8VAC20-780-130-A

“Based on review of children's records and discussion with the director, the center did not obtain one child's immunization record before the date of enrollment. Evidence: 1. The record for Child #1 contained an immunization record which was dated 12/06/2021. The date of enrollment for Child #1 was 06/16/2021. 2. The director confirmed the immunizations were obtained late.”

8VAC20-780-40-G

“Based on review of children's records and verification from the director, the center did not obtain proof of one child's identity and age. Evidence: 1. The record for Child #2 did not contain documented proof of the child's age and identity. The date of birth for Child #2 was 02/03/2017 and date of enrollment was 12/10/2021.. 2. The director confirmed there was no proof of birth in the child's record.”

8VAC20-780-140-B

“Based on review of children's records and confirmation from the director, the center failed to ensure that the physical examination report for one child had been completed within the required time period. Evidence: 1. The record for Child #2 contained a physical examination report dated 08/21/2020 which was more than a year old at the time of enrollment. The date of birth of the child was 02/03/2017 and the date of enrollment for the child was 12/10/2021. 2. The director confirmed that the physical examination had been completed more than one year before the child enrolled.”

22.1-289.035-B-4

“Based on review of staff records and verification from the director, the center failed to obtain all of the required out-of-state background checks in the required timeframe for one staff member who had lived outside of Virginia within the last five years. Evidence: 1. The record for new Staff Member #13 contained an out-of state criminal history record check which was not dated before the date of hire. The check was completed and dated 11/03/2021 and the date of hire was 08/30/2021. 2. The record for new Staff Member #13 contained an out-of state sex offender check which was not dated before the date of hire. The check was completed and dated 09/01/2021 and the date of hire was 08/30/2021. 3. The record for new Staff Member #13 did not contain an out-of-state search of the child abuse and neglect registry. Date of hire for Staff Member #13 was 08/30/2021. 4. The director confirmed that one out-of-state background check had not been obtained and two had been obtained after the date of hire.”

8VAC20-780-130-A

“Based on review of children's records and discussion with the director, the center did not obtain one child's immunization record before the date of enrollment. Evidence: 1. The record for Child #1 contained an immunization record which was dated 12/06/2021. The date of enrollment for Child #1 was 06/16/2021. 2. The director confirmed the immunizations were obtained late.”