Madison Day School

8VAC20-780-520-C

“Repeat Violation The center shall ensure that diaper ointments or creams are kept inaccessible to children. Diaper creams and ointments were kept in an unlocked cabinet below the diapering area in Classroom #3 which were accessible to children.”

8VAC20-780-50-A

“Staff and children's records shall be treated confidentially. The supplemental page from the most recent inspection on 1/13/2026 containing confidential information was posted on the parent bulletin board.”

8VAC20-780-160-C

“Repeat Violation A tuberculosis (TB) screening is required every two years from the last screening. The TB screening for Staff #9 had expired over one month ago and a new screening has not been completed.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent criminal history check for Staff #10 was overdue by a year and six months.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #6 and Child #9 had not been updated in over 17 months which is overdue by 5 months.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The playground equipment contained areas of cracking plastic on the spinning numbers, causing sharp edges accessible to children.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #2, who has been actively working at the center for the past 2 years, did not have any completed reference verifications on file.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was received 1 month after it was due. Staff #4 updated screening was received 4 months after it was due. Staff #6 updated screening was received 5 months after it was due.”

8VAC20-780-520-C

“The center shall ensure that diaper ointments or creams are kept inaccessible to children. Diaper creams and ointments were kept in an unlocked cabinet below the diapering area in Classroom #3 and Classroom #5, which were accessible to children. Diaper creams and ointments were kept on top of the counter in Classroom #7 and accessible to children.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The immunization record for Child #2 (1 year old), was overdue by over 1 month. The immunization record for Child #8 (2 years old), was overdue by over 3 months. The immunization record for Child #10 (14 months old), was overdue by over 4 months.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent criminal background check for staff #4 was overdue by 1 year and 4 months.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for Staff #1, who is currently working, was dated over 3 months after their first day of employment.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. -Staff #1, employed for more than 10 months, did not have documentation of requesting a central registry check or sex offender check prior to employment from one state they had previously resided. -Staff #7, employed for more than 3 months, did not have documentation of requesting a central registry check or sex offender check prior to employment from one state they had previously resided. -Staff #10, employed for more than 3 months, did not have documentation of requesting a central registry check or sex offender check prior to employment for one state they had previously resided and did not have documentation of requesting a central registry check, sex offender check, and a criminal history check from a different state.”

22.1-289.036-A

“An applicant or agent is required to undergo a background check every five years. The most recent central registry check for Applicant #1 was overdue by eleven months.”

8VAC20-780-160-C

“Repeat Violation A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 had a TB screening that was expired for over 7 months before an updated screening was obtained.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #6, who has been actively working at the center for the past 9 months, had one documented reference and was missing a second.”

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center with the required components. The documentation of orientation training for Staff #7, employed for over 3 months, did not include the training delivery method, the individual providing the training, and the date of training.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of child #4 and child #8 had not been updated in over 18 months which is overdue by 6 months.”

22.1-289.035-B-3

“The center is required to submit a request for a central registry check prior to the employee's first day of employment. The central registry for Staff #1, who is currently working, was dated over 3 months after their first day of employment.”

8VAC20-780-160-C

“Based on file review, the center did not ensure a follow-up tuberculosis screening was completed for staff at least every 2 years. Evidence: The tuberculosis screening for Staff #4 (date of hire 1/6/20) expired on 8/10/22.”

8VAC20-780-40-M

“Based on observation and interview, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions where children are present. Evidence: 1. The Infant Classroom did not have a written list of children's allergies. 2. Staff #5 confirmed the classroom did not have a written list of children's allergies, but stated there was a child in the classroom with allergies.”

8VAC20-780-500-A

“Based on observation, staff did not wash their hands with soap and running water before and after a diaper change. Evidence: Staff #5 did not wash her hands before and after changing the diaper for Child #3.”

8VAC20-780-500-B

“Based on observation, disposable towels were not used in the diapering area and the diapering surface was not sanitized after each use. Evidence: 1. Staff #5 (Infant Classroom) used a green cloth to clean and sanitize the diapering surface. 2. Staff #5 (Infant Classroom) did not properly sanitize the diapering surface by allowing the surface to air dry for a minimum of two minutes or according to the disinfectant solution instructions.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #2 (age 15 months) did not have documentation of additional immunizations every 6 months. The last documentation of immunizations was dated 08/03/2023.”

8VAC20-780-520-C

“Based on observation, diaper ointments and creams were accessible to children. Evidence: The Infant classroom had a container of diaper ointments and creams stored inside the changing table that was accessible to children.”

8VAC20-780-40-H

“Based on record review, the liability insurance was not maintained. Evidence: The certificate of liability insurance expired 06/2023.”

8VAC20-780-245-A

“Based on record review, staff did not complete a minimum of 16 hours of annual training. Evidence: 1) Staff B completed 10 hours of annual training in 2022. 2) Staff A and C completed 4 hours of annual training in 2022.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: 1) Disinfectant spray was found unlocked in the bathroom of the "Jr. Preschool" room. 2) Cleaning supplies were found unlocked in the "Infant" room.”

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place. Evidence: Topical medication located in the "Infant" room was not kept in a locked place.”

8VAC20-770-60-B

“Based on record review, an employee did not have a current sworn statement or affirmation. Evidence: The sworn statement of Staff A expired 6/2023.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the toddler classroom, the cabinet containing cleaning supplies was unlocked and accessible to children.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that center shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to. splintered, cracked or otherwise deteriorating wood, chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snap skin. Evidence: In the Toddler room, paint is chipped. In the Sr. Preschool room the green painting is peeling off of the wall and the blue paint is chipped.”

8VAC20-780-60-A

“Based on a review of child records, the center failed to obtain all required documentation for each child enrolled. Evidence: Child #2 and child #4's records do not contain the phone number for the physician. Child #4's record does not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-160-C

“Based on a review of staff records, the center failed to ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: Staff #2's record does not contain documentation of a current tuberculosis test or screening result.”

8VAC20-780-240-B

“Based on a review of staff records, the center failed to ensure that prior to staff member working alone with children and no later than seven days of the date of assuming job responsibilities, staff member will complete Recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by 63.2-1509 of the Code of Virginia. Evidence: Staff #4's record does not contain documentation of the completion of the Recognizing Child Abuse and Neglect Training.”

8VAC20-780-60-A

“Based on a review of children's records, the center failed to ensure that each child enrolled records will contain all required documentation. Evidence: Child #3's records did not contain documentation of a parents work phone number.”

8VAC20-780-160-A-1

“Based on a review of staff records, the center failed to ensure that documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff # 4's record did not have documentation of a tuberculosis test or screening at the time of employment. Date of hire:07/19/2021 - date of inspection 01/13/2022”

8VAC20-780-510-E

“Based on a review of medication, the center failed to follow the center's procedures for administering medication shall include methods to prevent use of outdated medication. Evidence: Child #6's A medication expired 12/2021.”

8VAC20-780-240-I

“Based on a review of staff documents, the center failed to ensure orientation training kept by the center in a manner that allows for identification by individual staff member, is considered part of the staff member's record and shall include name of staff, training topics, training delivery method, the entity for individual providing training and the date of training. Evidence: The documentation of orientation did not include signatures or the date,”