Mae's Learning Academy

8VAC20-790-600-F

“Based on review of eight staff records, the center did not ensure two staff members completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training. Evidence: 1. The record of staff #5 contained documentation of the completion of the department’s annual health & safety update training dated 12/09/2022. The record did not contain documentation of the annual update for the 2023 year. 2. The record of staff #7 contained documentation of the completion of the department’s annual health & safety update training dated 12/04/2022. The record did not contain documentation of the annual update for the 2023 year. 3. The director stated staff #5 and staff #7 had not completed the updated health & safety training for 2023.”

8VAC20-790-600-F

“Based on review of eight staff records, the center did not ensure two staff members completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training. Evidence: 1. The record of staff #5 contained documentation of the completion of the department’s annual health & safety update training dated 12/09/2022. The record did not contain documentation of the annual update for the 2023 year. 2. The record of staff #7 contained documentation of the completion of the department’s annual health & safety update training dated 12/04/2022. The record did not contain documentation of the annual update for the 2023 year. 3. The director stated staff #5 and staff #7 had not completed the updated health & safety training for 2023.”

8VAC20-790-600-F

“Based on review of seven staff records, the center did not ensure two staff members completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training. Evidence: The record of staff #7 contained documentation of the completion of the department’s annual health & safety update training dated 08/05/2021. The record did not contain documentation of the annual update for the 2023 year.”

8VAC20-780-70

“Based on review of seven staff records and interview, the center did not obtain all required information for one staff record. Evidence: 1. The record of staff #3, employed 01/09/2023 and identified as a program leader, did not have documentation to demonstrate that the individual possesses the education as required by the job position. 2. The record of staff #3 did not contain documentation of a high school program completion or the equivalent as required for a program leader.”

8VAC20-780-245-A

“Based on review of seven staff records and interview, the center did not ensure one staff completed a minimum of 16 hours of training annually. Evidence: 1. The record of staff #7 contained documentation of 5.5 training hours completed during the period of June 15, 2022 through June 14, 2023 when 16 hours was required. 2. The director stated the additional 10.5 hours had not been completed.”

8VAC20-780-500-B

“Based on observation, the center did not ensure a nonabsorbent surface for diapering was used. Evidence: The diaper changing mat in the infant room contain a tear approximately one inch in the plastic covering creating an absorbent surface.”

8VAC20-790-600-F

“Based on review of seven staff records, the center did not ensure two staff members completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training. Evidence: The record of staff #7 contained documentation of the completion of the department’s annual health & safety update training dated 08/05/2021. The record did not contain documentation of the annual update for the 2023 year.”

8VAC20-780-70

“Based on review of seven staff records and interview, the center did not obtain all required information for one staff record. Evidence: 1. The record of staff #3, employed 01/09/2023 and identified as a program leader, did not have documentation to demonstrate that the individual possesses the education as required by the job position. 2. The record of staff #3 did not contain documentation of a high school program completion or the equivalent as required for a program leader.”

8VAC20-780-245-A

“Based on review of seven staff records and interview, the center did not ensure one staff completed a minimum of 16 hours of training annually. Evidence: 1. The record of staff #7 contained documentation of 5.5 training hours completed during the period of June 15, 2022 through June 14, 2023 when 16 hours was required. 2. The director stated the additional 10.5 hours had not been completed.”

8VAC20-780-500-B

“Based on observation, the center did not ensure a nonabsorbent surface for diapering was used. Evidence: The diaper changing mat in the infant room contain a tear approximately one inch in the plastic covering creating an absorbent surface.”

8VAC20-790-600-F

“Based on review of seven staff records, the center did not ensure two staff members completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training. Evidence: The record of staff #7 contained documentation of the completion of the department’s annual health & safety update training dated 08/05/2021. The record did not contain documentation of the annual update for the 2023 year.”

8VAC20-780-70

“Based on review of seven staff records and interview, the center did not obtain all required information for one staff record. Evidence: 1. The record of staff #3, employed 01/09/2023 and identified as a program leader, did not have documentation to demonstrate that the individual possesses the education as required by the job position. 2. The record of staff #3 did not contain documentation of a high school program completion or the equivalent as required for a program leader.”

8VAC20-780-245-A

“Based on review of seven staff records and interview, the center did not ensure one staff completed a minimum of 16 hours of training annually. Evidence: 1. The record of staff #7 contained documentation of 5.5 training hours completed during the period of June 15, 2022 through June 14, 2023 when 16 hours was required. 2. The director stated the additional 10.5 hours had not been completed.”

8VAC20-780-500-B

“Based on observation, the center did not ensure a nonabsorbent surface for diapering was used. Evidence: The diaper changing mat in the infant room contain a tear approximately one inch in the plastic covering creating an absorbent surface.”

8VAC20-780-40-E Complaint related: No

“Based on review of documentation and interview, the facility did not ensure that the center’s activities, services, and facilities were maintained in compliance with these standards, the center’s own policies and procedures that are required by the standards, and the terms of the current license issued by the department. Evidence: 1. The center’s parent handbook and parent contract states, ?This contract may be terminated by either you or Mae’s Learning Academy, by giving a written two week notice in advance. Should Mae’s Learning Academy terminate care: You are responsible for payment for all days your child is scheduled for care during this time, regardless of whether or not your child is actually present.? 2. The record of child #1, contained documentation of a signed contract dated 06/10/2022. Enrollment for child #1 was terminated by Mae’s Learning Academy on February 16, 2023. A written letter notifying the parents of child #1?s termination was dated February 16, 2023 and given to the parents on February 16, 2023. The center did not follow their own policies and procedures and did not afford the family of child #1 two weeks written notice of termination.”

8VAC20-780-140-A

“Based on review of children’s records, the center did not obtain documentation of a physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #2, enrolled 08/03/2021, had documentation of a physical examination dated 11/22/2021, exceeding 30 days from the first day of attendance. 2. The record of child #5, enrolled 09/15/2022, had documentation of a physical examination dated 01/12/2023, exceeding 30 days from the first day of attendance. 3. The record of child #6, enrolled 03/22/2022, had documentation of a physical examination dated 01/03/2023, exceeding 30 days from the first day of attendance. 4. The record of child #8, enrolled 08/22/2022, had documentation of a physical examination dated 11/16/2022, exceeding 30 days from the first day of attendance. 5. The record of child #9, enrolled 08/10/2022, had documentation of a physical examination dated 10/17/2022, exceeding 30 days from the first day of attendance. 6. The record of child #10, enrolled 08/10/2022, had documentation of a physical examination dated 10/14/2022, exceeding 30 days from the first day of attendance. 7. The record of child #11, enrolled 10/21/2021, had documentation of a physical examination dated 03/23/2022, exceeding 30 days from the first day of attendance. 8. The record of child #13, enrolled 07/07/2021, had documentation of a physical examination dated 02/10/2022, exceeding 30 days from the first day of attendance. 9. The record of child #17, enrolled 06/26/2022, had documentation of a physical examination dated 12/15/2022, exceeding 30 days from the first day of attendance. 10. The record of child #19, enrolled 06/30/2021, had documentation of a physical examination dated 12/01/2022, exceeding 30 days from the first day of attendance.”

8VAC20-780-70

“Based on review of four staff records and interview, the center did not obtain all required documentation for one staff record. Evidence: The record of staff #4, designated as a program leader and working along with a group of children, did not contain documentation to demonstrate that the individual possesses the education required by the job title.”

8VAC20-770-60-C-2

“Based on review of four staff records and interview, the center did not obtain the results of the central registry background report within 30 days of employment for one staff member. Evidence: The record of staff #4, employed 09/26/2022, did not contained the results of a central registry background report. Documentation showed the central registry check had been requested on 10/31/2022, exceeding seven days past employment. The request of the central registry check was returned to the center for missing information on 01/06/2023. The director stated she had followed up on the status however it exceeded 30 days from employment.”

8VAC20-780-130-A

“Based on review of children’s records, the center did not obtain documentation of immunizations for each child before the child attended the center. Evidence: 1. The record of child #6, enrolled 03/22/2022, had documentation of immunizations dated 04/26/2022, exceeding the first day of attendance. 2. The record of child #8, enrolled 08/22/2022, had documentation of immunizations dated 10/21/2022, exceeding the first day of attendance 3. The record of child #9, enrolled 08/10/2022, had documentation of immunizations dated 08/16/2022, exceeding the first day of attendance. 4. The record of child #10, enrolled 08/10/2022, had documentation of immunizations dated 08/16/2022, exceeding the first day of attendance. 5. The record of child #13, enrolled 06/26/2022, had documentation of immunizations dated 12/15/2022, exceeding the first day of attendance. 6. The record of child #16, enrolled 03/10/2022, had documentation of immunizations dated 12/29/2022, exceeding the first day of attendance. 7. The record of child #17, enrolled 06/26/2022, had documentation of immunizations dated 12/15/2022, exceeding the first day of attendance. 8. The record of child #18, enrolled 06/30/2021, had documentation of immunizations dated 12/01/2022, exceeding the first day of attendance. 9. The record of child #19, enrolled 06/30/2021, had documentation of immunizations dated 04/07/2022, exceeding the first day of attendance.”

8VAC20-780-560-F

“Based on observation, the center did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: On 01/13/2023 children were severed cheese pizza and milk for lunch. Children were not served a second vegetable or a fruit component to meet USDA requirements.”

8VAC20-780-140-A

“Based on review of children’s records, the center did not obtain documentation of a physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #2, enrolled 08/03/2021, had documentation of a physical examination dated 11/22/2021, exceeding 30 days from the first day of attendance. 2. The record of child #5, enrolled 09/15/2022, had documentation of a physical examination dated 01/12/2023, exceeding 30 days from the first day of attendance. 3. The record of child #6, enrolled 03/22/2022, had documentation of a physical examination dated 01/03/2023, exceeding 30 days from the first day of attendance. 4. The record of child #8, enrolled 08/22/2022, had documentation of a physical examination dated 11/16/2022, exceeding 30 days from the first day of attendance. 5. The record of child #9, enrolled 08/10/2022, had documentation of a physical examination dated 10/17/2022, exceeding 30 days from the first day of attendance. 6. The record of child #10, enrolled 08/10/2022, had documentation of a physical examination dated 10/14/2022, exceeding 30 days from the first day of attendance. 7. The record of child #11, enrolled 10/21/2021, had documentation of a physical examination dated 03/23/2022, exceeding 30 days from the first day of attendance. 8. The record of child #13, enrolled 07/07/2021, had documentation of a physical examination dated 02/10/2022, exceeding 30 days from the first day of attendance. 9. The record of child #17, enrolled 06/26/2022, had documentation of a physical examination dated 12/15/2022, exceeding 30 days from the first day of attendance. 10. The record of child #19, enrolled 06/30/2021, had documentation of a physical examination dated 12/01/2022, exceeding 30 days from the first day of attendance.”

8VAC20-780-70

“Based on review of four staff records and interview, the center did not obtain all required documentation for one staff record. Evidence: The record of staff #4, designated as a program leader and working along with a group of children, did not contain documentation to demonstrate that the individual possesses the education required by the job title.”

8VAC20-770-60-C-2

“Based on review of four staff records and interview, the center did not obtain the results of the central registry background report within 30 days of employment for one staff member. Evidence: The record of staff #4, employed 09/26/2022, did not contained the results of a central registry background report. Documentation showed the central registry check had been requested on 10/31/2022, exceeding seven days past employment. The request of the central registry check was returned to the center for missing information on 01/06/2023. The director stated she had followed up on the status however it exceeded 30 days from employment.”

8VAC20-780-130-A

“Based on review of children’s records, the center did not obtain documentation of immunizations for each child before the child attended the center. Evidence: 1. The record of child #6, enrolled 03/22/2022, had documentation of immunizations dated 04/26/2022, exceeding the first day of attendance. 2. The record of child #8, enrolled 08/22/2022, had documentation of immunizations dated 10/21/2022, exceeding the first day of attendance 3. The record of child #9, enrolled 08/10/2022, had documentation of immunizations dated 08/16/2022, exceeding the first day of attendance. 4. The record of child #10, enrolled 08/10/2022, had documentation of immunizations dated 08/16/2022, exceeding the first day of attendance. 5. The record of child #13, enrolled 06/26/2022, had documentation of immunizations dated 12/15/2022, exceeding the first day of attendance. 6. The record of child #16, enrolled 03/10/2022, had documentation of immunizations dated 12/29/2022, exceeding the first day of attendance. 7. The record of child #17, enrolled 06/26/2022, had documentation of immunizations dated 12/15/2022, exceeding the first day of attendance. 8. The record of child #18, enrolled 06/30/2021, had documentation of immunizations dated 12/01/2022, exceeding the first day of attendance. 9. The record of child #19, enrolled 06/30/2021, had documentation of immunizations dated 04/07/2022, exceeding the first day of attendance.”

8VAC20-780-560-F

“Based on observation, the center did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: On 01/13/2023 children were severed cheese pizza and milk for lunch. Children were not served a second vegetable or a fruit component to meet USDA requirements.”

8VAC20-780-140-A

“Based on review of children’s records, the center did not obtain documentation of a physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #2, enrolled 08/03/2021, had documentation of a physical examination dated 11/22/2021, exceeding 30 days from the first day of attendance. 2. The record of child #5, enrolled 09/15/2022, had documentation of a physical examination dated 01/12/2023, exceeding 30 days from the first day of attendance. 3. The record of child #6, enrolled 03/22/2022, had documentation of a physical examination dated 01/03/2023, exceeding 30 days from the first day of attendance. 4. The record of child #8, enrolled 08/22/2022, had documentation of a physical examination dated 11/16/2022, exceeding 30 days from the first day of attendance. 5. The record of child #9, enrolled 08/10/2022, had documentation of a physical examination dated 10/17/2022, exceeding 30 days from the first day of attendance. 6. The record of child #10, enrolled 08/10/2022, had documentation of a physical examination dated 10/14/2022, exceeding 30 days from the first day of attendance. 7. The record of child #11, enrolled 10/21/2021, had documentation of a physical examination dated 03/23/2022, exceeding 30 days from the first day of attendance. 8. The record of child #13, enrolled 07/07/2021, had documentation of a physical examination dated 02/10/2022, exceeding 30 days from the first day of attendance. 9. The record of child #17, enrolled 06/26/2022, had documentation of a physical examination dated 12/15/2022, exceeding 30 days from the first day of attendance. 10. The record of child #19, enrolled 06/30/2021, had documentation of a physical examination dated 12/01/2022, exceeding 30 days from the first day of attendance.”

8VAC20-780-70

“Based on review of four staff records and interview, the center did not obtain all required documentation for one staff record. Evidence: The record of staff #4, designated as a program leader and working along with a group of children, did not contain documentation to demonstrate that the individual possesses the education required by the job title.”

8VAC20-770-60-C-2

“Based on review of four staff records and interview, the center did not obtain the results of the central registry background report within 30 days of employment for one staff member. Evidence: The record of staff #4, employed 09/26/2022, did not contained the results of a central registry background report. Documentation showed the central registry check had been requested on 10/31/2022, exceeding seven days past employment. The request of the central registry check was returned to the center for missing information on 01/06/2023. The director stated she had followed up on the status however it exceeded 30 days from employment.”

8VAC20-780-130-A

“Based on review of children’s records, the center did not obtain documentation of immunizations for each child before the child attended the center. Evidence: 1. The record of child #6, enrolled 03/22/2022, had documentation of immunizations dated 04/26/2022, exceeding the first day of attendance. 2. The record of child #8, enrolled 08/22/2022, had documentation of immunizations dated 10/21/2022, exceeding the first day of attendance 3. The record of child #9, enrolled 08/10/2022, had documentation of immunizations dated 08/16/2022, exceeding the first day of attendance. 4. The record of child #10, enrolled 08/10/2022, had documentation of immunizations dated 08/16/2022, exceeding the first day of attendance. 5. The record of child #13, enrolled 06/26/2022, had documentation of immunizations dated 12/15/2022, exceeding the first day of attendance. 6. The record of child #16, enrolled 03/10/2022, had documentation of immunizations dated 12/29/2022, exceeding the first day of attendance. 7. The record of child #17, enrolled 06/26/2022, had documentation of immunizations dated 12/15/2022, exceeding the first day of attendance. 8. The record of child #18, enrolled 06/30/2021, had documentation of immunizations dated 12/01/2022, exceeding the first day of attendance. 9. The record of child #19, enrolled 06/30/2021, had documentation of immunizations dated 04/07/2022, exceeding the first day of attendance.”

8VAC20-780-560-F

“Based on observation, the center did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: On 01/13/2023 children were severed cheese pizza and milk for lunch. Children were not served a second vegetable or a fruit component to meet USDA requirements.”

8VAC20-780-340-D

“Based on review of staff records, observation and interview, the center did not ensure in each grouping of children at least one staff member met the qualifications of a program leader or director that is regularly present. Evidence: 1. The record of staff #2, identified as the program leader in the two year old classroom did not contain documentation of the education or training to qualify as a program leader. The director stated staff #1 did not have program leader qualifications but was working on obtaining her training hours. Staff #1 was observed working alone in the two year old classroom. 2. The record of staff #3, identified as the program leader in the pre-k classroom did not contain documentation of the education or training to qualify as a program leader. The director stated staff #3 was working on obtaining her training hours for program leader qualifications. Staff #3 was observed working alone in the pre-k classroom. 3. The toddler classroom was being supervised by two staff. Both were identified by the director as assistants. The director stated she did not have a qualified program leader for the classroom. I thought the youngest staff in the classroom was working on training to qualify. 4. The record of staff #6, identified as the program leader in the Infant classroom did not contain documentation of the education or training to qualify as a program leader. The director stated staff #6 was working on obtaining her training hours for program leader qualifications.”

8VAC20-780-340-F

“Based on observation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision. Evidence: 1. A child from the four year old classroom was observed leaving the classroom alone and walking around the corner to the hallway bathroom on the other side of the building out of sight and sound supervision of staff. The licensing inspector informed the director the child had left the room and was in the bathroom on the other side of the building. 2. The director return the child back to the classroom and told the staff the child had gone to the hall bathroom on the other side. 3. The staff was not aware the child had left the classroom.”

8VAC20-780-500-B

“Based on observation, the center did not ensure the diapering area contained a nonabsorbent surface for diapering or changing. Evidence: The diaper changing pad in the infant room contained multiple tears, exposing the interior foam and creating an absorbent surface.”

8VAC20-780-560-M

“Based on observation, the center did not ensure children were not allowed to drink or eat while walking around. Evidence: Child #1, in the toddler room was observed eating crackers and drinking from a sippy cup while walking around the room.”

8VAC20-780-70

“Based on review of staff records, the center did not obtain all required documentation for each staff record. Evidence: 1. The record of staff #1 (employed 11/09/2022), staff #2 (employed 11/22/2021), staff #3 (employed 12/07/2021), Staff #4 (employed 05/24/2022), staff #5 (employed 07/13/2022), and staff #6 (employed 12/09/2021) did not contain documentation of two references as to the character and reputation as well as competency that were checked prior to employment. When reference checks are taken over the phone, documentation shall include date of contact, names of persons contacted, the firms contacted, results and signature of person making call. 2. The director stated she had completed reference checks by phone and did not know additional details are required by the standards.”

8VAC20-770-60-C-2

“Based on review of six staff records and interview, the center did not obtain the results of the central registry report within 30 days of employment. Evidence: 1) The record of staff #5, employed 07/13/2022, did not contain documentation of the results of the central registry report. 2) The director had documented where she had called the agency to check the status of the central registry check on August 15, 2022. The director stated she did not follow up after that date.”

8VAC20-780-160-A

“Based on review of six staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and that had been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record of staff #1, employed 11/22/2021, contained documentation of a tuberculosis screening dated 02/18/2022, exceeding the date of employment. 2. The record of staff #3, employed 05/24/2022, contained documentation of a tuberculosis screening dated 08/16/2021, exceeding 30 calendar days prior to employment. 3. The record of staff #4, employed 04/27/2022, contained documentation of a tuberculosis screening dated 10/03/2021, exceeding 30 calendar days prior to employment. 4. The record of staff #5, employed 07/13/2022, contained documentation of a tuberculosis screening dated 07/14/2022, exceeding the date of employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment, inside and outside, were maintained in a safe, clean and operable condition. Evidence: 1. The wood paneling on the wall in the Infant room was splintered and cracked from where an adjoining half wall had been removed. The splintered area created jagged edges that could snag the skin of a child. The area also had three screws that protruded from the wall within reach of the children in care. 2. The wood railing along the platform of the clubhouse climber/slide, approximately two feet from the ground, was not securely attached to the frame causing it to fall on one end.”

8VAC20-780-340-D

“Based on review of staff records, observation and interview, the center did not in each grouping of children at least one staff member who meets the qualifications of a program leader or director that is regularly present. Evidence: 1. The record of staff #1, identified as the program leader in the two year old classroom did not contain documentation of the education or training to qualify as a program leader. The director stated staff #1 did not have program leader qualifications. Staff #1 was observed working alone in the two year old classroom. 2. The record of staff #2, identified as the program leader in the pre-k classroom did not contain documentation of the education or training to qualify as a program leader. The director stated staff #2 did not have program leader qualifications. Staff #2 was observed working alone in the pre-k classroom. 3. The toddler classroom was being supervised by staff #4 and staff #5. Both were identified by the director as assistants. The director stated she did not have a qualified program leader for the classroom. 4. The record of staff #6, identified as the program leader in the Infant classroom did not contain documentation of the education or training to qualify as a program leader. The director stated staff #6 did not have program leader qualifications. Staff #6 was observed working alone in the Infant classroom.”

8VAC20-780-340-F

“Based on observation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision. Evidence: 1. Upon the inspector’s arrival at approximately 10:33 am, the inspector and director entered two classrooms to collect information as to the number of children in care and the names of staff present. After exiting the second classroom, the inspector observed Child #1 (2 years old) and Child #2 (4 years old) sitting alone in the director’s office. 2. The director stated the children were in the office calming down while she made copies. The director said she left the office to open the door when the inspector was banging at the door. The children were unsupervised for approximately seven minutes.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months. Evidence: Staff #6 was observed alone in the infant classroom with seven infants.”

8VAC20-780-70

“Based on review of six staff records and interview, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The record of staff #1 (employed 11/22/2021), staff #2 (employed 12/07/2021), staff #3 (employed 05/24/2022), staff #4 (employed 04/27/2022), staff #5 (employed 7/13/2022 and staff #6 (employed 12/09/2021) did not contain documentation of two references for each staff. 2. The director stated she had called the references however she did not document the calls.”

8VAC20-780-350-B-3 Complaint related: No

“Based on observation, the center did not ensure the staff to children ratios for children two years in age was maintained at a one staff to eight children ratio. Evidence: On April 21, 2022, there were ten children, two years in age, being supervised by one staff member exceeding the requirement for one staff to every eight children.”

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

“Based on observation, the center did not ensure the staff to children ratios for children birth up to 16 months was maintained at a one staff to four infants ratio. Evidence: On April 21, 2022, there were ten children, ranging from four months to 17 months in age, being supervised by two staff exceeding the requirement for one staff to every four infants.”

8VAC20-780-350-B-2 Complaint related: No

“Based on observation, the center did not ensure the staff to children ratios for children 16 months up to 24 months was maintained at a one staff to five children ratio. Evidence: On April 21, 2022, there were nine children, ranging from 16 to 24 months in age, being supervised by one staff member exceeding the requirement for one staff to every five children.”

8VAC20-780-90-A

“Based on review of three children’s records, the center did not obtain the parents signed acknowledgement of the written agreement between the parent and the center by the first day of the child’s attendance. Evidence: The record of child #1, enrolled 07/09/2021, did not contain a signed copy of the parent agreement. The child’s record was a licensed family day home enrollment record and did not contain 1. A statement that the center will notify the parent when the child becomes ill and 2. A statement the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

8VAC20-780-440-G

“Based on observation and interview, the center did not ensure cribs were used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Evidence: On April 21, 2022, One child was observed sleeping in bouncy chairs. Staff #7 stated the child, child #6 (5 months) usually slept in the bouncy chair as there were not enough cribs. Ten children were present in the infant room with six cribs.”

22.1-289.035-B-2

“Based on review of eight staff records and interview, the center did not obtain results of the national fingerprint background check prior to hire for two staff. Evidence: 1. The record of staff #2, hired 11/22/2021, contained a completed national fingerprint background check dated 11/24/2021 exceeding the date of hire. 2. The record of staff #5, hired 12/12/2021, contained a completed national fingerprint background check dated 01/20/2022 exceeding the date of hire.”

8VAC20-770-60-C-2

“Based on review of eight staff records and interview, the center did not obtain a central registry report within 30 days of employment. Evidence: 1. The record of staff #2, hired 11/22/2021, had documentation of a central registry report dated 01/26/2022, exceeding 30 days from employment. The director stated she had not conducted a follow-up at 30 days to check on the status of the request. 2. The record of staff #3, hired 12/09/2021, had documentation of a central registry report dated 01/28/2022, exceeding 30 days from employment. The director stated she had not conducted a follow-up at 30 days to check on the status of the request. 3. The record of staff #7, hired 12/12/2021, did not have documentation of a central registry check on file. The director stated she did not follow-up to check the status at 30 days but did email the agency on 02/07/2022 for the status.”

22.1-289.035-B-4

“Based on a review of eight staff records, the center did not obtain the results of a criminal history record information check, the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which two staff member had resided in the preceding five years within the required time frame. Evidence: 1). The record for Staff #5, hired on 12/12/2021, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain a documentation of a criminal history record information check or a search of the child abuse and neglect registry for that state. 2). The record for Staff #8 (hired 06/09/2021), was reviewed during the initial inspection on 06/04/2021. The sworn statement (dated 05/17/2021) stated staff #8 had not lived outside the state of Virginia in the past five years prior to hire. During record review on April 21, 2022, the record of staff #8 stated on a second sworn statement dated 05/17/2021 that staff #8 had lived outside of Virginia in the past five years. The record for staff #8 did not contain documentation of a criminal history record information check or a search of the child abuse and neglect registry for that state. When asked by the inspector if he had lived outside of Virginia in the past five years, staff #8 would not give a reply. 3. The out-of-state criminal history record information check is required to be obtained prior to hire. The out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of being hired. During interview, the director confirmed the required out-of-state checks were not obtained for Staff #8.”

8VAC20-780-440-A

“Based on observation and interview, the center did not ensure cribs, cots, rest mats or beds were provided for children during the designated rest period. Evidence: Child #5 (17 months in age) was observed sleeping in a bouncy chair in the infant room. Staff #7 stated child #5 slept in the bouncy chair on a regular basis.”

8VAC20-780-40-E

“Based on observation and interview, the center failed to follow the terms of the current license issued by the department. Evidence: 1. On April 21, 2022, 45 children were present during the inspection. 2. The capacity issued on the license is for 39 children. 3. The director confirmed there were 45 children present exceeding the issued capacity of 39.”

8VAC20-770-40-D-6

“Based on review of eight staff records, the center did not obtain a completed sworn statement prior to the first day of employment and completed no more than 90 days prior to employment for two staff. Evidence: 1. The record of staff #1, hired 12/09/2021, had a sworn statement dated 08/03/2021 exceeding 90 days prior to employment. 2. The record of staff #6, hired 12/07/2021, had a sworn statement dated 07/12/2021 exceeding 90 days prior to employment.”

8VAC20-780-430-M

“Based on interview and observation, the center did not ensure play yards were not used for the designated sleeping area. Evidence: 1. A staff member stated that children in the toddler room slept in the play yards on a regular basis for nap time. The staff member stated the play yards were kept in the hall closet. 2. Six pack and plays were observed in the closet alongside 23 cots.”

8VAC20-780-340-F

“Based on observation, the center did not ensure that children under 10 years of age were always within actual sight and sound supervision. Evidence: 1. On April 21, 2022, at approximately 10:10 am, six children (four to five years in age) were Observed alone in a classroom watching TV. The director stated she had moved staff #1 from the classroom to cover the toddler room at the licensing inspector’s arrival so that she could leave the toddler classroom. The inspector arrived at 10:00 am. 2. On April 21, 2022, at approximately 12:10 pm, ten children age 3 years, were observed alone as Staff #2 was in the main lobby preparing plates for lunch. Staff #2 left the room two additional times to retrieve food. Each time was approximately one to four minutes. 3. Child #4, age 22 months, was observed leaving the toddler classroom undetected for approximately a minute to a minute and a half and was returned to the class by the inspector. Child #4 exited the toddler classroom a second time. Child #4 reached the hall way, before the director came out of the classroom to retrieve her, approximately one minute.”

8VAC20-780-560-M

“Based on observation, the center did not ensure children were not permitted to drink or eat while walking around. Evidence: On April 21, 2022, a child was observed walking around the infant room with a bottle.”

8VAC20-780-330-B

“Based on observations made on February 2, 2022, the center did not ensure where playground equipment is provided, resilient surfacing complied with minimum safety standards. Evidence: 1. The clubhouse climber, approximately two feet from the ground was observed on foam puzzle mats less than an inch thick. The puzzle mats were on top of a paved asphalt area. 2. The climbing wall/slide, approximately 3-4 feet from the ground was observed on foam puzzle mats less than an inch thick. The puzzle mats were on top of a paved asphalt area.”

8VAC20-780-280-B

“Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: On April 21, 2022; 1. Two supply closets located in the hallway, were unlocked and opened creating access to the cleaning materials that were on the floor and lower shelves of the closet. 2. Cleaning materials were observed on the floor of the kitchen and on the counter. Children were observed walking through the open kitchen to move from one side of the building to the other. 3. A canister of fabric sanitizer was observed on the bookshelf in the occupied preschool classroom accessible to children in care. 4. A canister of air freshener was observed on the sink of the bathroom used by children in care. 5. The wall cabinet containing cleaning products in the toddler classroom was not locked. 6. A bottle of bleach cleaner was observed on the edge of the sink in the Infant class accessible to the children in care.”

8VAC20-780-570-A

“Based on observation on February 2, 2022, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt was fastened securely. Evidence: Four infants were observed sitting in bucket seats at the feeding table. The four infants were not fastened with the protective belts.”

8VAC20-780-560-F

“Based on observation and interview, the center did not post a menu listing foods to be served for meals and snacks during the current one-week period. Evidence: 1. There was no menu posted. 2. . The director stated the menu had not been complete for the week of 04/18/2022.”

8VAC20-780-570-E

“Based on observation, the center did not ensure prepared infant formula was dated and labeled with the child's name. Evidence: 1. Two prepared bottles in the infant room refrigerator did not have a date. 2. Two bottles on the counter were not labeled with a name or date. Staff stated they had run out of labels.”

8VAC20-780-570-C

“Based on interview, the center did not maintain a record of each child on formula that contained the brand of formula and the child's feeding schedule. Evidence: Staff #7 stated they did not have a record of the brand of formula or the feeding schedule for the children on formula. In care.”

8VAC20-780-270-A

“Based on observations, the center did not ensure all areas of the center, inside and outside, were maintained in a safe, clean and operable condition. Evidence: 1. On February 2, 2022, The wooden tabletop of the playhouse was broken off, exposing the two nails. 2. On February 2, 2022, The wooden railing along the platform of the clubhouse climber/slide, approximately 2 feet from the ground, was missing a screw at one end causing the railing to hang down and create an opening a child could fall through. 3. On April 21, 2022, a high chair was observed with a broken foot support beam exposing a wooden edge that could snag the skin of the child. The high chair was occupied by a two year old child whose feet reached the broken beam.”

8VAC20-780-245-L

“Based on interview, the center did not ensure there was always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: The center director stated no staff had completed the daily health observation training.”

8VAC20-780-70

“Based on review of eight staff records, the center did not obtain all required documentation for each staff record. Evidence: The records of staff #1(hired 12/09/2021), staff #2 (hired 11/22/2021), staff #3 (hired 12/09/2021), staff #6 (hired 12/07/2021) and staff #7 (hired 12/12/2021) did not contain two references.”