Meadowbrook Child Development Ctr

8VAC20-780-70

“(Systemic violation) The Center is required to maintain documentation for each staff member that includes documentation of the name, address and phone number of a person to be notified of in an emergency; documentation that they possess the education and experience required by the job position; and documentation that two or more references as to character and reputation as well as competency were checked before employment. 1)The center did not have documentation for Staff #1, Staff #2, Staff #3 and Staff #4 of an emergency contact. 2)The center did not have documentation that Staff #1, Staff #2 and Staff #3 possess the education and experience required by the job position. 3) The file for Staff #3 contained 1 reference completed 6 weeks after hire. 4)The center did not have two or more signed references for Staff #1, Staff #2, Staff #3 and Staff #4.”

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. During inspection in the School Age classroom, there were 12 children present, but the written record reflected there were 11 children present.”

8VAC20-780-500-B

“(Repeat Violation/Systemic Violation) The diapering area shall have a sink with running warm water not to exceed 120?F. The Infant classroom did not have a sink with running warm water in the diapering area.”

8VAC20-780-330-B

“(Repeat Violation/Systemic Violation) The Center is required to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. 1)The large playground has a platform that is 49 inches in height with shredded rubber at 2 inches in depth instead of the required 6 inches. 2)The small playground has a slide that is 16 inches in height and a 4-seat bouncer that is 15 inches in height with no shredded rubber in patches at the bottom of the slide and under the bouncer seats where the dirt can be seen instead of the required 6 inches of shredded rubber.”

22.1-289.035-B-1

“(Systemic Violation) The Center is required to obtain documentation of a completed Sworn Disclosure Statement prior to date of hire. The record for Staff #1, Staff #2, Staff #3 and Staff #4 did not contain a complete sworn disclosure statement prior to hire.”

22.1-289.035-B-2

“(Systemic Violation) The Center is required to obtain documentation of the results of a national fingerprint background check prior to date of hire. The record for Staff #3 contained a fingerprint background check completed 4 weeks after hire.”

22.1-289.035-B-3

“(Systemic Violation) The Center is required to request a Central Registry check prior to employment. The record for Staff #1, Staff #2 and Staff #3 did not contain documentation that the Central Registry check had been requested prior to hire.”

22.1-289.035-B-4

“(Systemic Violation) The Center is required to request a check of the criminal history record, the central registry record and the sex offender registry record from all states in which staff members have resided within the last five years prior to employment. The record for Staff #2 did not contain documentation that a criminal history record check, a central registry check or a sex offender registry clearance from all states where they resided within the last five years was requested prior to employment. All background checks should have been requested over 11 weeks ago.”

8VAC20-780-160-A

“(Systemic Violation) Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The TB screening for Staff #1 was completed 3 weeks after hire. The TB screening for Staff #2 was completed 1 day after hire. The TB screening for Staff #3 was completed 5 weeks after hire. The TB screening for Staff #4 was completed 2 weeks after hire.”

8VAC20-780-240-E

“(Systemic Violation) Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. CPR orientation for Staff #3 did not contain documentation of a completed First Aid and CPR orientation within 30 days of employment.”

8VAC20-780-240-B

“(Systemic Violation) Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. 1)The files for Staff #2 and Staff #4 did not contain documentation of orientation as required. 2)The file for Staff # 1 contained an orientation completed over 7 weeks after hire and the file for Staff #3 contained an orientation completed 10 days after hire.”

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. A TB test for Staff #5 was due over 7 weeks ago.”

8VAC20-780-245-L

“The Center is required to ensure they have at least one staff member on duty who has obtained within the last 3 years instruction in performing the daily health observation of children. During inspection, there were no staff members present who had obtained the daily health observation of children training within the last 3 years.”

8VAC20-780-500-B

“(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area. The Infant room, Toddler room and Twos classrooms do not have a sink with running warm water in the diapering area.”

8VAC20-780-330-B

“(Repeat Violation) The Center is required to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus creates a sufficient fall zone. 1)On the large playground, there is a straight slide that is 47 inches in height with rubber mulch at 1 inch in depth instead of the required 6 inches. In some areas at the base of the slide, the dirt is visible. 2) On the small playground, there is a 4 seater bouncy toy that is 15 inches in height at the orange seat with rubber mulch at 1 inch in depth instead of the required 6 inches.”

8VAC20-780-280-B

“The Center is required to keep hazardous substances in a locked place using a safe locking method that prevents access by children. During inspection in the infant classroom, 1 container of bleach wipes and 1 container of disinfectant spray were stored on an open shelf next to the changing table in an unlocked area.”

8VAC20-780-570-E

“(Repeat Violation) The Center is required to ensure that prepared infant formula was dated and labeled with the child’s name. In the Infant classroom, there was a bottle stored in the refrigerator that was not dated or labeled with the child’s name.”

8VAC20-780-550-D

“The Center is required to implement a monthly practice evacuation drill. There was no documentation of an evacuation drill for the months of June 2025, July 2025, August 2025 and September 2025.”

8VAC20-780-60-A

“The Center is required to obtain documentation for child records that documentation of viewing proof of the child's identity and age and parent authorization for emergency medical care should an emergency occur when the parent cannot be located immediately. 1)The file for Child #1, Child #2 and Child #3 does not contain documentation of proof of birth. 2)The file for Child #4 does not contain parent authorization for emergency medical care.”

8VAC20-780-245-L

“The Center is required to ensure they have at least one staff member on duty who has obtained within the last 3 years instruction in performing the daily health observation of children. During inspection, there were no staff members present who had obtained the daily health observation of children training within the last 3 years.”

8VAC20-780-500-B

“(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area. The Infant room, Toddler room and Twos classrooms do not have a sink with running warm water in the diapering area.”

8VAC20-780-330-B

“(Repeat Violation) The Center is required to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus creates a sufficient fall zone. 1)On the large playground, there is a straight slide that is 47 inches in height with rubber mulch at 1 inch in depth instead of the required 6 inches. In some areas at the base of the slide, the dirt is visible. 2) On the small playground, there is a 4 seater bouncy toy that is 15 inches in height at the orange seat with rubber mulch at 1 inch in depth instead of the required 6 inches.”

8VAC20-780-280-B

“The Center is required to keep hazardous substances in a locked place using a safe locking method that prevents access by children. During inspection in the infant classroom, 1 container of bleach wipes and 1 container of disinfectant spray were stored on an open shelf next to the changing table in an unlocked area.”

8VAC20-780-570-E

“(Repeat Violation) The Center is required to ensure that prepared infant formula was dated and labeled with the child’s name. In the Infant classroom, there was a bottle stored in the refrigerator that was not dated or labeled with the child’s name.”

8VAC20-780-550-D

“The Center is required to implement a monthly practice evacuation drill. There was no documentation of an evacuation drill for the months of June 2025, July 2025, August 2025 and September 2025.”

8VAC20-780-60-A

“The Center is required to obtain documentation for child records that documentation of viewing proof of the child's identity and age and parent authorization for emergency medical care should an emergency occur when the parent cannot be located immediately. 1)The file for Child #1, Child #2 and Child #3 does not contain documentation of proof of birth. 2)The file for Child #4 does not contain parent authorization for emergency medical care.”

8VAC20-780-500-B

“(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area. Evidence: The Infant room, Toddler room and Twos classrooms do not have a sink with running warm water in the diapering area.”

22.1-289.036-A

“The Center is required to obtain a criminal history background check every five years from the date of the last criminal history background check. The record for Staff #1 contained a subsequent fingerprint background check completed 5 months after the due date.”

8VAC20-780-570-E

“(Repeat Violation) The Center is required to ensure that prepared infant formula was dated and labeled with the child’s name. In the Infant classroom, there were 3 bottles that were not dated.”

8VAC20-780-330-B

“(Repeat Violation) The Center is required to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus creates a sufficient fall zone. 1)On the large playground, there is a straight slide that is 34 inches in height with rubber mulch at 1 inch in depth instead of the required 6 inches. In some areas at the base of the slide, the dirt is visible. 2) On the small playground, there is a straight slide that is 13 inches in height with rubber mulch at less than 1 inch in depth instead of the required 6 inches. In some areas at the base of the slide, the dirt is visible. 3)On the small playground, there is a 4 seater bouncer that is 68 inches from the stationary fire truck instead of the required 6 feet of fall zone. A 25 inch long root is sticking up out of the ground at 48 inches from the 4 seater bouncer making this area non-resilient.”

8VAC20-780-500-B

“(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area. Evidence: The Infant room, Toddler room and Twos classrooms do not have a sink with running warm water in the diapering area.”

22.1-289.036-A

“The Center is required to obtain a criminal history background check every five years from the date of the last criminal history background check. The record for Staff #1 contained a subsequent fingerprint background check completed 5 months after the due date.”

8VAC20-780-570-E

“(Repeat Violation) The Center is required to ensure that prepared infant formula was dated and labeled with the child’s name. In the Infant classroom, there were 3 bottles that were not dated.”

8VAC20-780-330-B

“(Repeat Violation) The Center is required to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus creates a sufficient fall zone. 1)On the large playground, there is a straight slide that is 34 inches in height with rubber mulch at 1 inch in depth instead of the required 6 inches. In some areas at the base of the slide, the dirt is visible. 2) On the small playground, there is a straight slide that is 13 inches in height with rubber mulch at less than 1 inch in depth instead of the required 6 inches. In some areas at the base of the slide, the dirt is visible. 3)On the small playground, there is a 4 seater bouncer that is 68 inches from the stationary fire truck instead of the required 6 feet of fall zone. A 25 inch long root is sticking up out of the ground at 48 inches from the 4 seater bouncer making this area non-resilient.”

8VAC20-780-80-A

“(Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection in the infant classroom, there were 5 children present, but the written record reflected there were 7 children present. 2)During inspection in the threes classroom, there were 5 children present, but the written record reflected there were 3 children present.”

8VAC20-780-340-A

“(Repeat Violation) The Center is required to ensure the care, protection and guidance of all children in care. Evidence: During inspection in the infant classroom, Child #1 (10 months old) was sleeping in a crib where the sheets were loosely wrinkled around and under the child. Child #2 (4 months old) was sleeping in a crib with a sherpa blanket covering their face. Safe sleep guidelines require no loose bedding where babies are sleeping due to the risk of suffocation.”

8VAC20-780-350-B-1

“The Center is required to maintain the required supervision ratio of 1 staff to 4 infants age birth up to 16 months old whenever children are in care. Evidence: During the inspection, the center did not maintain the required supervision ratio in the infant room. A staff member left the infant classroom to answer the door and use the restroom leaving 1 staff with 5 infants.”

8VAC20-780-350-B-2

“The Center is required to maintain the required supervision ratio of 1 staff for every 5 children for children ages 16 months up to 24 months old. Evidence: During the inspection, the center did not maintain the required supervision ratio in the Twos classroom. There was 1 staff member and 8 children and the youngest child was age 23 months old.”

8VAC20-780-500-B

“(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area. Evidence: The Toddler room and Twos classrooms did not have a sink with running warm water in the diapering area.”

8VAC20-780-80-A

“(Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection in the infant classroom, there were 5 children present, but the written record reflected there were 7 children present. 2)During inspection in the threes classroom, there were 5 children present, but the written record reflected there were 3 children present.”

8VAC20-780-340-A

“(Repeat Violation) The Center is required to ensure the care, protection and guidance of all children in care. Evidence: During inspection in the infant classroom, Child #1 (10 months old) was sleeping in a crib where the sheets were loosely wrinkled around and under the child. Child #2 (4 months old) was sleeping in a crib with a sherpa blanket covering their face. Safe sleep guidelines require no loose bedding where babies are sleeping due to the risk of suffocation.”

8VAC20-780-350-B-1

“The Center is required to maintain the required supervision ratio of 1 staff to 4 infants age birth up to 16 months old whenever children are in care. Evidence: During the inspection, the center did not maintain the required supervision ratio in the infant room. A staff member left the infant classroom to answer the door and use the restroom leaving 1 staff with 5 infants.”

8VAC20-780-350-B-2

“The Center is required to maintain the required supervision ratio of 1 staff for every 5 children for children ages 16 months up to 24 months old. Evidence: During the inspection, the center did not maintain the required supervision ratio in the Twos classroom. There was 1 staff member and 8 children and the youngest child was age 23 months old.”

8VAC20-780-500-B

“(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area. Evidence: The Toddler room and Twos classrooms did not have a sink with running warm water in the diapering area.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1)During inspection in the kitchen directly off the front hallway and where children have access, 1 container of bleach containing a label that stated ?Keep out of Reach of Children? and the word ?Warning? were stored in the open area under the sink in an unlocked area. 2)In the restroom between the Threes and Fours classroom where the door was open, 1 container of antibacterial wipes containing a label that stated ?Keep out of Reach of Children? and the word ?Warning? on the label was stored under the sink in an unlocked cabinet. In the same cabinet there was also an air freshener containing a label that stated ?Keep out of Reach of Children? and the word ?Caution? on the label. 3)In the closet directly off the infant classroom where the door was unlocked, 3 containers of disinfectant wipes and a multi-purpose cleaner containing labels that stated ?Keep out of Reach of Children? and the word ?Caution? on the labels were stored on an open shelf. In the same closet was 1 container of bleach containing a label that stated ?Keep out of Reach of Children? and the word ?Warning? was stored on the open shelf.”

8VAC20-780-340-F

“(Repeat Violation) Based on observation, the center did not ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: During inspection while the Threes and Fours classrooms were on the playground, Child #1 left the playground and went inside the building without a staff member. Staff did not escort the child into the building to maintain sight and sound supervision and staff did not notice the child was missing until the child returned to the group on their own.”

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection on the playground where the Threes and Fours classrooms were playing, there were 19 children present, but the written record reflected there were 22 children present. 2)During inspection in the Toddler classroom, the written record reflected no documentation of departure for the month of May 2024.”

8VAC20-780-560-G

“(Repeat Violation) Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant classroom, there were 14 containers of food from home that were stored on a shelf that did not have a child’s name on them clearly identifying the owner.”

8VAC20-780-330-B

“(Repeat Violation) Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. 1)The Large playground has a merry-go-round with bikes that is 26 inches in height with shredded rubber measuring less than 1 inch in depth measured on the back side of the equipment. The required depth of shredded rubber in this area should be 6 inches. 2)The Large playground has a platform on the back side of the large play structure that is 42 inches in height with shredded rubber measuring at 3 inches on the left side under the platform instead of the required 6 inches of shredded rubber. 3)The Toddler playground has a slide that is 23 inches in height with shredded rubber measuring less than 1 inch at the bottom instead of the required 6 inches of shredded rubber. 4)The Toddler playground has a slide that is 23 inches in height that is placed 42 inches from the side of the building instead of the required 6 foot fall zone.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1)During inspection in the kitchen directly off the front hallway and where children have access, 1 container of bleach containing a label that stated ?Keep out of Reach of Children? and the word ?Warning? were stored in the open area under the sink in an unlocked area. 2)In the restroom between the Threes and Fours classroom where the door was open, 1 container of antibacterial wipes containing a label that stated ?Keep out of Reach of Children? and the word ?Warning? on the label was stored under the sink in an unlocked cabinet. In the same cabinet there was also an air freshener containing a label that stated ?Keep out of Reach of Children? and the word ?Caution? on the label. 3)In the closet directly off the infant classroom where the door was unlocked, 3 containers of disinfectant wipes and a multi-purpose cleaner containing labels that stated ?Keep out of Reach of Children? and the word ?Caution? on the labels were stored on an open shelf. In the same closet was 1 container of bleach containing a label that stated ?Keep out of Reach of Children? and the word ?Warning? was stored on the open shelf.”

8VAC20-780-340-F

“(Repeat Violation) Based on observation, the center did not ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: During inspection while the Threes and Fours classrooms were on the playground, Child #1 left the playground and went inside the building without a staff member. Staff did not escort the child into the building to maintain sight and sound supervision and staff did not notice the child was missing until the child returned to the group on their own.”

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection on the playground where the Threes and Fours classrooms were playing, there were 19 children present, but the written record reflected there were 22 children present. 2)During inspection in the Toddler classroom, the written record reflected no documentation of departure for the month of May 2024.”

8VAC20-780-560-G

“(Repeat Violation) Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant classroom, there were 14 containers of food from home that were stored on a shelf that did not have a child’s name on them clearly identifying the owner.”

8VAC20-780-330-B

“(Repeat Violation) Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. 1)The Large playground has a merry-go-round with bikes that is 26 inches in height with shredded rubber measuring less than 1 inch in depth measured on the back side of the equipment. The required depth of shredded rubber in this area should be 6 inches. 2)The Large playground has a platform on the back side of the large play structure that is 42 inches in height with shredded rubber measuring at 3 inches on the left side under the platform instead of the required 6 inches of shredded rubber. 3)The Toddler playground has a slide that is 23 inches in height with shredded rubber measuring less than 1 inch at the bottom instead of the required 6 inches of shredded rubber. 4)The Toddler playground has a slide that is 23 inches in height that is placed 42 inches from the side of the building instead of the required 6 foot fall zone.”

8VAC20-780-80-A

“Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: 1)During inspection in the Infant classroom, there were 7 children present, but the written record reflected there were 4 children present. 2)During inspection in the Twos classroom, there were 6 children present, but the written record reflected there were no children present.”

8VAC20-780-160-C

“(Repeat Violation) Based on review of 3 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing. Evidence: The record for Staff #2 did not have documentation of a negative TB test or screening within 2 years of the last TB test. The most recent TB test on file was dated 12/7/21.”

8VAC20-780-500-B

“Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use. Evidence: In the Twos classroom, a staff member changed a child's diaper then sprayed a cleaner on the diapering surface and wiped it clean. No sanitizer was used as required. To properly sanitize the diapering surface, the sanitizer should be sprayed on the surface and the solution allowed to dry for at least 2 minutes.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff wash their hands with soap and running water after a diaper change and after contact with body fluids. Evidence: In the Twos classroom, staff did not wash their hands after changing a child’s diaper and before touching other surfaces and children in the classroom.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that electrical outlets have protective covers. Evidence: In the Twos classroom, there were 4 outlets that did not have protective covers.”

8VAC20-780-570-E

“(Repeat Violation) Based on observation, the center did not ensure that prepared infant formula was refrigerated, dated and labeled with the child’s name. Evidence: In the Infant classroom, there was a bottle of infant formula that was stored on top of the refrigerator and was not dated.”