Milestones Child Development Center

8VAC20-790-600-B

“All staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff with 90 days of employment. The record Staff #2, who has been working at the center for eight months, did not contain documentation of a completed 10-hour Virginia Preservice training.”

8VAC20-780-560-G

“When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. The refrigerator in the toddler room contained a bottle that did not have a name or date on it to identify the owner.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. The medication and authorization form for Child #4 expired in July of 2024 and the staff had administered the medication in December of 2024.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of hand sanitizer in the waddler room had the warning label, ?Keep out of reach of children? and was unlocked within reach of children”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. The following maintenance issues were observed: The 2 and 3 year old and pre-k room had various areas with peeling paint within reach of children.”

8VAC20-780-70

“Documentation of at least two references to character, reputation, and competency are to be checked prior to employment. Staff #1 and Staff #2, who have been actively working at the center for at least two months, did not have any completed reference verifications on file. Staff #3, who has been actively working at the center for a month only one reference verification on file.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain when applicable, work phone number and place of employment of each parent who has custody. The record for Child #1, Child #2 and Child #3 were missing the employment phone number for both parents and the record for Child #3 was missing the employment information for one parent. All three children were present during the inspection and had been in care for at least three months.”

8VAC20-790-600-B

“All staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff with 90 days of employment. The record Staff #2, who has been working at the center for eight months, did not contain documentation of a completed 10-hour Virginia Preservice training.”

8VAC20-780-560-G

“When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. The refrigerator in the toddler room contained a bottle that did not have a name or date on it to identify the owner.”

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center. The medication and authorization form for Child #4 expired in July of 2024 and the staff had administered the medication in December of 2024.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of hand sanitizer in the waddler room had the warning label, ?Keep out of reach of children? and was unlocked within reach of children”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. The following maintenance issues were observed: The 2 and 3 year old and pre-k room had various areas with peeling paint within reach of children.”

8VAC20-780-70

“Documentation of at least two references to character, reputation, and competency are to be checked prior to employment. Staff #1 and Staff #2, who have been actively working at the center for at least two months, did not have any completed reference verifications on file. Staff #3, who has been actively working at the center for a month only one reference verification on file.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain when applicable, work phone number and place of employment of each parent who has custody. The record for Child #1, Child #2 and Child #3 were missing the employment phone number for both parents and the record for Child #3 was missing the employment information for one parent. All three children were present during the inspection and had been in care for at least three months.”

8VAC20-780-560-J Complaint related: No

“Tables shall be sanitized before and after each use for feeding. Staff in the two- and three-year-old classroom did not sanitize the tables before the children sat down for lunch.”

8VAC20-780-270-A Complaint related: No

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. The children in the waddler classroom were eating lunch in a dark classroom and there were four out of six seats on the feeding table that had broken straps.”

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that staff may need to provide intermittent sight supervision to provide assistance to children as needed. A child (age 3 years) was using the urinal, and two other children (ages 3 years) began to use the same urinal at the same time and a staff intervened about a minute later.”

8VAC20-780-290-A-2 Complaint related: No

“Fans, when used, shall be out of reach of children and cords shall be secured so as not to create a tripping hazard. The waddler room had a fan cord that was plugged in and not secured on the side of the wall within reach of children.”

8VAC20-780-350-B-4 Complaint related: No

“The staff-to-children ratios for children 3 years old to school age eligible is 1:10 and is required whenever children are in care. Staff #1 was alone in the classroom supervising 15 children aged three and four for approximately 3 minutes before another staff member arrived.”

8VAC20-780-500-A Complaint related: No

“Children's hands shall be washed with soap and running water after toileting. Two children in the three- and four-year-old classroom did not wash their hands after using the restroom.”

8VAC20-780-500-B Complaint related: No

“Disposable diapers shall be disposed in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. A staff member in the waddler classroom was observed touching the trash can with their hands to dispose of a diaper.”

8VAC20-780-130-A

“Based on record review and interviews, it was determined the center did not obtain documentation that each child in care had received immunizations as required by the State Board of Health before the child attends the center. Evidence: 1.There was no documentation of immunizations in the record for child #1. The child began care on 5/29/24 and was in care on 6/3/2024. 2.The Director confirmed the immunization record was not in the record.”

8VAC20-780-130-E

“Based on record review and interviews, it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1.The most current documentation of immunizations for child # 2, who was under two years of age, was dated 7/6/2023, 11 months prior. 2.The Director confirmed additional immunization documentation was not in the record.”

8VAC20-780-140-A

“Based on record review and interview, it was determined the center did not ensure that the required physical was in the child’s record before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1.There was no physical in the record for child #5 who was in care from 1/2/24 to 3/1/2024. 2.The Director confirmed the physical was not in the record.”

8VAC20-780-150-B

“Based on record review, it was determined the center did not ensure that the documentation accepted as proof of immunizations included all of the required information. Evidence: 1.Documentation of immunizations in the record for child #5 was not signed by a physician, his designee, or an official of a local health department. It did not contain an official stamp from the physician’s office. The child's name was not included in the documentation, but was handprinted at the top of the documentation.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual health inspection was provided. Evidence: 1. The health inspection report available for viewing during the inspection was dated 5/3/2023. The report was more than a year old and was no longer current. 2. The Director confirmed the health inspection was not current.”

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined the center did not ensure that all areas and equipment of the facility was maintained in a safe and operable condition. Evidence: 1.There was a broken rolling cart in the four-year-old classroom. 2.There was a broken toilet seat and lid in the bathroom shared by the two and three -year-olds. 3.On the playground there was broken and jagged piece of siding on a wall of the building. The broken siding was low on the wall and accessible to children. 4.The Director confirmed the items were broken.”

8VAC20-780-330-B

“Based on observation, it was determined that the center did not ensure that where playground equipment is provided resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials F1292-99 (Compressed Loose Fill Synthetic Materials Depth Chart) and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1.The resilient surface (rubber mulch) around the slide and climbing equipment on the preschool playground was 1-2 ? in depth. This was less than the required minimum depth of 6?. 2. The Director confirmed the rubber mulch was not 6? in depth.”

8VAC20-780-500-A

“Based on observation it was determined the center did not ensure that children’s hands were washed with soap and running water after toileting. Evidence: 1.In the four-year-old classroom the inspector observed two children use the bathroom and return to the carpeted area without washing their hands.”

8VAC20-780-510-E

“Based on record review and interviews, it was determined that the center did not ensure that long term over the counter medication was allowed with written authorization from the child's physician and parent. Evidence: 1.The parent of child #6 signed an authorization for Infant Tylenol on 3/18/24. The authorization did not have a physician's signature therefore, it had expired 10 working days later on 4/1/2024. 2. Child #6 was given the medication on 4/23/24 and 4/24/24, after the authorization had expired.”

8VAC20-780-540-E

“Based on observation and interviews, it was determined the facility did not ensure the required nonmedical emergency supplies were available on each floor of the building. Evidence: 1.The battery-operated radio did not work. 2.There was no working flashlight. 3.The Director confirmed the radio and flashlight were not working.”

8VAC20-780-550-E

“Based on record review and interviews, it was determined the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: 1.There was only one shelter in place drill conducted in 2023. 2.The Director confirmed only one drill was documented.”

8VAC20-780-550-P

“Self-reported Based on record review and interviews, it was determined the center did not ensure that a written record of children’s serious and minor injuries was documented on the day of occurrence and includes all the required information. Evidence: 1.The written record of an injury that occurred on 3/1/2024 was not completed with all required information on the day the injury occurred. The center's Injury/Incident form (written record) was completed on 3/4/2024.”

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.The record for child #1 did not contain the work phone number for the father, the physicians name and phone number and documentation of viewing the proof of identity and age of the child. 2.The Director confirmed the documentation was not in the record.”

8VAC20-780-130-A

“Based on record review and interviews, it was determined the center did not obtain documentation that each child in care had received immunizations as required by the State Board of Health before the child attends the center. Evidence: 1.There was no documentation of immunizations in the record for child #1. The child began care on 5/29/24 and was in care on 6/3/2024. 2.The Director confirmed the immunization record was not in the record.”

8VAC20-780-130-E

“Based on record review and interviews, it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1.The most current documentation of immunizations for child # 2, who was under two years of age, was dated 7/6/2023, 11 months prior. 2.The Director confirmed additional immunization documentation was not in the record.”

8VAC20-780-140-A

“Based on record review and interview, it was determined the center did not ensure that the required physical was in the child’s record before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1.There was no physical in the record for child #5 who was in care from 1/2/24 to 3/1/2024. 2.The Director confirmed the physical was not in the record.”

8VAC20-780-150-B

“Based on record review, it was determined the center did not ensure that the documentation accepted as proof of immunizations included all of the required information. Evidence: 1.Documentation of immunizations in the record for child #5 was not signed by a physician, his designee, or an official of a local health department. It did not contain an official stamp from the physician’s office. The child's name was not included in the documentation, but was handprinted at the top of the documentation.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual health inspection was provided. Evidence: 1. The health inspection report available for viewing during the inspection was dated 5/3/2023. The report was more than a year old and was no longer current. 2. The Director confirmed the health inspection was not current.”

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined the center did not ensure that all areas and equipment of the facility was maintained in a safe and operable condition. Evidence: 1.There was a broken rolling cart in the four-year-old classroom. 2.There was a broken toilet seat and lid in the bathroom shared by the two and three -year-olds. 3.On the playground there was broken and jagged piece of siding on a wall of the building. The broken siding was low on the wall and accessible to children. 4.The Director confirmed the items were broken.”

8VAC20-780-330-B

“Based on observation, it was determined that the center did not ensure that where playground equipment is provided resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials F1292-99 (Compressed Loose Fill Synthetic Materials Depth Chart) and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1.The resilient surface (rubber mulch) around the slide and climbing equipment on the preschool playground was 1-2 ? in depth. This was less than the required minimum depth of 6?. 2. The Director confirmed the rubber mulch was not 6? in depth.”

8VAC20-780-500-A

“Based on observation it was determined the center did not ensure that children’s hands were washed with soap and running water after toileting. Evidence: 1.In the four-year-old classroom the inspector observed two children use the bathroom and return to the carpeted area without washing their hands.”

8VAC20-780-510-E

“Based on record review and interviews, it was determined that the center did not ensure that long term over the counter medication was allowed with written authorization from the child's physician and parent. Evidence: 1.The parent of child #6 signed an authorization for Infant Tylenol on 3/18/24. The authorization did not have a physician's signature therefore, it had expired 10 working days later on 4/1/2024. 2. Child #6 was given the medication on 4/23/24 and 4/24/24, after the authorization had expired.”

8VAC20-780-540-E

“Based on observation and interviews, it was determined the facility did not ensure the required nonmedical emergency supplies were available on each floor of the building. Evidence: 1.The battery-operated radio did not work. 2.There was no working flashlight. 3.The Director confirmed the radio and flashlight were not working.”

8VAC20-780-550-E

“Based on record review and interviews, it was determined the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: 1.There was only one shelter in place drill conducted in 2023. 2.The Director confirmed only one drill was documented.”

8VAC20-780-550-P

“Self-reported Based on record review and interviews, it was determined the center did not ensure that a written record of children’s serious and minor injuries was documented on the day of occurrence and includes all the required information. Evidence: 1.The written record of an injury that occurred on 3/1/2024 was not completed with all required information on the day the injury occurred. The center's Injury/Incident form (written record) was completed on 3/4/2024.”

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.The record for child #1 did not contain the work phone number for the father, the physicians name and phone number and documentation of viewing the proof of identity and age of the child. 2.The Director confirmed the documentation was not in the record.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 1 (date of hire: 7/25/23) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center owner confirmed that the record for staff 1 is lacking documentation of the two required reference checks.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. There was a wooden shelving unit located on the younger children's playground with two rusted nails protruding from the top of the shelf. The shelving unit was accessible to the children in care. 2. The center owner confirmed that the wooden shelving unit was not maintained in a safe and operable condition.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record for child 1 (date of enrollment: 7/6/23) does not contain documentation of a physical examination. 2. The center owner confirmed that the record for child 1 is lacking documentation of a physical examination.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 1 (date of hire: 7/25/23) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center owner confirmed that the record for staff 1 is lacking documentation of the two required reference checks.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. There was a wooden shelving unit located on the younger children's playground with two rusted nails protruding from the top of the shelf. The shelving unit was accessible to the children in care. 2. The center owner confirmed that the wooden shelving unit was not maintained in a safe and operable condition.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Evidence: 1. The record for child 1 (date of enrollment: 7/6/23) does not contain documentation of a physical examination. 2. The center owner confirmed that the record for child 1 is lacking documentation of a physical examination.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure that prepared infant formula shall be dated. Evidence: 1. In the infant room, there were 3 bottles of formula that were not dated. 2. The infant teacher confirmed that the bottled formula in the infant room were not dated.”

8VAC20-780-440-N

“Based on observation and interview, it was determined that the center did not ensure that toys or objects hung over an infant in a crib and crib gyms that are strung across the crib may not be used for infants over five months of age. Evidence: 1. Three of the four cribs used by Child #1, Child #2, and Child #3 had toy objects that strung across the crib. All three children were over the age of five months. a. Child #1 is age 10 months. b. Child #2 is age 9 months. c. Child #3 is age 19 months. 2. Infant staff member confirmed that Child #1, Child #2, and Child #3 had toys strung across their cribs and that each child was over the age of five months old.”

8VAC20-790-600-D-2

“Based on record review and interview, the vendor did not ensure that all staff have current certification in first aid within 90 days of the date of employment. Evidence: 1. The records for staff 1 (date of hire: 8/29/22) does not contain documentation of current certification in first aid. 2. The vendor confirmed that the record for staff 1 lacks documentation of current certification in first aid.”

8VAC20-790-600-D-1

“Based on record review and interview, the vendor did not ensure that all staff have current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1. The records for staff 1 (date of hire: 8/29/22) does not contain documentation of current certification in CPR. 2. The vendor confirmed that the record staff 1 lacks documentation of current certification in CPR.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center shall be maintained in a clean, safe and operable condition. Evidence: 1. The wooden shelving unit in the school-age classroom has multiple areas of chipped and peeling paint. 2. The center director confirmed that the shelving unit in the school-age classroom has chipped and peeling paint.”

8VAC20-780-240-A

“Based on record review and interview, the center did not ensure that all staff shall complete the Virginia Department of Education-sponsored orientation training within 90 calendar days of employment. Evidence: 1. The record for staff 3 (date of hire: 8/29/22) does not contain documentation of completing the Virginia Department of Education-sponsored orientation training. 2. The center director confirmed that staff 3 has not completed the required orientation training.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. Staff 2's (date of hire: 10/25/22) job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. 2. Staff 3's (date of hire: 8/29/22) job title is documented in the record as program leader. The record for staff 2 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. 3. Staff 5's (date of hire: 11/4/22) job title is documented in the record as program leader. The record for staff 5 does not contain documentation to demonstrate that she possesses the education required for the job position of program leader. 4. Staff 6's (date of hire: 11/18/22) job title is documented in the record as program leader. The record for staff 6 does not contain documentation to demonstrate that she possesses the education and experience required for the job position of program leader. The record for staff 6 also does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The center director confirmed that the records for staff 2, staff 3, staff 5 and staff 6 are lacking the above required information.”

8VAC20-780-60-A-8

“Based on record review and interview, the center did not ensure that children's records contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Child 2 is identified on the center's written allergies, sensitivities and dietary restrictions list as having a diagnosed food allergy and has an emergency medication being stored at the center. The center does not have a written allergy care plan for child 2. 2. The center director confirmed that the center does not have a written allergy care plan for child 2's diagnosed food allergy.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and before coming into contact with children. Evidence: 1. The record for staff 3 (date of hire: 8/29/22) does not contain documentation of a negative tuberculosis screening. 2. The record for staff 6 (date of hire: 11/18/22) contains documentation of a negative tuberculosis screening dated 11/20/22, which is after her date of hire. 3. The center director confirmed that the tuberculosis screenings for staff 3 and staff 6 were not completed within the required timeframes.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that an employee of a licensed or registered child day program must be denied continued employment or volunteer service if the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: 1. The records for staff 2 (date of hire: 10/25/22) and staff 3 (date of hire: 8/29/22) do not contain documentation of a central registry finding. 2. The center director confirmed that the records for staff 2 and staff 3 are lacking documentation of a central registry finding.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that a copy of the results of a search of the child abuse and neglect registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 3 has a hire date of 8/29/22. Staff 3 indicated on her sworn statement or affirmation that she has resided in the state of New Jersey within the past five years. The results of a search of the child abuse and neglect registry were not available for staff 3 from the state of New Jersey. 2. The center director confirmed that the required out-of-state background check was not completed for staff 3.”

8VAC20-780-510-B

“Based on interview and a review of medication, the center did not ensure that nonprescription medication shall be given to a child only with written authorization from the parent. Evidence: 1. Child 1 was administered Benadryl by center staff on 11/1/22 without written authorization from the parent. 2. The center director confirmed that there is no written parental authorization to administer Benadryl to child 1.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that the results of a national fingerprint search are received for each staff member before employment. Evidence: 1. The record for staff 4 (date of hire: 12/12/22) contains results of a national fingerprint search dated 12/14/22, which is after her first day of employment. 2. The center director confirmed that staff 4 began employment at the center prior to receiving the results of her national fingerprint search.”

22.1-289.035-A

“Based on record review and interview, the center did not ensure that all employees shall undergo a background check every five years after the initial check is completed. Evidence: 1. The most recent central registry search result for staff 1 is dated 8/2/17. Staff 1 was due for an updated central registry search in August 2022. 2. The center director confirmed that the central registry search results for staff 1 is expired.”

8VAC20-780-510-E

“Based on interview and a review of medication, the center did not ensure that the center's procedures for administering medication shall include written authorization from the child's physician and parent for long-term prescription drug use. Evidence: 1. Child 1 has an emergency medication being stored at the center. There is no written parental or physician authorization to administer this medication to child 1. 2. Child 2 has an emergency medication being stored at the center. There is no written parental or physician authorization to administer this medication to child 2. 3. The center director confirmed that child 1 and child 2 have emergency medications being stored at the center and that there is no written parental or physician authorization for the center to administer these medications to the children.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure that prepared infant formula shall be dated. Evidence: 1. In the infant room, there were 6 bottles of formula in the refrigerator that were not dated. 2. The center director confirmed that the refrigerated bottled formula in the infant room were not dated.”

8VAC20-780-280-B

“Based on observation and interview, the center did not 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: 1. In the waddler/toddler bathroom, there was toilet bowl cleaner and a spray disinfectant unlocked on the top of a cabinet above the toilet. 2. In the waddler room, there was gel hand sanitizer on the changing table and accessible to children in care. 3. In the toddler room, there was a can of disinfectant, a spray bottle of sanitizer and Clorox disinfecting mist on an unlocked cabinet shelf above the sink. 4. The center director confirmed that there were unlocked hazardous cleaning materials in the toddler and waddler classrooms and bathroom.”

8VAC20-780-340-F

“Based on observation and interview, the center did not ensure that children under 10 years of age shall always be within actual sight and sound supervision of staff. Evidence: 1. During an on-site inspection at the center on 9/28/22, the licensing inspector and staff 1 (center director) observed child 1, age 3 years, walking down the hallway alone and unsupervised up to the front of the center, while the rest of the child's class was outside on the playground. Child 1 was out of sight and sound supervision of staff for approximately 30 seconds to 1 minute. 2. Staff 2 and staff 3 both stated that they were not aware that child 1 had left the playground and gone inside the building. 3. Staff 3 stated that child 1 had attempted to go inside the center from the playground previously that morning and that the child "must have wandered back inside". 4. Staff 1 (center director) confirmed that child 1 was without sight and sound supervision of staff and had left the playground without staff knowledge.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 9/6/22) does not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Staff 1 (center director) confirmed that the record for child 1 is lacking the required emergency contact information.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure that the staff-to-children ratio of 1:4 for birth up to 16 months is maintained. Evidence: 1. During an on-site inspection on 9/28/22, the licensing inspector observed 1 staff person caring for 5 infants, ages 4 months to 9 months, in the infant room. The number and ages of the children required 2 staff to be present. 2. Staff 1 (center director) confirmed that there was only 1 staff person with 5 children in the infant room, where 2 staff are required.”

8VAC20-780-340-F

“Based on observation and interview, the center did not ensure that children under 10 years of age shall always be within actual sight and sound supervision of staff. Evidence: 1. During an on-site inspection at the center on 9/28/22, the licensing inspector and staff 1 (center director) observed child 1, age 3 years, walking down the hallway alone and unsupervised up to the front of the center, while the rest of the child's class was outside on the playground. Child 1 was out of sight and sound supervision of staff for approximately 30 seconds to 1 minute. 2. Staff 2 and staff 3 both stated that they were not aware that child 1 had left the playground and gone inside the building. 3. Staff 3 stated that child 1 had attempted to go inside the center from the playground previously that morning and that the child "must have wandered back inside". 4. Staff 1 (center director) confirmed that child 1 was without sight and sound supervision of staff and had left the playground without staff knowledge.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 9/6/22) does not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Staff 1 (center director) confirmed that the record for child 1 is lacking the required emergency contact information.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure that the staff-to-children ratio of 1:4 for birth up to 16 months is maintained. Evidence: 1. During an on-site inspection on 9/28/22, the licensing inspector observed 1 staff person caring for 5 infants, ages 4 months to 9 months, in the infant room. The number and ages of the children required 2 staff to be present. 2. Staff 1 (center director) confirmed that there was only 1 staff person with 5 children in the infant room, where 2 staff are required.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that an employee of a licensed or registered child day program must be denied continued employment or volunteer service if the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 10/18/21) and staff 2 (date of hire: 2/28/22) do not contain documentation of a central registry finding. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of a central registry finding.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that a copy of the results of a criminal history record information check, a sex offender registry check and a search of the child abuse and neglect registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 10/18/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Texas within the past five years. The results of a criminal history record information check and the sex offender registry check were not available for staff 1 from the state of Texas. 2. Staff 3 has a hire date of 10/13/21. Staff 3 indicated on her sworn statement or affirmation that she has resided in the state of New Jersey within the past five years. The results of a search of the child abuse and neglect registry were not available for staff 3 from the state of New Jersey. 3. The center director confirmed that all of the required out-of-state background checks were not completed for staff 1 and staff 3.”

8VAC20-780-550-E

“Based upon review of emergency drill records and interview, the center did not ensured that a minimum of two shelter-in-place drills are conducted per year. Evidence: 1. The emergency drill record provided had only one shelter-in-place drill documented for 2021. 2. The center director confirmed that only one shelter-in-place drill was conducted in 2021.”

8VAC20-780-340-D

“Based on observation and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: 1. During the inspection, staff 2 was observed working alone in the school-age classroom with 8 children from 9:30am until 11:30am. Staff 2 is not program leader qualified. 2. The center director confirmed that staff 2 is not program leader qualified and was working alone with the school-aged children for a period of two hours.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On the toddler playground, there was a plastic play structure with broken and cracked steps, which is a pinching and tripping hazard. Children were observed playing on the structure and going up the steps of the play structure during the inspection. 2. The center owner confirmed that the plastic play structure on the toddler playground was broken and cracked.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 4 (date of hire: 9/9/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center director confirmed that the record for staff 4 is lacking documentation of the required reference checks.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The records for staff 2 (date of hire: 2/28/22) and staff 4 (date of hire: 9/9/21) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 2 and staff 4 are lacking documentation of a negative tuberculosis screening.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: 1. The record for child 1 (date of enrollment: 1/18/22) contains documentation of a physical examination dated 3/2/22, which is more than one month after attendance. 2. The center director confirmed that documentation of child 1's physical examination was obtained more than one month after the child's enrollment.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that an employee of a licensed or registered child day program must be denied continued employment or volunteer service if the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 10/18/21) and staff 2 (date of hire: 2/28/22) do not contain documentation of a central registry finding. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of a central registry finding.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that a copy of the results of a criminal history record information check, a sex offender registry check and a search of the child abuse and neglect registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 10/18/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Texas within the past five years. The results of a criminal history record information check and the sex offender registry check were not available for staff 1 from the state of Texas. 2. Staff 3 has a hire date of 10/13/21. Staff 3 indicated on her sworn statement or affirmation that she has resided in the state of New Jersey within the past five years. The results of a search of the child abuse and neglect registry were not available for staff 3 from the state of New Jersey. 3. The center director confirmed that all of the required out-of-state background checks were not completed for staff 1 and staff 3.”

8VAC20-780-550-E

“Based upon review of emergency drill records and interview, the center did not ensured that a minimum of two shelter-in-place drills are conducted per year. Evidence: 1. The emergency drill record provided had only one shelter-in-place drill documented for 2021. 2. The center director confirmed that only one shelter-in-place drill was conducted in 2021.”

8VAC20-780-340-D

“Based on observation and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: 1. During the inspection, staff 2 was observed working alone in the school-age classroom with 8 children from 9:30am until 11:30am. Staff 2 is not program leader qualified. 2. The center director confirmed that staff 2 is not program leader qualified and was working alone with the school-aged children for a period of two hours.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On the toddler playground, there was a plastic play structure with broken and cracked steps, which is a pinching and tripping hazard. Children were observed playing on the structure and going up the steps of the play structure during the inspection. 2. The center owner confirmed that the plastic play structure on the toddler playground was broken and cracked.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 4 (date of hire: 9/9/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center director confirmed that the record for staff 4 is lacking documentation of the required reference checks.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The records for staff 2 (date of hire: 2/28/22) and staff 4 (date of hire: 9/9/21) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 2 and staff 4 are lacking documentation of a negative tuberculosis screening.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: 1. The record for child 1 (date of enrollment: 1/18/22) contains documentation of a physical examination dated 3/2/22, which is more than one month after attendance. 2. The center director confirmed that documentation of child 1's physical examination was obtained more than one month after the child's enrollment.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that an employee of a licensed or registered child day program must be denied continued employment or volunteer service if the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: 1. The records for staff 1 (date of hire: 10/18/21) and staff 2 (date of hire: 2/28/22) do not contain documentation of a central registry finding. 2. The center director confirmed that the records for staff 1 and staff 2 are lacking documentation of a central registry finding.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that a copy of the results of a criminal history record information check, a sex offender registry check and a search of the child abuse and neglect registry is obtained from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1 has a hire date of 10/18/21. Staff 1 indicated on her sworn statement or affirmation that she has resided in the state of Texas within the past five years. The results of a criminal history record information check and the sex offender registry check were not available for staff 1 from the state of Texas. 2. Staff 3 has a hire date of 10/13/21. Staff 3 indicated on her sworn statement or affirmation that she has resided in the state of New Jersey within the past five years. The results of a search of the child abuse and neglect registry were not available for staff 3 from the state of New Jersey. 3. The center director confirmed that all of the required out-of-state background checks were not completed for staff 1 and staff 3.”

8VAC20-780-550-E

“Based upon review of emergency drill records and interview, the center did not ensured that a minimum of two shelter-in-place drills are conducted per year. Evidence: 1. The emergency drill record provided had only one shelter-in-place drill documented for 2021. 2. The center director confirmed that only one shelter-in-place drill was conducted in 2021.”

8VAC20-780-340-D

“Based on observation and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: 1. During the inspection, staff 2 was observed working alone in the school-age classroom with 8 children from 9:30am until 11:30am. Staff 2 is not program leader qualified. 2. The center director confirmed that staff 2 is not program leader qualified and was working alone with the school-aged children for a period of two hours.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On the toddler playground, there was a plastic play structure with broken and cracked steps, which is a pinching and tripping hazard. Children were observed playing on the structure and going up the steps of the play structure during the inspection. 2. The center owner confirmed that the plastic play structure on the toddler playground was broken and cracked.”

8VAC20-780-70

“Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The record for staff 4 (date of hire: 9/9/21) does not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The center director confirmed that the record for staff 4 is lacking documentation of the required reference checks.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The records for staff 2 (date of hire: 2/28/22) and staff 4 (date of hire: 9/9/21) do not contain documentation of a negative tuberculosis screening. 2. The center director confirmed that the records for staff 2 and staff 4 are lacking documentation of a negative tuberculosis screening.”

8VAC20-780-140-A

“Based on record review and interview, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: 1. The record for child 1 (date of enrollment: 1/18/22) contains documentation of a physical examination dated 3/2/22, which is more than one month after attendance. 2. The center director confirmed that documentation of child 1's physical examination was obtained more than one month after the child's enrollment.”