Natural Wonders Early Learning Center

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

“Staff shall wash hands with soap and running water before and after a diaper change and children's hands shall be washed with soap and running water before and after eating meals or snacks. 1. Staff #1 did not wash hands before changing a child's diaper. 2. Six children in the older 2's class did not wash their hands after eating snack.”

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

“Tables shall be sanitized before and after each use for feeding. Tables were not sanitized after snack.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. 1. Child #2, who has been attending the center for two months, has a diagnosed food allergy. The allergy care plan for this child states emergency medication is needed for the allergy but the center did not have one of the emergency medications needed per the physician's plan since this child has been attending.”

8VAC20-780-70

“The center failed to have required documentation in each staff file. 1. The record of staff #3, employed for over six weeks, did not contain documentation to demonstrate the individual possesses the education required for the job position. Staff #2 was working as a program lead at the time of inspection. 2. The record of staff #4, employed for over two weeks, did not contain documentation to demonstrate the individual possesses the education required for the job position. Staff #4 was working as a program lead at the time of inspection.”

8VAC20-780-40-E

“REPEAT VIOLATION SYSTEMIC VIOLATION The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. 1. The center handbook indicates their restrictions on medications as, "Restrictions: no 'as needed' medications." 2. An "as needed" medication was on-site and administered.”

22.1-289.035-B-3

“SYSTEMIC VIOLATION The center must request a search of the central registry prior to the employee's first day of employment. 1. The central registry check was not requested prior to staff #2's first day of employment. Staff #2 completed orientation training on 12/2/2025 and the central registry check was completed on 12/3/2025.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used 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. 1. In the infant room there is a step-can that has a locking mechanism and staff #1 touched the lid with their hand to unlock it and then used the step mechanism.”

8VAC20-780-510-L

“SYSTEMIC VIOLATION Medication shall be kept in a locked place using a safe locking method that prevents access by children. 1. Several prescription medications were in an unlocked cabinet in the office, which was left unattended several times during the inspection, and accessible to children. 2. A prescription medication was on a counter in the office from 8:01 a.m. until 12 p.m. This medication was accessible to children.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. 1. Child #2, who has been attending the center for two months, has a diagnosed food allergy. The allergy care plan for this child states emergency medication is needed for the allergy but the center did not have one of the emergency medications needed per the physician's plan since this child has been attending.”

8VAC20-780-70

“The center failed to have required documentation in each staff file. 1. The record of staff #3, employed for over six weeks, did not contain documentation to demonstrate the individual possesses the education required for the job position. Staff #2 was working as a program lead at the time of inspection. 2. The record of staff #4, employed for over two weeks, did not contain documentation to demonstrate the individual possesses the education required for the job position. Staff #4 was working as a program lead at the time of inspection.”

8VAC20-780-40-E

“REPEAT VIOLATION SYSTEMIC VIOLATION The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. 1. The center handbook indicates their restrictions on medications as, "Restrictions: no 'as needed' medications." 2. An "as needed" medication was on-site and administered.”

22.1-289.035-B-3

“SYSTEMIC VIOLATION The center must request a search of the central registry prior to the employee's first day of employment. 1. The central registry check was not requested prior to staff #2's first day of employment. Staff #2 completed orientation training on 12/2/2025 and the central registry check was completed on 12/3/2025.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of in a leakproof or plastic-lined storage system that is either foot-operated or used 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. 1. In the infant room there is a step-can that has a locking mechanism and staff #1 touched the lid with their hand to unlock it and then used the step mechanism.”

8VAC20-780-510-L

“SYSTEMIC VIOLATION Medication shall be kept in a locked place using a safe locking method that prevents access by children. 1. Several prescription medications were in an unlocked cabinet in the office, which was left unattended several times during the inspection, and accessible to children. 2. A prescription medication was on a counter in the office from 8:01 a.m. until 12 p.m. This medication was accessible to children.”

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective.There was emergency medication stored for potential administration to child #3. There was no parent authorization for the medication.”

8VAC20-780-520-C

“Systemic Violation If diaper ointment or cream is used a record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions. Staff #11 stated diaper spray gel was administered several times to child #7 and there was no record kept.”

8VAC20-780-510-E

“Systemic Violation The center's procedures for administering nonprescription medication, shall be consistent with the manufacturer's instructions for age, duration, and dosage. Staff #15 did not follow the manufacturer's instructions when the staff administered an incorrect dosage of children's ibuprofen higher than the manufacturer's instructions, to child #6 (age 2 years).”

8VAC20-780-40-E

“Systemic Violation The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center is required to follow its own policy on medications. The parent handbook states that prescription drugs and other medications must be properly labeled with the child's name and dosage and that Over-the Counter medications must follow the manufacturer's instructions for age, dosage, and duration. On October 27, 2025, an incorrect dosage of over-the-counter medication was administered to child #6 (age 2 years). The medication was not labeled with the dosage and duration and the manufacturer's instructions were not followed.”

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2, staff #3, staff #4, and staff #5, did not have fingerprint results prior to employment. Staff #2, had been employed over a month, staff #3 had been employed over three weeks, staff #4 had been employed over a week, and staff #5 had been employed for two days before fingerprint results were obtained. Each of these staff completed orientation training on 8/5/25.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. 1. The sworn statements for staff #1, staff #3, staff #5, staff #7, staff # 10, staff #11, and staff #14 were dated three days after their first day of employment. 2. The sworn statement for staff #2 was dated over six weeks after their first day of employment. 3. The sworn statement for staff #6 was dated seven days after their first day of employment. 4. The sworn statement for staff #9 was dated eight days after their first day of employment.”

8VAC20-780-510-G

“Systemic Violation Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Medication for child #6, was not labeled with the dosage amount and time or times to be given.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There were several areas of exposed, sharp and/or rusted pieces of chain-link fence surrounding the outdoor play area.”