New Dominion International Fellowship

8VAC20-790-790-A

“Repeat violation The vendor shall have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. The facility's emergency preparedness plan was written in 2023 for the location in which care was previously provided. There was not an emergency preparedness plan for the current facility location.”

8VAC20-790-640-A

“Repeat violation Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. If a key is used, the key shall not be accessible to children. There was a container of sanitizing wipes on top of a cabinet in the lobby classroom.”

8VAC20-790-530-B

“For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The facility had master sign-in sheets for each child, however did not have a written hard copy record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs.”

8VAC20-790-540-B

“Repeat violation Each child's record shall include all required documentation. The record provided for child 3 did not include the mother's work telephone number, the address, telephone number and employment information for the father, the street address and telephone number for one emergency contact person and did not include a second emergency contact. The records provided for child 4 and child 5 did not include the city and state of the emergency contact persons. The record for child 7 had no addresses for emergency contact persons. The record provided for child 6 did not include the street address for one emergency contact person. The record provided for child 8 included only 1 emergency contact person.”

8VAC20-790-580-A

“Repeat violation The vendor shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record in the file for child 7 did not have the child's name or any other identifying information on the record.”

8VAC20-790-800-A-3

“Lockdown procedures shall be practiced at least annually. There was no documentation that any lockdown drills had been practiced.”

8VAC20-790-800-A-2

“Shelter-in-place procedures shall be practiced twice a year. There was no documentation of any shelter-in-place drills,”

8VAC20-790-790-C

“Emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Emergency procedures or maps were not posted in the facility.”

8VAC20-790-650-A

“The facility shall have at least two toilets and two sinks. The facility has only one toilet.”

22.1-289.031-B-4

“The facility shall ensure that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. The immunization record in the file provided for child 7 did not have any information identifying the child for whom the record belonged.”

8VAC20-790-520-E

“The vendor shall inform all staff who work with children of children's allergies, sensitivities, and dietary restrictions. The record provided for child 9 indicated that the child is lactose intolerant. Staff were unaware of this sensitivity.”

8VAC20-790-520-F

“The vendor shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The facility did not have a current written list of all children's allergies, sensitivities and dietary restrictions.”

8VAC20-790-560-B

“Subsequent TB screenings are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician. The most recent tuberculosis screenings in the records of staff 1 and 2 are from February 2023.”

8VAC20-790-820-C

“Bottle fed infants who cannot hold their own bottles shall be held when fed. Bottles shall not be propped or used while the child is in his designated sleeping location. Upon arrival of the inspector at 8:50 AM, child 8 was in a crib with a bottle.”

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated, and labeled with the child's name if more than one infant is in care. There were two infants in care. The prepared bottle for child 8 was not dated and labeled with the child's name.”

8VAC20-790-550-2-f

“The facility shall have documentation of subsequent background checks conducted every five years. The most recent completed and signed sworn disclosure statement in the record of staff is dated 2018.”

22.1-289.031-A-3 Complaint related: Yes

“When a group of children receiving care includes children in different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-child ratio that applies to that group. Upon the arrival of the inspector at 8:50 AM, staff 1 was on duty alone with 8 children, ages 7 months to 3 years.”

8VAC20-790-560-B

“Subsequent TB screenings are required at least every two years from the date of the initial screening, or more frequently if recommended by a physician. The most recent tuberculosis screenings in the records of staff 1 and 2 are from February 2023.”

8VAC20-790-820-C

“Bottle fed infants who cannot hold their own bottles shall be held when fed. Bottles shall not be propped or used while the child is in his designated sleeping location. Upon arrival of the inspector at 8:50 AM, child 8 was in a crib with a bottle.”

8VAC20-790-820-E

“Prepared infant formula shall be refrigerated, dated, and labeled with the child's name if more than one infant is in care. There were two infants in care. The prepared bottle for child 8 was not dated and labeled with the child's name.”

8VAC20-790-550-2-f

“The facility shall have documentation of subsequent background checks conducted every five years. The most recent completed and signed sworn disclosure statement in the record of staff is dated 2018.”

22.1-289.031-A-3 Complaint related: Yes

“When a group of children receiving care includes children in different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-child ratio that applies to that group. Upon the arrival of the inspector at 8:50 AM, staff 1 was on duty alone with 8 children, ages 7 months to 3 years.”

8VAC20-790-720-J

“Parents shall be informed of the vendor’s emergency preparedness plan. The facility was unable to provide an emergency preparedness plan.”

8VAC20-790-760-B-3

“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. The facility did not have a foot operated storage system for disposing diapers.”

8VAC20-790-570-2

“The vendor shall file and maintain reports of informing the department? representative no more than two business days of any injury to a child while under the vendor’s supervision when a referral is made for treatment from a medical professional. On 11/7/2024, child 9 was observed with a bruised bump above the right eye. Staff 2 stated that child 9 had hit his head while in care and that the parent had been told to take child 9 to the doctor. No report has been submitted for child 9.”

8VAC20-790-580-A

“The vendor shall obtain documentation tat each child has received the immunizations required by the State Board of Health before the child can attend the center. There is no documentation of immunizations in the records for child 2 and child 5 both in attendance during the inspection on 11/7/2024. 8VAC20-570-580.B The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age. The last immunization update in the record for child 4, 15 months of age, is dated 9 months ago.”

8VAC20-790-550-1

“The vendor shall maintain a record for each staff person that includes all required information. The records for staff 1, 2, 3, 4, 5 and 6 did not include the dates of employment. The record for staff 6 did not have the date of termination of employment.”

8VAC20-790-790-A

“The vendor shall have a written er=emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. The vendor was unable to provide a written emergency preparedness plan.”

8VAC20-790-540-B

“The vendor shall maintain and keep at the center a record for each enrolled child that includes all required documentation. The record provided for child 2 did not contain immunization records. The record for child 3 did not contain the name. address and telephone number of a person designated by the parent to contact in case of an emergency, the name address and telephone number of the father who is listed on the birth certificate and for whom there is no custody documentation, permission for emergency medical treatment and the parent agreement to pick up the child if ill. The record for child 4 did not include the address of the designated emergency contact person. The record for child 5 did not include the father’s address, the father’s place of employment, proof of identification, documentation of immunizations, permission for emergency medical treatment and the parent agreement to pick up the child if ill. The record for child 6 did not include the parent’s permission for emergency medical treatment or the parent agreement to pick up the child if ill.”

8VAC20-790-600-C

“Orientation training of staff shall be completed on the required facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. The records for staff 1, 2, 3, 4, 5, and 6, all employed over seven days, do not include documentation of any orientation training.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid. The records provided for staff 1 and staff 2 do not include documentation of current first aid certification.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training. The records provided for staff 1, 2, 3, 4, 5 and 6 do not include documentation of attending at least 16 hours of annual training.”

8VAC20-790-600-I

“There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. The record provided for all current staff did not include documentation that any of the staff have obtained instruction in performing daily health observation of children.”

8VAC20-790-640-A

“Hazardous substances , such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. There was a container of aerosol disinfectant spray on a high open shelf on the brick wall at the end of the large classroom. There was pump hand sanitizer on top of the 4 foot high cubby shelf. There was a container of disinfecting wipes on top of a four drawer gray cabinet. There was disinfecting spray and pump disinfecting cleaner in the unlocked bottom drawer of a cabinet in the preschool classroom. All containers had warning labels and to keep out of reach of children.”

8VAC20-790-540-A

“The vendor shall maintain and keep at the center a record for each enrolled child which shall be made accessible to the department’s representative. The director was unable to provide a record for child 7 or child 8.”

8VAC20-790-800-A-1

“The emergency response drills shall be practiced at a minimum of two shelter-in-place drills and one lockdown drill annually. The vendor had only one shelter-in-place drill documented and no lockdown drills within the past year.”

8VAC20-790-670-E

“The vendor shall develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. The vendor was unable to provide a written policy and procedure to ensure that each group of children receives care by consistent staff or team of staff members.”

8VAC20-790-720-C

“The vendor shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. On 11/7/2024, child 9 had a bruising bump above the right eye. Staff 2 stated that the child had fallen while in care the previous day. There was no written record of the child’s injury.”

8VAC20-790-720-F

“Parents shall be provided at least annually in writing information on their child’s behavior, development, adjustment and needs. There was no documentation or information in the record of child 4 that the parents of child 4, who has been enrolled for 13 months, were provided written information their child’s behavior and development.”

22.1-289.035-B-1

“The facility shall obtain a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. The sworn statement or affirmation documents obtained from staff 5 and staff 6 do not indicate whether they have been the subject of a founded complaint of child abuse or neglect if they have lived outside of the Commonwealth”

22.1-289.035-B-3

“The facility shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. Results of a central registry search were not obtained for staff 4 who , according to the director, has been employed for 2 months. Results of a central registry search were not obtained for staff 6 whose record did not indicate the length of employ.”

8VAC20-790-720-J

“Parents shall be informed of the vendor’s emergency preparedness plan. The facility was unable to provide an emergency preparedness plan.”

8VAC20-790-760-B-3

“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. The facility did not have a foot operated storage system for disposing diapers.”

8VAC20-790-570-2

“The vendor shall file and maintain reports of informing the department? representative no more than two business days of any injury to a child while under the vendor’s supervision when a referral is made for treatment from a medical professional. On 11/7/2024, child 9 was observed with a bruised bump above the right eye. Staff 2 stated that child 9 had hit his head while in care and that the parent had been told to take child 9 to the doctor. No report has been submitted for child 9.”

8VAC20-790-580-A

“The vendor shall obtain documentation tat each child has received the immunizations required by the State Board of Health before the child can attend the center. There is no documentation of immunizations in the records for child 2 and child 5 both in attendance during the inspection on 11/7/2024. 8VAC20-570-580.B The vendor shall obtain documentation of additional immunizations once every six months for children less than two years of age. The last immunization update in the record for child 4, 15 months of age, is dated 9 months ago.”

8VAC20-790-550-1

“The vendor shall maintain a record for each staff person that includes all required information. The records for staff 1, 2, 3, 4, 5 and 6 did not include the dates of employment. The record for staff 6 did not have the date of termination of employment.”

8VAC20-790-790-A

“The vendor shall have a written er=emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. The vendor was unable to provide a written emergency preparedness plan.”

8VAC20-790-540-B

“The vendor shall maintain and keep at the center a record for each enrolled child that includes all required documentation. The record provided for child 2 did not contain immunization records. The record for child 3 did not contain the name. address and telephone number of a person designated by the parent to contact in case of an emergency, the name address and telephone number of the father who is listed on the birth certificate and for whom there is no custody documentation, permission for emergency medical treatment and the parent agreement to pick up the child if ill. The record for child 4 did not include the address of the designated emergency contact person. The record for child 5 did not include the father’s address, the father’s place of employment, proof of identification, documentation of immunizations, permission for emergency medical treatment and the parent agreement to pick up the child if ill. The record for child 6 did not include the parent’s permission for emergency medical treatment or the parent agreement to pick up the child if ill.”

8VAC20-790-600-C

“Orientation training of staff shall be completed on the required facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. The records for staff 1, 2, 3, 4, 5, and 6, all employed over seven days, do not include documentation of any orientation training.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid. The records provided for staff 1 and staff 2 do not include documentation of current first aid certification.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training. The records provided for staff 1, 2, 3, 4, 5 and 6 do not include documentation of attending at least 16 hours of annual training.”

8VAC20-790-600-I

“There shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. The record provided for all current staff did not include documentation that any of the staff have obtained instruction in performing daily health observation of children.”

8VAC20-790-640-A

“Hazardous substances , such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. There was a container of aerosol disinfectant spray on a high open shelf on the brick wall at the end of the large classroom. There was pump hand sanitizer on top of the 4 foot high cubby shelf. There was a container of disinfecting wipes on top of a four drawer gray cabinet. There was disinfecting spray and pump disinfecting cleaner in the unlocked bottom drawer of a cabinet in the preschool classroom. All containers had warning labels and to keep out of reach of children.”

8VAC20-790-540-A

“The vendor shall maintain and keep at the center a record for each enrolled child which shall be made accessible to the department’s representative. The director was unable to provide a record for child 7 or child 8.”

8VAC20-790-800-A-1

“The emergency response drills shall be practiced at a minimum of two shelter-in-place drills and one lockdown drill annually. The vendor had only one shelter-in-place drill documented and no lockdown drills within the past year.”

8VAC20-790-670-E

“The vendor shall develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. The vendor was unable to provide a written policy and procedure to ensure that each group of children receives care by consistent staff or team of staff members.”

8VAC20-790-720-C

“The vendor shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. On 11/7/2024, child 9 had a bruising bump above the right eye. Staff 2 stated that the child had fallen while in care the previous day. There was no written record of the child’s injury.”

8VAC20-790-720-F

“Parents shall be provided at least annually in writing information on their child’s behavior, development, adjustment and needs. There was no documentation or information in the record of child 4 that the parents of child 4, who has been enrolled for 13 months, were provided written information their child’s behavior and development.”

22.1-289.035-B-1

“The facility shall obtain a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. The sworn statement or affirmation documents obtained from staff 5 and staff 6 do not indicate whether they have been the subject of a founded complaint of child abuse or neglect if they have lived outside of the Commonwealth”

22.1-289.035-B-3

“The facility shall obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 for any founded complaint of child abuse or neglect against him. Results of a central registry search were not obtained for staff 4 who , according to the director, has been employed for 2 months. Results of a central registry search were not obtained for staff 6 whose record did not indicate the length of employ.”

8VAC20-790-710-1

“The following actions or threats thereof are forbidden: striking or rough handling a child, Staff 2 slapped the arm of a two year old child three times, stating ?don?t touch?? in a commanding tone of voice as the child was handing an item to her. Staff 1 grabbed child 1 by the shoulder of their jacket, lifting and dragging the child out of the classroom while reprimanding the child angrily and threatening forbidden action.”

8VAC20-790-700-A

“Behavior guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior. As child 2, three years old and non-verbal, was sticking their hands into their mouth, staff 3 swiped at their hands saying ?stop, stop? in a loud, irritated voice.”

8VAC20-790-790-C

“Based upon observation and staff interview, the facility has not ensured that emergency evacuation and shelter-in-place procedures or maps are posted in locations conspicuous to staff and children. Evidence: 1. There were no emergency evacuation and shelter-in-place procedures or maps posted in the foyer, hallway or classrooms of the facility. 2. Staff 1 verified with a walk-through that no procedures or maps were posted.”

8VAC20-790-770-E

“Based upon staff interview, the facility has not ensured that a record is kept of prescription medication given to children. Evidence: Staff 1 stated that Diazepam had been administered to children 1 who appeared to be having a seizure. There was no written record documenting the administration of the Diazepam.”

8VAC20-790-770-A-2

“Based upon observation and staff interview, the facility has not ensured that medication has been dispensed by a pharmacy and is maintained in the original labeled container. Evidence: Staff 1 produced Diazepam that is stored for emergency administration to child 1. The medication was not labeled with the child's name, nor was it in an original labeled prescription container.”

8VAC20-790-770-A-1

“Based upon staff interview, the facility has not ensured that medication is administered by staff who has satisfactorily completed a training program developed by the Board of Nursing and taught by a registered nurse, a licensed practical nurse, a nurse practitioner, a physician assistant, a physician or pharmacist (Medication Administration Training, MAT). Evidence: Staff 1 and 2 both verified that staff 2 administered Diazepam rectally to child 1 who appeared to be having a seizure. Staff 2 has not completed a training program to be allowed to administer medication to the children (Medication Administration Training - MAT). Staff 2 has not obtained the additional training required to administer rectally administered medication.”

8VAC20-790-770-A

“Based upon staff interview, the facility has not ensured that prescription medication is administered only with written permission of the parent. Evidence: 1. Staff 1 stated that staff 2 administered Diazepam to child 1 who appeared to be having a seizure. The facility did not have written authorization from the parent for the Diazepam to be administered. 2. Staff 2 confirmed that she administered the Diazepam to child 1 without written parent authorization.”

8VAC20-790-520-F

“Based upon staff interview, the facility has not ensured that they have maintained current written list of all children's allergies, sensitivities and dietary restrictions. Evidence: Staff 1 was unable to produce a current written list of children with allergies, sensitivities and dietary restrictions.”

8VAC20-790-540-B

“Repeat violation Based upon review of children's records, the facility has not ensured that each child's record includes all required information. Evidence: 1. The records provided for child 1, child 2 and child 3 did not include the street addresses for the persons designated to be contacted if a parent cannot be reached. 2. The records for child 1, 2 and 3 did not include the addresses for the parent's/guardian's place of employment.”

8VAC20-790-550-2-d

“Based upon review of staff records, the facility has not ensured that staff have completed documentation of the individual's sworn statement or affirmation as to whether the individual has been the subject of a founded child abuse or neglect complaint or has been convicted of a crime. Evidence; The records provided for staff 2 and 4 did not include completed and signed sworn disclosure or affirmation statements.”

8VAC20-790-640-A

“Repeat violation Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using safe locking methods that prevent access by children. Evidence: 1. There were containers of disinfectant, hand sanitizer and antibacterial hand soap, all with warning labels, on the sink in the girls' restroom. 2. There were containers of diaper creams, with warning labels on an open shelf in the infant area.”

8VAC20-790-760-B-3-a

“Based upon observation and staff interview, the facility has not ensured that the diaper changing area has access to a sink with warm running water. Evidence: 1. There was no sink near the diaper changing station in the infant area at the far side of the long classroom. 2. Staff stated that after changing a child's diaper, the staff person and the child were walked across the classroom, through the doors to the entry hallway where there was a portable sink with water to wash hands. This sink did not have warm water.”

8VAC20-790-550-5

“Based upon review of staff records, the facility has not ensured that staff records include documentation that the ten hour pre-service training required by 8VAC20-790-600 has been completed. Evidence: The record provided for staff 4 did not include documentation of the required preservice training.”

8VAC20-790-830-C-3

“Based on interview the vendor failed to ensure that the vehicle is insured with at least the minimum limits established by Virginia state statutes as required. Evidence: Vendor #1 stated that the vehicle used to transport does not have required commercial policy for transporting children.”

8VAC20-790-790-C

“Based on observation and interview the vendor failed to ensure that emergency evacuation and shelter-in-place procedures or maps are posted in a location conspicuous to staff and children on each floor of each building. Evidence: 1 - There was not any posted emergency procedures or maps for evacuation or shelter-in-place in the center today. 2 - Vendor #1 confirmed that there were not posted emergency procedures or maps for evacuation or shelter-in-place during the inspection today.”

8VAC20-790-790-A

“Based on interview the vendor failed to ensure that there is written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. Evidence: Vendor #1 stated that she did not have a written emergency preparedness plan.”

8VAC20-790-780-C-2

“Based on interview the vendor failed to ensure that there is one working battery-operated radio in the center. Evidence: Vendor #1 stated that there was not a battery-operated radio in the center today.”

8VAC20-790-780-C-1

“Based on interview there is not one working battery-operated flashlight in the center Evidence: Vendor #1 stated that there was not a working battery-operated flashlight in the center.”

8VAC20-790-780-B

“Based on observation the vendor failed to ensure that the first aid is stored out of reach children. 1 - During the inspection the first aid was seen sitting on top of a shelf that was approximately three feet tall and accessible to children in care. 2 - Vendor #1 confirmed that kit was sitting on a shelf within reach of children.”

8VAC20-790-780-A-1

“Based on observation the vendor failed to ensure that the first aid contained all required items. Evidence: 1 - There was not any tweezers available for the first aid kit during the inspection. 2 - The Vendor #1 stated that there was not a tweezer available in the center today.”

8VAC20-790-760-B-3-c

“Based on observation the vendor failed to ensure that for children younger than three years, the diaper changing surface will be a changing table or countertop designed for changing. Evidence: 1 - There is not a diaper changing table or countertop designed for changing in the toddler/two year old child care room. 2 - Vendor #1 stated that the diaper changing pad will be placed on the floor when changing diapers in this room.”

8VAC20-790-540-B

“Based on record review and interview the vendor failed to ensure that children's records contain all required information. Evidence: 1 - The records for children #1 - #3 do not contain any documentation of the name address and telephone number of each custodial parent's place of employment or school attendance. 2 - The record for Child #4 did not contain documentation of the name and address of each custodial parent's place of employment or school attendance. 3 - Vendor #1 confirmed that the information was not in the record of children #1 - #4.”

8VAC20-790-670-E

“Based on interview the vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: Vendor #1 stated she did not have a written policy and procedure that describes how to maintain staff consistency.”

8VAC20-790-530-B

“Based on interview the vendor failed to ensure that for each of group of children the vendor maintained a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1 - There is not any hard copy of attendance in the center today. 2 - Vendor #2 stated that there was not a hard copy of attendance available for review in the center today.”

8VAC20-790-630-A

“Based on observation and interview the vendor failed to ensure that areas inside are maintained in safe operable condition. Evidence: 1 - Children under 2.5 years of age were being cared for in rooms without direct egress to the outside. a. The certificate of occupancy states that "all children 2.5 years of age or younger to be in rooms that have exit door directly to the exterior as shown on submitted plan..." 2 - Vendor #1 confirmed that children under 2.5 years old are being cared for in rooms that do not have direct egress to outside.”

8VAC20-790-640-A

“Based on observation and interview the vendor failed to ensure that hazardous substances are kept in a locked place using a safe locking method. Evidence: 1 - There are containers of sanitizing wipes within reach of children, on child height shelving units, an unlocked place, in the large child care room. The labels on these containers state "keep out of reach of children." 2 - Vendor #1 confirmed that the containers were within reach of children and instructed staff to place them in locked locations. 3 - In the boys and girls bathroom used by children in care, the cabinets under the sinks used for children to wash hands contain multiple containers of cleaning solvents including but not limited to bleach, sanitizers and abrasive cleanser. a. There was not any safe locking method on either cabinet in the boys or girls restrooms. 4 - Vendor #1 confirmed that the cabinets contained hazardous chemicals and were unlocked. 5 - The custodian's closet is not locked. There are more than 15 hazardous cleaning chemicals. The closet is located used by children in care to gain access to the restrooms and two child care rooms. The children must walk by the closet daily. 6 - Vendor #1 confirmed that the closet is not locked and contains multiple hazardous cleaning chemicals.”

8VAC20-790-790-C

“Based on observation and interview the vendor failed to ensure that all required emergency numbers are posted. Evidence: 1 - Emergency number 911 was not posted in the center. 2 - The vendor confirmed that emergency number 911 was not posted in the center.”