Nikki's Christian Daycare Inc. Pam's Place

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record, and staff interview, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: two children were listed on the attendance record for the two’s classroom, however three children were observed in care.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received immunizations required by the State Board of Health prior to the first day of attendance. Evidence: the record for child #1 (start date: 7/1/2024) did not contain documentation of immunizations.”

8VAC20-780-270-A

“Based on observation, not all areas of the center inside and outside were maintained in a safe and operable condition. Evidence: 1. The playground location is unfenced in a parking lot and is in close proximity to a busy three lane road, with a speed limit of approximately 35mph. There were no cones or caution tape to designate what area/play equipment (such as bikes, wagons, climbers, etc) is off limits. 2. There is trash on the playground area, including a broken climbing wall 3. The fence behind the facility is deteriorating, has warped, rotten, broken and splintered wood, is leaning and is missing boards.”

8VAC20-780-330-B

“(Repeat Violation) Based on observation, there was not resilient surfacing with a fall zone, free of hazardous obstacles, under and around playground equipment as required. Evidence: There is a spinning playground equipment positioned on grass, without any resilient surface in the fall zone.”

8VAC20-780-580-B

“Based on observation and staff interview, the vehicle used to transport children does not meet the safety standards set up the Department of Motor Vehicles. Evidence: the license plates on the center van expired 3/2024.”

8VAC20-780-140-A

“Based on record review, the center did not obtain documentation of a physical examination prior to, or within 30 days of the first day of attendance. Evidence: the record for child #1 (start date: 7/1/2024) did not contain documentation of a physical examination.”

8VAC20-780-500-B

“(Repeat Violation) Based on observation, and staff interview, the diapering area in the two's classroom did not contain the appropriate (foot operated) disposal system for diapers, as required. Evidence: the foot operated disposal system had a sign on it stating, "soiled linen" and staff stated they use the other trash can, which was not foot operated, to dispose of diapers.”

8VAC20-780-330-A

“(Repeat Violation) Based on observation, and interviews, the playground is not located and designed to protect children from hazards. Evidence: The playground location is unfenced in the parking lot, with cones as a border, and is in close proximity to a busy three lane road, with a speed limit of approximately 35mph. Staff stated that children use this playground area to ride bikes, play on the slide, play on the spinning playground equipment and play on the yellow climber.”

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that children’s hands were washed as required. Evidence: The toddlers and two's were observed eating snack together and their hands were not washed afterwards.”

8VAC20-780-40-D

“Based on observation, the facility failed to post the license in a place conspicuous to the public. Evidence: the license was located on a desk in the office.”

8VAC20-780-80-A

“Based on review of the written attendance record, and staff interview, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: there was no written record of attendance for the eight toddlers/two's that were observed eating snack together.”

8VAC20-780-540-C

“Based on observation, the facility did not have all the required items in the first aid kit. Evidence: there were no triangular bandages in the first aid kit.”

8VAC20-780-500-B

“Based on observation, the diapering area did not contain all required items. Evidence: there was not any soap or disposable towels by the sink in the infant classroom.”

8VAC20-780-330-A

“Based on observation, and interviews, the playground is not located and designed to protect children from hazards. Evidence: The playground location is unfenced in the parking lot, with cones as a border, and is in close proximity to a busy three lane road, with a speed limit of approximately 35mph.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant classroom, there were four cribs with loose fitting sheets. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-780-40-K

“Based on review of documentation, the facility did not have written procedures for the prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: the facility did not have written procedures that included coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

8VAC20-780-550-B

“Based on review of documentation, the facility did not have an emergency preparedness plan that contained all required procedural components. Evidence: the emergency preparedness plan did not have procedural components for: a) methods to ensure any health care needs to include medications and care plans, contact information for staff, and supplies are taken to the assembly point or relocation site; b) accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation.”

8VAC20-780-570-I

“Based on observation, and interview, the facility did not have a one-day's emergency supply of disposable bottles, nipples and commercial formulas.”

8VAC20-780-540-C

“Based on observation, the facility did not have all the required items in the first aid kit. Evidence: there were no triangular bandages in the first aid kit.”

8VAC20-780-500-B

“Based on observation, the diapering area did not contain all required items. Evidence: there was not any soap or disposable towels by the sink in the infant classroom.”

8VAC20-780-330-A

“Based on observation, and interviews, the playground is not located and designed to protect children from hazards. Evidence: The playground location is unfenced in the parking lot, with cones as a border, and is in close proximity to a busy three lane road, with a speed limit of approximately 35mph.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant classroom, there were four cribs with loose fitting sheets. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-780-40-K

“Based on review of documentation, the facility did not have written procedures for the prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: the facility did not have written procedures that included coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

8VAC20-780-550-B

“Based on review of documentation, the facility did not have an emergency preparedness plan that contained all required procedural components. Evidence: the emergency preparedness plan did not have procedural components for: a) methods to ensure any health care needs to include medications and care plans, contact information for staff, and supplies are taken to the assembly point or relocation site; b) accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation.”

8VAC20-780-570-I

“Based on observation, and interview, the facility did not have a one-day's emergency supply of disposable bottles, nipples and commercial formulas.”

8VAC20-780-160-A

“Based on review of four staff records, it was determined that not all records contained documentation of a negative tuberculosis (TB) test/screening at the time of employment. Evidence: the record for staff #4 (date of hire: 1/2/2024) had documentation of a negative TB test/screening that was dated: 7/20/2023.”

22.1-289.035-A

“Based on review of three staff records, it was determined that not all staff had repeat background checks every five years as required. Evidence: The record for staff #3 had an OBI fingerprint determination letter dated: 6/12/2018.”

22.1-289.036-A

“Based on review of two applicant records, and staff interview, it was determined that not all applicants had repeat background checks every five years as required. Evidence: The record for applicant #1 did not have a Central Registry search report. Staff stated that it had expired, and they didn?t have the updated search results.”

8VAC20-770-60-C-2

“(Repeat Violation) Based on review of three staff records, it was determined that not all staff had an original central registry report within 30 days of employment, and no follow up was conducted. Evidence: the record for staff #1 (date of hire: 2/6/2023) did not contain documentation of a central registry search report or follow up.”

8VAC20-780-40-M

“(Repeat Violation) Based on review of documentation, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions. Evidence: the allergy list was dated: 8/2023, and did not include child #3 (start date: October 2023) with a documented food sensitivity/restriction.”

8VAC20-780-70

“(Repeat Violation) Based on review of three staff records, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire: 2/6/2023) did not contain documentation of first aid/CPR certification or documentation that the individual possesses the education certification and experience required by the job position. The record for staff #2 (date of hire 6/1/2023) did not contain documentation that two or more references were checked before employment or documentation that the individual possesses the education certification and experience required by the job position.”

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: five children were observed in the "Gift of the Spirit" classroom, however no children were included on the attendance sheet for 10/19/2023. In the "Songbirds" classroom the children’s departure was not documented. Staff stated that they do not sign children out when they depart.”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the facility did not ensure all areas of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) There are multiple pieces of wood (fence planks, some broken) sitting on the playground; 2) the wooden fence surrounding both playgrounds is deteriorating, warped, has broken planks and has gaps in places; 3) there is a metal fencepost that has exposed rusting and sharp edges; 4) there are weeds, shrubs and tree limbs growing through the fence causing the fence to lose integrity; 5) there is a wood pile consisting of several large branches, tree roots and wooden boards creating a tripping hazard; 6) parts of the wire fence are broken and/or damaged leaving gaps at the bottom of the fence in some locations.”

8VAC20-780-280-B

“Based on observation, the facility failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: there were two cannisters of disinfectant wipes and two bottles of disinfectant spray in an unlocked cabinet below the changing table in the "Gift of the Spirit" classroom, with labels that stated, "Caution," "Warning," and "Keep out of reach of children."”

8VAC20-780-320-B

“(Repeat Violation) Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: There was no toilet paper in the upstairs bathroom #1 that was accessible to the children; there were no paper towels in the downstairs bathrooms accessible to the children.”

8VAC20-780-330-B

“Based on observation, there was not resilient surfacing with a fall zone, free of hazardous obstacles, under and around playground equipment as required. Evidence: there was a bicycle ring that was less than six feet away from the play bus and a pole, and had less than 6? of mulch in the fall zone. There was a spinning playground equipment that was less than six feet away from the bench, the fence, and timber ties, with less than six inches of mulch in the fall zone. There was less than six inches of mulch under and around the composite play and slide structure and climbing (fake rock) structure.”

8VAC20-780-340-D

“Based on observation, and review of documentation, it was determined that the facility did not ensure that in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: Staff #1 was designated as the program leader in the "Gift of the Spirit" class, and was observed working alone with children. The record for staff #1 does not include documentation indicating they meet the qualification of program leader. Staff #2 was designated as the program leader in the "Overflow" class, and was observed working alone with children. The record for staff #2 does not include documentation indicating they meet the qualification of program leader.”

22.1-289.035-A

“Based on review of three staff records, it was determined that not all staff had repeat background checks every five years as required. Evidence: The record for staff #3 had an OBI fingerprint determination letter dated: 6/12/2018.”

22.1-289.036-A

“Based on review of two applicant records, and staff interview, it was determined that not all applicants had repeat background checks every five years as required. Evidence: The record for applicant #1 did not have a Central Registry search report. Staff stated that it had expired, and they didn?t have the updated search results.”

8VAC20-770-60-C-2

“(Repeat Violation) Based on review of three staff records, it was determined that not all staff had an original central registry report within 30 days of employment, and no follow up was conducted. Evidence: the record for staff #1 (date of hire: 2/6/2023) did not contain documentation of a central registry search report or follow up.”

8VAC20-780-40-M

“(Repeat Violation) Based on review of documentation, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions. Evidence: the allergy list was dated: 8/2023, and did not include child #3 (start date: October 2023) with a documented food sensitivity/restriction.”

8VAC20-780-70

“(Repeat Violation) Based on review of three staff records, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire: 2/6/2023) did not contain documentation of first aid/CPR certification or documentation that the individual possesses the education certification and experience required by the job position. The record for staff #2 (date of hire 6/1/2023) did not contain documentation that two or more references were checked before employment or documentation that the individual possesses the education certification and experience required by the job position.”

8VAC20-780-80-A

“(Repeat Violation) Based on review of the written attendance record, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that documents the arrival and departure of children in care as it occurs. Evidence: five children were observed in the "Gift of the Spirit" classroom, however no children were included on the attendance sheet for 10/19/2023. In the "Songbirds" classroom the children’s departure was not documented. Staff stated that they do not sign children out when they depart.”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the facility did not ensure all areas of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) There are multiple pieces of wood (fence planks, some broken) sitting on the playground; 2) the wooden fence surrounding both playgrounds is deteriorating, warped, has broken planks and has gaps in places; 3) there is a metal fencepost that has exposed rusting and sharp edges; 4) there are weeds, shrubs and tree limbs growing through the fence causing the fence to lose integrity; 5) there is a wood pile consisting of several large branches, tree roots and wooden boards creating a tripping hazard; 6) parts of the wire fence are broken and/or damaged leaving gaps at the bottom of the fence in some locations.”

8VAC20-780-280-B

“Based on observation, the facility failed to ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: there were two cannisters of disinfectant wipes and two bottles of disinfectant spray in an unlocked cabinet below the changing table in the "Gift of the Spirit" classroom, with labels that stated, "Caution," "Warning," and "Keep out of reach of children."”

8VAC20-780-320-B

“(Repeat Violation) Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: There was no toilet paper in the upstairs bathroom #1 that was accessible to the children; there were no paper towels in the downstairs bathrooms accessible to the children.”

8VAC20-780-330-B

“Based on observation, there was not resilient surfacing with a fall zone, free of hazardous obstacles, under and around playground equipment as required. Evidence: there was a bicycle ring that was less than six feet away from the play bus and a pole, and had less than 6? of mulch in the fall zone. There was a spinning playground equipment that was less than six feet away from the bench, the fence, and timber ties, with less than six inches of mulch in the fall zone. There was less than six inches of mulch under and around the composite play and slide structure and climbing (fake rock) structure.”

8VAC20-780-340-D

“Based on observation, and review of documentation, it was determined that the facility did not ensure that in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: Staff #1 was designated as the program leader in the "Gift of the Spirit" class, and was observed working alone with children. The record for staff #1 does not include documentation indicating they meet the qualification of program leader. Staff #2 was designated as the program leader in the "Overflow" class, and was observed working alone with children. The record for staff #2 does not include documentation indicating they meet the qualification of program leader.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children’s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-770-60-C-2

“Based on review of three staff records, it was determined that not all staff had an original central registry report within 30 days of employment. Evidence: the records for staff #1 (date of hire: 5/26/2022) and staff #3 (date of hire: unknown) did not contain documentation of a central registry report.”

22.1-289.035-B-2

“Based on review of three staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #3 (date of hire: unknown) who was observed supervising a group of children alone, did not have an OBI fingerprint determination letter.”

8VAC20-780-160-A

“Based on review of three staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff as required - at the time of employment and prior to coming into contact with children. Evidence: the record for staff #1 (date of hire: 5/26/2022) did not contain documentation of a TB test/screening. The record for staff #3 (date of hire: unknown) did not have documentation of a TB test/screening. Staff #1 and #3 were observed supervising children.”

8VAC20-780-70

“Based on review of three staff records, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire: 5/26/2022) did not contain documentation that two or more references were checked before employment, of first aid/CPR certification, or documentation that the individual possesses the education certification and experience required by the job position. The record for staff #2 (date of hire 2/6/2023) did not contain documentation of first aid/CPR certification, or documentation that the individual possesses the education certification and experience required by the job position. There was no record onsite for staff #3 who was observed alone with children.”

8VAC20-780-450-A

“Based on observation, not all cots used by children during rest time contained linens consisting of a top cover and a bottom cover. Evidence: five of the nine cots in the overflow classroom did not contain a bottom cover. Four of the eight cots in the songbird classroom did not contain a bottom cover.”

8VAC20-780-340-F

“Based on observation, it was determined that the facility did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: when the inspector arrived, at approximately 1:15pm, there were nine children observed in the overflow classroom and there was no staff member present. Staff #1 and staff #2 were observed in the two's classroom. Staff #2 returned to the overflow classroom shortly after the LI's arrival. At approximately 2:30pm, staff #2 left the classroom of eight children for approximately 2-3 minutes in order to assist a child in the restroom. There was no sight and sound supervision of the children in the classroom until the LI informed the owner of this.”

8VAC20-780-340-D

“Based on observation, staff interviews, and review of documentation, it was determined that the facility did not ensure that in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: Staff #2 was designated as the program leader in the 3?s class, and was observed working alone with children. The record for staff #2 does not include documentation indicating they meet the qualification of program leader.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: There was no toilet paper in the upstairs bathroom accessible to the children and no paper towels in the downstairs bathroom.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: The wire fence in the younger children’s playground has multiple protruding, rusted, sharp ends at the top and bottom of the fence and parts of the fence are broken and/or damaged leaving gaps at the bottom of the fence in some locations.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children’s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-770-60-C-2

“Based on review of three staff records, it was determined that not all staff had an original central registry report within 30 days of employment. Evidence: the records for staff #1 (date of hire: 5/26/2022) and staff #3 (date of hire: unknown) did not contain documentation of a central registry report.”

22.1-289.035-B-2

“Based on review of three staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #3 (date of hire: unknown) who was observed supervising a group of children alone, did not have an OBI fingerprint determination letter.”

8VAC20-780-160-A

“Based on review of three staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff as required - at the time of employment and prior to coming into contact with children. Evidence: the record for staff #1 (date of hire: 5/26/2022) did not contain documentation of a TB test/screening. The record for staff #3 (date of hire: unknown) did not have documentation of a TB test/screening. Staff #1 and #3 were observed supervising children.”

8VAC20-780-70

“Based on review of three staff records, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire: 5/26/2022) did not contain documentation that two or more references were checked before employment, of first aid/CPR certification, or documentation that the individual possesses the education certification and experience required by the job position. The record for staff #2 (date of hire 2/6/2023) did not contain documentation of first aid/CPR certification, or documentation that the individual possesses the education certification and experience required by the job position. There was no record onsite for staff #3 who was observed alone with children.”

8VAC20-780-450-A

“Based on observation, not all cots used by children during rest time contained linens consisting of a top cover and a bottom cover. Evidence: five of the nine cots in the overflow classroom did not contain a bottom cover. Four of the eight cots in the songbird classroom did not contain a bottom cover.”

8VAC20-780-340-F

“Based on observation, it was determined that the facility did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: when the inspector arrived, at approximately 1:15pm, there were nine children observed in the overflow classroom and there was no staff member present. Staff #1 and staff #2 were observed in the two's classroom. Staff #2 returned to the overflow classroom shortly after the LI's arrival. At approximately 2:30pm, staff #2 left the classroom of eight children for approximately 2-3 minutes in order to assist a child in the restroom. There was no sight and sound supervision of the children in the classroom until the LI informed the owner of this.”

8VAC20-780-340-D

“Based on observation, staff interviews, and review of documentation, it was determined that the facility did not ensure that in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: Staff #2 was designated as the program leader in the 3?s class, and was observed working alone with children. The record for staff #2 does not include documentation indicating they meet the qualification of program leader.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that all restrooms were equipped as required. Evidence: There was no toilet paper in the upstairs bathroom accessible to the children and no paper towels in the downstairs bathroom.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: The wire fence in the younger children’s playground has multiple protruding, rusted, sharp ends at the top and bottom of the fence and parts of the fence are broken and/or damaged leaving gaps at the bottom of the fence in some locations.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) there are multiple missing/broken and deteriorating pickets/vertical boards in the younger children's playground fence leaving gaps approximately 3-4 inches wide 2) the wire fence in the younger children's playground has protruding, rusted, sharp ends, is broken and/or damaged and is loose leaving gaps at the bottom of the fence in some locations. 3) the wire fence in the older children's playground has protruding, rusted, sharp ends, is broken and/or damaged and is loose leaving gaps at the top of the fence in some locations. 4) the wooden fence in the older children's playground has broken/deteriorating pickets/vertical boards where a tree and it’s roots have come through the fence.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that each restrooms is equipped as required. Evidence: the toilet paper in both bathrooms is not within reach of children.”

8VAC20-780-40-M

“Based on review of documentation, and an interview with staff, the facility failed to maintain a current written list of all children’s allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: The list posted in the two classrooms was not current; a) the list was dated: April, 2022; b) the list included child #4 who no longer attends the facility; and c) the list did not include child #2, who has dietary sensitivities/restrictions of ?no meat and no dairy.? Per staff, the list is posted on the board in the classroom, but is not accessible to the staff when children go outside to play.”

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: six children were observed in the overflow classroom, however only four children were included on the attendance sheet.”

8VAC20-780-260-B

“Based on review of documentation, and staff interview, it was determined that the facility did not have documentation of an annual health inspection. Evidence: The most recent health inspection report on file was dated 9/14/2021.”

8VAC20-780-60-A

“Based on review of three child records, it was determined that not all records contained all required information. Evidence: the records for child #2 and child #3 did not contain the name, address and phone number for two emergency contacts.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) there are multiple missing/broken and deteriorating pickets/vertical boards in the younger children's playground fence leaving gaps approximately 3-4 inches wide 2) the wire fence in the younger children's playground has protruding, rusted, sharp ends, is broken and/or damaged and is loose leaving gaps at the bottom of the fence in some locations. 3) the wire fence in the older children's playground has protruding, rusted, sharp ends, is broken and/or damaged and is loose leaving gaps at the top of the fence in some locations. 4) the wooden fence in the older children's playground has broken/deteriorating pickets/vertical boards where a tree and it’s roots have come through the fence.”

8VAC20-780-320-B

“Based on observation, the facility failed to ensure that each restrooms is equipped as required. Evidence: the toilet paper in both bathrooms is not within reach of children.”

8VAC20-780-40-M

“Based on review of documentation, and an interview with staff, the facility failed to maintain a current written list of all children’s allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: The list posted in the two classrooms was not current; a) the list was dated: April, 2022; b) the list included child #4 who no longer attends the facility; and c) the list did not include child #2, who has dietary sensitivities/restrictions of ?no meat and no dairy.? Per staff, the list is posted on the board in the classroom, but is not accessible to the staff when children go outside to play.”

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: six children were observed in the overflow classroom, however only four children were included on the attendance sheet.”

8VAC20-780-260-B

“Based on review of documentation, and staff interview, it was determined that the facility did not have documentation of an annual health inspection. Evidence: The most recent health inspection report on file was dated 9/14/2021.”

8VAC20-780-60-A

“Based on review of three child records, it was determined that not all records contained all required information. Evidence: the records for child #2 and child #3 did not contain the name, address and phone number for two emergency contacts.”

8VAC20-770-60-B Complaint related: No

“Based on review of two staff records, it was determined that not all staff had a sworn statement or affirmation prior to their first day of employment/volunteering. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not contain documentation of a sworn statement.”

22.1-289.035-B-2 Complaint related: No

“Based on review of two staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) had an OBI fingerprint determination letter dated: 6/3/2022. The record for staff #2 (date of hire 6/27/2022) did not have an OBI determination letter.”

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

“Based on observation, the facility did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) There are multiple missing/broken and deteriorating pickets/vertical boards in the younger children’s playground fence leaving gaps approximately 3-4 inches wide 2) The wire fence in the younger children’s playground had protruding, rusted, sharp ends, was broken and/or damaged and was loose leaving gaps at the bottom of the fence in some locations 3) There is a gap in the wire fence at the corner of the younger children’s and older children’s playground that is approximately 3-5 inches wide that could cause an entrapment hazard 4) There are multiple tree limbs and branches as well as trash and deteriorating wood on the playground 5) Staff stated that children have been going outside and playing on the playground, weather permitting”

8VAC20-780-240-B Complaint related: No

“Based on review of two staff records, the facility failed to ensure all staff received orientation training as required. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not have documentation of completion of orientation training.”

8VAC20-780-160-A Complaint related: No

“Based on review of two staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff as required - at the time of employment and prior to coming into contact with children and completed within 30 days of the date of employment. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) did not contain documentation of a TB test/screening. The record for staff #2 (date of hire 6/27/2022) had documentation of a TB test/screening dated 1/1/2022. Staff #1 and staff #2 were observed supervising children.”

8VAC20-770-60-C-2 Complaint related: No

“Based on review of two staff records, it was determined that not all staff had an original central registry report within 30 days of employment. Evidence: the records for staff #1 (date of hire/volunteering: 5/26/2022) and staff #2 (date of hire 6/27/2022) did not contain documentation of a central registry report.”

8VAC20-780-70 Complaint related: No

“Based on review of two staff records, and an interview with the center director, it was determined that not all records contained all required information. Evidence: the record for staff #1 (date of hire/volunteering: 5/26/2022) only contained fingerprint results and a job description. The record for staff #2 (date of hire/volunteering: 6/27/2022) only contained a TB test/screening.”

8VAC20-780-330-B

“Based on an inspection of the playground, it was determined that resilient surfacing did not comply with minimum safety standards, and the fall zone was not free of hazardous obstacles. Evidence: There was less than 1 inch of mulch around and under the play structure with a platform height of approximately 4 feet. There was no mulch around and under the rock climbing structure with a height of approximately 5 feet. Neither structure had a fall zone with six feet of clearance on all sides free of obstacles as there were fences and wood timber ties surrounding the structures.”

8VAC20-780-550-D

“Based on review of the emergency drill log, and an interview with staff, it was determined that not all emergency evacuation procedures were practiced monthly as required. Evidence: There were no documented evacuation drills in December, 2021, January, 2022 or February, 2022.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) there were multiple missing/broken and deteriorating pickets/vertical boards in the younger children's playground fence leaving gaps approximately 3-4 inches wide 2) there was a picket on the ground with protruding, rusted nails 3) the wire fence in the younger children's playground had protruding, rusted, sharp ends, was broken and/or damaged and was loose leaving gaps at the bottom of the fence in some locations 4) a tricycle had a cracked seat, the playground climber had a broken step with protruding nails, and other playground equipment had chipped and peeling paint 5) there were multiple tree limbs and branches as well as trash on the larger playground”

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: nine children were observed in the overflow classroom, however only eight children were included on the attendance sheet.”

8VAC20-780-340-F

“Based on observation, the facility failed to ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: when staff opened the door for the LI, the overflow class of nine children were left out of sight for approximately 1-2 minutes.”

8VAC20-780-350-B

“Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every 5 children, (6 with a ratio waiver) ages 16 months through two years. Evidence: there were nine children in the overflow classroom with one staff member. The youngest children in the group were 22 months and 23 months of age. Staff interviews revealed that the class was out of ratio from approximately 10:15 - 11:45 am when the third staff member left the building to go run an errand.”

8VAC20-780-60-A

“Based on a review of seven child records, it was determined that not all records contained all required information. Evidence: the records for child #3 and child #5 did not contain the name, address or phone number for a second emergency contact. The record for child #5 (date of first attendance: 3/1/2022) did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-330-B

“Based on an inspection of the playground, it was determined that resilient surfacing did not comply with minimum safety standards, and the fall zone was not free of hazardous obstacles. Evidence: There was less than 1 inch of mulch around and under the play structure with a platform height of approximately 4 feet. There was no mulch around and under the rock climbing structure with a height of approximately 5 feet. Neither structure had a fall zone with six feet of clearance on all sides free of obstacles as there were fences and wood timber ties surrounding the structures.”

8VAC20-780-550-D

“Based on review of the emergency drill log, and an interview with staff, it was determined that not all emergency evacuation procedures were practiced monthly as required. Evidence: There were no documented evacuation drills in December, 2021, January, 2022 or February, 2022.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas and equipment of the center outside were maintained in a clean, safe and operable condition. Evidence: 1) there were multiple missing/broken and deteriorating pickets/vertical boards in the younger children's playground fence leaving gaps approximately 3-4 inches wide 2) there was a picket on the ground with protruding, rusted nails 3) the wire fence in the younger children's playground had protruding, rusted, sharp ends, was broken and/or damaged and was loose leaving gaps at the bottom of the fence in some locations 4) a tricycle had a cracked seat, the playground climber had a broken step with protruding nails, and other playground equipment had chipped and peeling paint 5) there were multiple tree limbs and branches as well as trash on the larger playground”

8VAC20-780-80-A

“Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: nine children were observed in the overflow classroom, however only eight children were included on the attendance sheet.”

8VAC20-780-340-F

“Based on observation, the facility failed to ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: when staff opened the door for the LI, the overflow class of nine children were left out of sight for approximately 1-2 minutes.”

8VAC20-780-350-B

“Based on observation and staff interview, the facility failed to maintain the ratio of one staff for every 5 children, (6 with a ratio waiver) ages 16 months through two years. Evidence: there were nine children in the overflow classroom with one staff member. The youngest children in the group were 22 months and 23 months of age. Staff interviews revealed that the class was out of ratio from approximately 10:15 - 11:45 am when the third staff member left the building to go run an errand.”

8VAC20-780-60-A

“Based on a review of seven child records, it was determined that not all records contained all required information. Evidence: the records for child #3 and child #5 did not contain the name, address or phone number for a second emergency contact. The record for child #5 (date of first attendance: 3/1/2022) did not contain documentation of viewing proof of the child's identity and age.”