Ocean Learning Center

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that soiled diapers are disposed in a storage system that is either foot-operated or used in such a way that neither the staff member's hands nor the soiled diaper touches an exterior surface of the storage system. Evidence: 1. Staff 4 was observed in the process of changing a child's diaper. The lid on the diaper disposal system was broken and could not be opened without using hands. Staff 1 opened the lid with her hands to find the storage system was stuffed full of soiled diapers. As the foot operation was not in working order, diapers had been previously disposed using the hands to operate the lid.”

8VAC20-780-320-B

“Based upon observation, the facility has not ensured that each restroom is equipped with toilet tissue. Evidence: There were two stalls in the girls bathroom in the long hallway that did not have toilet tissue.”

8VAC20-780-280-B

“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: The door to the hallway closet was not locked. Inside the closet were containers of bleach and disinfectant with warning labels stored on the floor.”

8VAC20-780-270-A

“Repeat violation. Based upon observation, the facility has not ensured that areas and equipment of the center, inside and outside, are maintained in a safe and operable condition. Evidence: 1. The downspout from the gutters to the ground near the exit door used by the children to access the playground is missing. There is a large puddle of water four inches deep below where the downspout should have been. 2. The gutters on the back of the building are overflowing with leaves and debris.”

8VAC20-780-580-A

“Based upon observation of the facility bus, the facility has not ensured that when providing transportation of children, the bus meets the safety standards set by the Department of Motor Vehicles . Evidence: 1. The required safety inspection on the bus has expired. The sticker on the windshield expired October 2023. 2. The vehicle registration of the bus expired in May 2022. The registration stickers on both the front and back license plates indicate an expiration of May 2022.”

8VAC20-780-130-A

“Repeat violation Based upon review of children's records, the facility has not ensured that they obtain documentation that each child has received the immunizations required by the State Board of Health before the child attends the center. Evidence: Attendance records indicated that child 2 has been attending care. The record for child 2 did not include documentation that child 2 has the required immunizations.”

8VAC20-780-140-A

“Based upon review of children's records, the facility has not ensured that each child has a physical examination by or under the direction of a physician prior to or within 30 days following attending. Evidence: The record for child 1 indicated a start date of 9/6/2023. The record did not include the results of a physical examination.”

8VAC20-780-60-A

“Repeat violation Based upon review of children's records, the facility has not ensured that each child's record includes all required information. Evidence: The record for child 2 did not have indicated child 2's first date of attendance. The same record did not include any information regarding the father.”

8VAC20-780-70

“Repeat violation Based upon staff interview, the facility has not ensured that staff records include the names, addresses and telephone numbers for the emergency contacts for staff. Evidence: Staff 1 was unable to locate the staff records where the names, addresses and telephone numbers of emergency contact persons for staff are kept.”

8VAC20-780-80-A

“Repeat violation Based upon review of records and staff interview, the facility has not ensured that for each group of children, a written record of daily attendance that documents the arrival and departure of each child in care as it occurs is maintained. Evidence: 1. There were seven children in care in the toddler/preschool grouping. Only five children were checked in on the room attendance sheet. 2. Staff 1 verified that two children had come in and had not been added to the attendance sheet.”

8VAC20-780-270-A

“Repeat violation Based upon observation, the facility has not ensured that areas and equipment of the center are maintained to be clean and safe. Evidence: 1. There is a two foot long by six inch wide area at the base of the far wall of the boys bathroom in the hallway where the cinder blocks are crumbling and the paint is chipping away. 2. The rest mats used by child 3 and child 6 have tears in them.”

8VAC20-780-270-C

“Based upon the thermostat, room temperature and staff statement the facility has not ensured that inside areas occupied by the children are maintained at a temperature no lower than 68 degrees. Evidence: 1. The facility thermostat in the foyer hallway registered 64 degrees and was set at 64 degrees, 2. The temperature in the lunch room was measured at 60 degrees. 3. Staff 1 was overheard telling the children to keep their coats on.”

8VAC20-780-290-A-3

“Based upon observation, the facility has not ensured that electrical outlets have protective covers. Evidence: An electrical outlet by the doorway of the nap room did not have a protective cover.”

8VAC20-780-550-E

“Based upon review of posted records, the facility has not conducted a minimum of two shelter-in-place drills this year. Evidence: No shelter-in-place drills during the past year were documented on the emergency drill chart posted in the hallway.”

8VAC20-780-550-P

“Repeat violation Based upon review of written records of children's injuries, the facility has not ensured that the written records include all required documentation. Evidence: 1. An injury record dated 10/27/2023 for child 7 did not include the date, time and how the parent was notified of the child's injury. The same record included only one of the two required signatures. 2. An injury record dated 11/7/2023 for child 8 did not include documentation of how the parent was notified of the child's injury. 3. An injury record dated 11/15/2023 for child 9 did not include the date, time and how the parent was notified of the child's injury.”

8VAC20-780-560-L

“Based upon observation, the facility has not ensured that staff sit with the children during meal times. Evidence: The seven toddler/preschool children were observed during the entire lunch time. No staff sat with the children while they ate.”

8VAC20-780-580-A

“Based upon observation of the facility bus, the facility has not ensured that when providing transportation of children, the bus meets the safety standards set by the Department of Motor Vehicles . Evidence: 1. The required safety inspection on the bus has expired. The sticker on the windshield expired October 2023. 2. The vehicle registration of the bus expired in May 2022. The registration stickers on both the front and back license plates indicate an expiration of May 2022.”

8VAC20-780-130-A

“Repeat violation Based upon review of children's records, the facility has not ensured that they obtain documentation that each child has received the immunizations required by the State Board of Health before the child attends the center. Evidence: Attendance records indicated that child 2 has been attending care. The record for child 2 did not include documentation that child 2 has the required immunizations.”

8VAC20-780-140-A

“Based upon review of children's records, the facility has not ensured that each child has a physical examination by or under the direction of a physician prior to or within 30 days following attending. Evidence: The record for child 1 indicated a start date of 9/6/2023. The record did not include the results of a physical examination.”

8VAC20-780-60-A

“Repeat violation Based upon review of children's records, the facility has not ensured that each child's record includes all required information. Evidence: The record for child 2 did not have indicated child 2's first date of attendance. The same record did not include any information regarding the father.”

8VAC20-780-70

“Repeat violation Based upon staff interview, the facility has not ensured that staff records include the names, addresses and telephone numbers for the emergency contacts for staff. Evidence: Staff 1 was unable to locate the staff records where the names, addresses and telephone numbers of emergency contact persons for staff are kept.”

8VAC20-780-80-A

“Repeat violation Based upon review of records and staff interview, the facility has not ensured that for each group of children, a written record of daily attendance that documents the arrival and departure of each child in care as it occurs is maintained. Evidence: 1. There were seven children in care in the toddler/preschool grouping. Only five children were checked in on the room attendance sheet. 2. Staff 1 verified that two children had come in and had not been added to the attendance sheet.”

8VAC20-780-270-A

“Repeat violation Based upon observation, the facility has not ensured that areas and equipment of the center are maintained to be clean and safe. Evidence: 1. There is a two foot long by six inch wide area at the base of the far wall of the boys bathroom in the hallway where the cinder blocks are crumbling and the paint is chipping away. 2. The rest mats used by child 3 and child 6 have tears in them.”

8VAC20-780-270-C

“Based upon the thermostat, room temperature and staff statement the facility has not ensured that inside areas occupied by the children are maintained at a temperature no lower than 68 degrees. Evidence: 1. The facility thermostat in the foyer hallway registered 64 degrees and was set at 64 degrees, 2. The temperature in the lunch room was measured at 60 degrees. 3. Staff 1 was overheard telling the children to keep their coats on.”

8VAC20-780-290-A-3

“Based upon observation, the facility has not ensured that electrical outlets have protective covers. Evidence: An electrical outlet by the doorway of the nap room did not have a protective cover.”

8VAC20-780-550-E

“Based upon review of posted records, the facility has not conducted a minimum of two shelter-in-place drills this year. Evidence: No shelter-in-place drills during the past year were documented on the emergency drill chart posted in the hallway.”

8VAC20-780-550-P

“Repeat violation Based upon review of written records of children's injuries, the facility has not ensured that the written records include all required documentation. Evidence: 1. An injury record dated 10/27/2023 for child 7 did not include the date, time and how the parent was notified of the child's injury. The same record included only one of the two required signatures. 2. An injury record dated 11/7/2023 for child 8 did not include documentation of how the parent was notified of the child's injury. 3. An injury record dated 11/15/2023 for child 9 did not include the date, time and how the parent was notified of the child's injury.”

8VAC20-780-560-L

“Based upon observation, the facility has not ensured that staff sit with the children during meal times. Evidence: The seven toddler/preschool children were observed during the entire lunch time. No staff sat with the children while they ate.”

8VAC20-780-510-E

“Based upon review of the center's medication policies, medicine stored and documentation, the facility has not ensured that the center's procedures for administering medication include the duration of the parent's authorization for medication, provided that it shall expire or be renewed after ten working days. Evidence: 1. There was over the counter cetirizine stored for administration to child 1. The written parent authorization for the cetirizine to be administered expired on 7/14/2023 and was not renewed. 2. There was albuterol stored for potential administration to child2. The written parent authorization for the albuterol to be administered expired on 7/1/2023.”

8VAC20-780-60-A

“Based upon review of children's records, the facility has not ensured that each child's record includes the name, address, telephone number and employment information for the parents or guardians. Evidence: The record provided for child 2 did not include any information regarding the father. N/A was written on the enrollment form and no additional information was in the record.”

8VAC20-780-340-A Complaint related: Yes

“Based upon interviews, the facility has not ensured that when supervising children, staff shall always ensure their care and protection. Evidence: 1. Interviews revealed that on 6/7/2023, child 1, nine years old, was not given an asthma rescue inhaler treatment when she expressed to staff 2 that she was having difficulty breathing. The child was told to sit in the lobby. The parent was not contacted. 2. Staff 2, on duty with child 1 on the day of the incident, stated that she "forgot" that child 1 had an albuterol inhaler stored at the facility for emergency use and that she, staff 2, had a lot on her mind at the time.”

8VAC20-780-340-I Complaint related: Yes

“Based upon staff interviews, the facility has not ensured that staff oversee each child's departure from the center. Evidence: Staff 1 acknowledged that there was an incident in late May when a child was picked up by a relative without the required staff oversight to ensure the safety of the departing child. Staff did not verify the identification of the person picking up the child nor did staff check the child's record to ensure that the person picking up the child was authorized by the parent to pick up the child.”

8VAC20-780-40-E Complaint related: Yes

“Based upon interviews, the facility has not ensured that the center's activities are maintained in compliance with the center's own policies and procedures as required by the standards. Evidence: Staff 1 stated that in late May there was an incidence where the facility's procedure for verifying that only persons authorized by the parent are allowed to pick up children at the end of the day. Staff 1 stated that a child was allowed to be picked up from the facility by a relative. Facility staff on duty did not require identification of this person, nor did the staff check to ensure that the relative was a person authorized by the parent to take the child.”

8VAC20-780-550-P Complaint related: No

“Based upon review of records, the facility has not ensured that a written record of children's injuries is written the day of occurrence and includes all required information. Evidence: 1. An injury record from 5/25/2023 for child 1 did not include the date, time and how the parent was notified of the child's injury. 2. A second injury record for child 1 on 5/25/2023 did not include how the parent was notified of the child's injury. 3. An injury record for child 2 dated 6/1/2023 did not include the date and time the parent was notified of the child's injury. 4. An injury record dated 3/1/2023 for child 3 did not include the time the parent was notified of the child's injury.”

8VAC20-780-500-A

“Based upon observation, the facility has not ensured that staff wash their hands after a diaper change. Evidence: Staff 4 was observed changing diapers. After a diaper change, staff 4 carried a soiled diaper across the classroom, opened the exterior door and used her hands to throw away the soiled diaper in a lidded trash can outside prior to washing her hands.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using a safe locking method that prevents access by the children. Evidence: 1. Upon arrival of the inspector at 11:00 AM, there was a group of children eating lunch in the lunch room directly adjacent to the kitchen. The door to the kitchen was standing open. A. There were containers of bleach, with warnings labels, in an unlocked cabinet under the sink. B. There was a container of dish washing liquid with a warning label on the sink. C. There were five containers of prescription medication in an unlocked cabinet above the counter. 2. The cabinet containing cleaning and sanitizing solutions, located above the changing table in the two year old classroom was observed to be unlocked as children were preparing for nap time.”

8VAC20-780-340-F

“Based upon observation, the facility has not ensured that children under ten years of age are always within actual sight and sound supervision of staff and children over the age of ten years are within sound supervision. Evidence: 1. Child 6, three years old, was observed leaving the classroom to go to the bathroom. The bathroom is in the hallway outside of the classroom door. Staff 4 was at the changing table in the corner inside the classroom, Child 6 was not in sight or sound supervision of staff. Staff 4 did not check on child 6 in the bathroom and did not acknowledge the child when child 6 walked back into the classroom after using the restroom. 2. School aged children were observed being sent back and forth from the classroom by the front door to the bathroom in the back hallway. Staff did not accompany these children, nor was a staff person in the back lunchroom alerted to supervise these children.”

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that the diapering area has paper towels, diapers are disposed in a leak proof receptacle that is operated in such a way that the staff hands nor the soiled diaper touch the exterior surface and that the diapering surface is cleaned and sanitized after each use. Evidence; 1. Staff 4 was observed changing a diaper in the two year old classroom There were no paper towels at the changing station. Staff 1 stated out loud to a child that there were no paper towels. 2. Staff 4 did not clean and sanitize the changing table after she was observed changing a child’s soiled diaper. 3. Staff 4 was observed walking with a soiled diaper across the classroom, opening the classroom exterior door and disposing of the soiled diaper in a garbage can outside.”

8VAC20-780-510-E

“Based upon review of medication procedures and medication stored for emergency administration to children, the facility has not ensured that their procedures include methods to prevent the use of outdated medication. Evidence: There was an epinephrine (epi-pen) stored for emergency administration to child 5. The epi-pen expired in May 2023. There was also diphenhydramine stored for the same child that expired in June 2023.”

8VAC20-780-510-L

“Based upon observation, the facility has not ensured that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Medication, to include cetirizine, fluticasone, albuterol, epinephrine and diphenhydramine, was stored in an unlocked cabinet above the counter in the kitchen. The door to the kitchen was standing wide open as children were eating in the adjacent lunch room.”

8VAC20-780-550-D

“Based upon review of the emergency drill documentation, the facility has not ensured that shelter-in-place drills are practiced a minimum of twice per year. Evidence: The facility did not have a record of any practiced shelter-in-place drills during the past year. The last shelter-in-place drill documented was in June 2022.”

8VAC20-780-550-F

“Based upon review of the emergency drill documentation, the facility has not ensured that lock-down procedures are practiced at least annually. Evidence: The facility did not have a record of any practice lock-down drills in the past year. The last lock-down drill documented was June 2022.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas of the center outside are maintained to be safe. Evidence: There is poison ivy growing through the chain link fence onto the children’s playground in three areas. There was litter strewn throughout the playground to include tissues and a bandaid.”

8VAC20-780-350-B-4

“Based upon observation, the facility has not ensured that there is at least one staff person on duty with every ten children aged three years to age of school eligibility. Evidence: Upon arrival of the inspector, there were 21 children in care in the lunch room with one staff, staff 3. Staff 3 identified one child in the grouping as being four years old. Staff 3 sent the four year old child into the two/three year old group, leaving 20 school aged children in care with staff 3. No more than 18 children with one staff person is required of this age grouping. It was ten minutes before a second staff person, staff 5, arrived and corrected the required ratio for the group.”

8VAC20-780-340-A Complaint related: Yes

“Based upon interviews, the facility has not ensured that when supervising children, staff shall always ensure their care and protection. Evidence: 1. Interviews revealed that on 6/7/2023, child 1, nine years old, was not given an asthma rescue inhaler treatment when she expressed to staff 2 that she was having difficulty breathing. The child was told to sit in the lobby. The parent was not contacted. 2. Staff 2, on duty with child 1 on the day of the incident, stated that she "forgot" that child 1 had an albuterol inhaler stored at the facility for emergency use and that she, staff 2, had a lot on her mind at the time.”

8VAC20-780-340-I Complaint related: Yes

“Based upon staff interviews, the facility has not ensured that staff oversee each child's departure from the center. Evidence: Staff 1 acknowledged that there was an incident in late May when a child was picked up by a relative without the required staff oversight to ensure the safety of the departing child. Staff did not verify the identification of the person picking up the child nor did staff check the child's record to ensure that the person picking up the child was authorized by the parent to pick up the child.”

8VAC20-780-40-E Complaint related: Yes

“Based upon interviews, the facility has not ensured that the center's activities are maintained in compliance with the center's own policies and procedures as required by the standards. Evidence: Staff 1 stated that in late May there was an incidence where the facility's procedure for verifying that only persons authorized by the parent are allowed to pick up children at the end of the day. Staff 1 stated that a child was allowed to be picked up from the facility by a relative. Facility staff on duty did not require identification of this person, nor did the staff check to ensure that the relative was a person authorized by the parent to take the child.”

8VAC20-780-550-P Complaint related: No

“Based upon review of records, the facility has not ensured that a written record of children's injuries is written the day of occurrence and includes all required information. Evidence: 1. An injury record from 5/25/2023 for child 1 did not include the date, time and how the parent was notified of the child's injury. 2. A second injury record for child 1 on 5/25/2023 did not include how the parent was notified of the child's injury. 3. An injury record for child 2 dated 6/1/2023 did not include the date and time the parent was notified of the child's injury. 4. An injury record dated 3/1/2023 for child 3 did not include the time the parent was notified of the child's injury.”

8VAC20-780-500-A

“Based upon observation, the facility has not ensured that staff wash their hands after a diaper change. Evidence: Staff 4 was observed changing diapers. After a diaper change, staff 4 carried a soiled diaper across the classroom, opened the exterior door and used her hands to throw away the soiled diaper in a lidded trash can outside prior to washing her hands.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using a safe locking method that prevents access by the children. Evidence: 1. Upon arrival of the inspector at 11:00 AM, there was a group of children eating lunch in the lunch room directly adjacent to the kitchen. The door to the kitchen was standing open. A. There were containers of bleach, with warnings labels, in an unlocked cabinet under the sink. B. There was a container of dish washing liquid with a warning label on the sink. C. There were five containers of prescription medication in an unlocked cabinet above the counter. 2. The cabinet containing cleaning and sanitizing solutions, located above the changing table in the two year old classroom was observed to be unlocked as children were preparing for nap time.”

8VAC20-780-340-F

“Based upon observation, the facility has not ensured that children under ten years of age are always within actual sight and sound supervision of staff and children over the age of ten years are within sound supervision. Evidence: 1. Child 6, three years old, was observed leaving the classroom to go to the bathroom. The bathroom is in the hallway outside of the classroom door. Staff 4 was at the changing table in the corner inside the classroom, Child 6 was not in sight or sound supervision of staff. Staff 4 did not check on child 6 in the bathroom and did not acknowledge the child when child 6 walked back into the classroom after using the restroom. 2. School aged children were observed being sent back and forth from the classroom by the front door to the bathroom in the back hallway. Staff did not accompany these children, nor was a staff person in the back lunchroom alerted to supervise these children.”

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that the diapering area has paper towels, diapers are disposed in a leak proof receptacle that is operated in such a way that the staff hands nor the soiled diaper touch the exterior surface and that the diapering surface is cleaned and sanitized after each use. Evidence; 1. Staff 4 was observed changing a diaper in the two year old classroom There were no paper towels at the changing station. Staff 1 stated out loud to a child that there were no paper towels. 2. Staff 4 did not clean and sanitize the changing table after she was observed changing a child’s soiled diaper. 3. Staff 4 was observed walking with a soiled diaper across the classroom, opening the classroom exterior door and disposing of the soiled diaper in a garbage can outside.”

8VAC20-780-510-E

“Based upon review of medication procedures and medication stored for emergency administration to children, the facility has not ensured that their procedures include methods to prevent the use of outdated medication. Evidence: There was an epinephrine (epi-pen) stored for emergency administration to child 5. The epi-pen expired in May 2023. There was also diphenhydramine stored for the same child that expired in June 2023.”

8VAC20-780-510-L

“Based upon observation, the facility has not ensured that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Medication, to include cetirizine, fluticasone, albuterol, epinephrine and diphenhydramine, was stored in an unlocked cabinet above the counter in the kitchen. The door to the kitchen was standing wide open as children were eating in the adjacent lunch room.”

8VAC20-780-550-D

“Based upon review of the emergency drill documentation, the facility has not ensured that shelter-in-place drills are practiced a minimum of twice per year. Evidence: The facility did not have a record of any practiced shelter-in-place drills during the past year. The last shelter-in-place drill documented was in June 2022.”

8VAC20-780-550-F

“Based upon review of the emergency drill documentation, the facility has not ensured that lock-down procedures are practiced at least annually. Evidence: The facility did not have a record of any practice lock-down drills in the past year. The last lock-down drill documented was June 2022.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas of the center outside are maintained to be safe. Evidence: There is poison ivy growing through the chain link fence onto the children’s playground in three areas. There was litter strewn throughout the playground to include tissues and a bandaid.”

8VAC20-780-350-B-4

“Based upon observation, the facility has not ensured that there is at least one staff person on duty with every ten children aged three years to age of school eligibility. Evidence: Upon arrival of the inspector, there were 21 children in care in the lunch room with one staff, staff 3. Staff 3 identified one child in the grouping as being four years old. Staff 3 sent the four year old child into the two/three year old group, leaving 20 school aged children in care with staff 3. No more than 18 children with one staff person is required of this age grouping. It was ten minutes before a second staff person, staff 5, arrived and corrected the required ratio for the group.”

8VAC20-780-340-A Complaint related: Yes

“Based upon interviews, the facility has not ensured that when supervising children, staff shall always ensure their care and protection. Evidence: 1. Interviews revealed that on 6/7/2023, child 1, nine years old, was not given an asthma rescue inhaler treatment when she expressed to staff 2 that she was having difficulty breathing. The child was told to sit in the lobby. The parent was not contacted. 2. Staff 2, on duty with child 1 on the day of the incident, stated that she "forgot" that child 1 had an albuterol inhaler stored at the facility for emergency use and that she, staff 2, had a lot on her mind at the time.”

8VAC20-780-340-I Complaint related: Yes

“Based upon staff interviews, the facility has not ensured that staff oversee each child's departure from the center. Evidence: Staff 1 acknowledged that there was an incident in late May when a child was picked up by a relative without the required staff oversight to ensure the safety of the departing child. Staff did not verify the identification of the person picking up the child nor did staff check the child's record to ensure that the person picking up the child was authorized by the parent to pick up the child.”

8VAC20-780-40-E Complaint related: Yes

“Based upon interviews, the facility has not ensured that the center's activities are maintained in compliance with the center's own policies and procedures as required by the standards. Evidence: Staff 1 stated that in late May there was an incidence where the facility's procedure for verifying that only persons authorized by the parent are allowed to pick up children at the end of the day. Staff 1 stated that a child was allowed to be picked up from the facility by a relative. Facility staff on duty did not require identification of this person, nor did the staff check to ensure that the relative was a person authorized by the parent to take the child.”

8VAC20-780-550-P Complaint related: No

“Based upon review of records, the facility has not ensured that a written record of children's injuries is written the day of occurrence and includes all required information. Evidence: 1. An injury record from 5/25/2023 for child 1 did not include the date, time and how the parent was notified of the child's injury. 2. A second injury record for child 1 on 5/25/2023 did not include how the parent was notified of the child's injury. 3. An injury record for child 2 dated 6/1/2023 did not include the date and time the parent was notified of the child's injury. 4. An injury record dated 3/1/2023 for child 3 did not include the time the parent was notified of the child's injury.”

8VAC20-780-500-A

“Based upon observation, the facility has not ensured that staff wash their hands after a diaper change. Evidence: Staff 4 was observed changing diapers. After a diaper change, staff 4 carried a soiled diaper across the classroom, opened the exterior door and used her hands to throw away the soiled diaper in a lidded trash can outside prior to washing her hands.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using a safe locking method that prevents access by the children. Evidence: 1. Upon arrival of the inspector at 11:00 AM, there was a group of children eating lunch in the lunch room directly adjacent to the kitchen. The door to the kitchen was standing open. A. There were containers of bleach, with warnings labels, in an unlocked cabinet under the sink. B. There was a container of dish washing liquid with a warning label on the sink. C. There were five containers of prescription medication in an unlocked cabinet above the counter. 2. The cabinet containing cleaning and sanitizing solutions, located above the changing table in the two year old classroom was observed to be unlocked as children were preparing for nap time.”

8VAC20-780-340-F

“Based upon observation, the facility has not ensured that children under ten years of age are always within actual sight and sound supervision of staff and children over the age of ten years are within sound supervision. Evidence: 1. Child 6, three years old, was observed leaving the classroom to go to the bathroom. The bathroom is in the hallway outside of the classroom door. Staff 4 was at the changing table in the corner inside the classroom, Child 6 was not in sight or sound supervision of staff. Staff 4 did not check on child 6 in the bathroom and did not acknowledge the child when child 6 walked back into the classroom after using the restroom. 2. School aged children were observed being sent back and forth from the classroom by the front door to the bathroom in the back hallway. Staff did not accompany these children, nor was a staff person in the back lunchroom alerted to supervise these children.”

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that the diapering area has paper towels, diapers are disposed in a leak proof receptacle that is operated in such a way that the staff hands nor the soiled diaper touch the exterior surface and that the diapering surface is cleaned and sanitized after each use. Evidence; 1. Staff 4 was observed changing a diaper in the two year old classroom There were no paper towels at the changing station. Staff 1 stated out loud to a child that there were no paper towels. 2. Staff 4 did not clean and sanitize the changing table after she was observed changing a child’s soiled diaper. 3. Staff 4 was observed walking with a soiled diaper across the classroom, opening the classroom exterior door and disposing of the soiled diaper in a garbage can outside.”

8VAC20-780-510-E

“Based upon review of medication procedures and medication stored for emergency administration to children, the facility has not ensured that their procedures include methods to prevent the use of outdated medication. Evidence: There was an epinephrine (epi-pen) stored for emergency administration to child 5. The epi-pen expired in May 2023. There was also diphenhydramine stored for the same child that expired in June 2023.”

8VAC20-780-510-L

“Based upon observation, the facility has not ensured that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Medication, to include cetirizine, fluticasone, albuterol, epinephrine and diphenhydramine, was stored in an unlocked cabinet above the counter in the kitchen. The door to the kitchen was standing wide open as children were eating in the adjacent lunch room.”

8VAC20-780-550-D

“Based upon review of the emergency drill documentation, the facility has not ensured that shelter-in-place drills are practiced a minimum of twice per year. Evidence: The facility did not have a record of any practiced shelter-in-place drills during the past year. The last shelter-in-place drill documented was in June 2022.”

8VAC20-780-550-F

“Based upon review of the emergency drill documentation, the facility has not ensured that lock-down procedures are practiced at least annually. Evidence: The facility did not have a record of any practice lock-down drills in the past year. The last lock-down drill documented was June 2022.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas of the center outside are maintained to be safe. Evidence: There is poison ivy growing through the chain link fence onto the children’s playground in three areas. There was litter strewn throughout the playground to include tissues and a bandaid.”

8VAC20-780-350-B-4

“Based upon observation, the facility has not ensured that there is at least one staff person on duty with every ten children aged three years to age of school eligibility. Evidence: Upon arrival of the inspector, there were 21 children in care in the lunch room with one staff, staff 3. Staff 3 identified one child in the grouping as being four years old. Staff 3 sent the four year old child into the two/three year old group, leaving 20 school aged children in care with staff 3. No more than 18 children with one staff person is required of this age grouping. It was ten minutes before a second staff person, staff 5, arrived and corrected the required ratio for the group.”

8VAC20-780-340-A Complaint related: Yes

“Based upon interviews, the facility has not ensured that when supervising children, staff shall always ensure their care and protection. Evidence: 1. Interviews revealed that on 6/7/2023, child 1, nine years old, was not given an asthma rescue inhaler treatment when she expressed to staff 2 that she was having difficulty breathing. The child was told to sit in the lobby. The parent was not contacted. 2. Staff 2, on duty with child 1 on the day of the incident, stated that she "forgot" that child 1 had an albuterol inhaler stored at the facility for emergency use and that she, staff 2, had a lot on her mind at the time.”

8VAC20-780-340-I Complaint related: Yes

“Based upon staff interviews, the facility has not ensured that staff oversee each child's departure from the center. Evidence: Staff 1 acknowledged that there was an incident in late May when a child was picked up by a relative without the required staff oversight to ensure the safety of the departing child. Staff did not verify the identification of the person picking up the child nor did staff check the child's record to ensure that the person picking up the child was authorized by the parent to pick up the child.”

8VAC20-780-40-E Complaint related: Yes

“Based upon interviews, the facility has not ensured that the center's activities are maintained in compliance with the center's own policies and procedures as required by the standards. Evidence: Staff 1 stated that in late May there was an incidence where the facility's procedure for verifying that only persons authorized by the parent are allowed to pick up children at the end of the day. Staff 1 stated that a child was allowed to be picked up from the facility by a relative. Facility staff on duty did not require identification of this person, nor did the staff check to ensure that the relative was a person authorized by the parent to take the child.”

8VAC20-780-550-P Complaint related: No

“Based upon review of records, the facility has not ensured that a written record of children's injuries is written the day of occurrence and includes all required information. Evidence: 1. An injury record from 5/25/2023 for child 1 did not include the date, time and how the parent was notified of the child's injury. 2. A second injury record for child 1 on 5/25/2023 did not include how the parent was notified of the child's injury. 3. An injury record for child 2 dated 6/1/2023 did not include the date and time the parent was notified of the child's injury. 4. An injury record dated 3/1/2023 for child 3 did not include the time the parent was notified of the child's injury.”

8VAC20-780-500-A

“Based upon observation, the facility has not ensured that staff wash their hands after a diaper change. Evidence: Staff 4 was observed changing diapers. After a diaper change, staff 4 carried a soiled diaper across the classroom, opened the exterior door and used her hands to throw away the soiled diaper in a lidded trash can outside prior to washing her hands.”

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using a safe locking method that prevents access by the children. Evidence: 1. Upon arrival of the inspector at 11:00 AM, there was a group of children eating lunch in the lunch room directly adjacent to the kitchen. The door to the kitchen was standing open. A. There were containers of bleach, with warnings labels, in an unlocked cabinet under the sink. B. There was a container of dish washing liquid with a warning label on the sink. C. There were five containers of prescription medication in an unlocked cabinet above the counter. 2. The cabinet containing cleaning and sanitizing solutions, located above the changing table in the two year old classroom was observed to be unlocked as children were preparing for nap time.”

8VAC20-780-340-F

“Based upon observation, the facility has not ensured that children under ten years of age are always within actual sight and sound supervision of staff and children over the age of ten years are within sound supervision. Evidence: 1. Child 6, three years old, was observed leaving the classroom to go to the bathroom. The bathroom is in the hallway outside of the classroom door. Staff 4 was at the changing table in the corner inside the classroom, Child 6 was not in sight or sound supervision of staff. Staff 4 did not check on child 6 in the bathroom and did not acknowledge the child when child 6 walked back into the classroom after using the restroom. 2. School aged children were observed being sent back and forth from the classroom by the front door to the bathroom in the back hallway. Staff did not accompany these children, nor was a staff person in the back lunchroom alerted to supervise these children.”

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that the diapering area has paper towels, diapers are disposed in a leak proof receptacle that is operated in such a way that the staff hands nor the soiled diaper touch the exterior surface and that the diapering surface is cleaned and sanitized after each use. Evidence; 1. Staff 4 was observed changing a diaper in the two year old classroom There were no paper towels at the changing station. Staff 1 stated out loud to a child that there were no paper towels. 2. Staff 4 did not clean and sanitize the changing table after she was observed changing a child’s soiled diaper. 3. Staff 4 was observed walking with a soiled diaper across the classroom, opening the classroom exterior door and disposing of the soiled diaper in a garbage can outside.”

8VAC20-780-510-E

“Based upon review of medication procedures and medication stored for emergency administration to children, the facility has not ensured that their procedures include methods to prevent the use of outdated medication. Evidence: There was an epinephrine (epi-pen) stored for emergency administration to child 5. The epi-pen expired in May 2023. There was also diphenhydramine stored for the same child that expired in June 2023.”

8VAC20-780-510-L

“Based upon observation, the facility has not ensured that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Medication, to include cetirizine, fluticasone, albuterol, epinephrine and diphenhydramine, was stored in an unlocked cabinet above the counter in the kitchen. The door to the kitchen was standing wide open as children were eating in the adjacent lunch room.”

8VAC20-780-550-D

“Based upon review of the emergency drill documentation, the facility has not ensured that shelter-in-place drills are practiced a minimum of twice per year. Evidence: The facility did not have a record of any practiced shelter-in-place drills during the past year. The last shelter-in-place drill documented was in June 2022.”

8VAC20-780-550-F

“Based upon review of the emergency drill documentation, the facility has not ensured that lock-down procedures are practiced at least annually. Evidence: The facility did not have a record of any practice lock-down drills in the past year. The last lock-down drill documented was June 2022.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas of the center outside are maintained to be safe. Evidence: There is poison ivy growing through the chain link fence onto the children’s playground in three areas. There was litter strewn throughout the playground to include tissues and a bandaid.”

8VAC20-780-350-B-4

“Based upon observation, the facility has not ensured that there is at least one staff person on duty with every ten children aged three years to age of school eligibility. Evidence: Upon arrival of the inspector, there were 21 children in care in the lunch room with one staff, staff 3. Staff 3 identified one child in the grouping as being four years old. Staff 3 sent the four year old child into the two/three year old group, leaving 20 school aged children in care with staff 3. No more than 18 children with one staff person is required of this age grouping. It was ten minutes before a second staff person, staff 5, arrived and corrected the required ratio for the group.”

8VAC20-770-60-C-2

“Based upon review of staff records and staff interview, the facility has not ensured that they have obtained a central registry finding within 30 days of employment. Evidence: 1. The results of a child protective services central registry fining were not in the record provided for staff 5, who was hired on 7/11/2022, and has remained in the facility's employ. 2. Staff 1 acknowledged that results of a child protective services central registry finding were not obtained for staff 5.”

8VAC20-780-130-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child has received the immunizations required by the State Board of Health before attending. Evidence: 1. The record provided for child 3, who began attending on 11/9/2021, did not include documentation of the required immunizations. 2. Staff 1 verified that the record for child 3 did not include documentation of immunizations.”

8VAC20-780-60-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child's record contains complete home addresses and addresses for persons other than parents to be contacted in an emergency. Evidence: 1. The record provided for child 2 did not include complete street addresses for the parents nor for the two persons other than parents to be contacted in an emergency. 2. Staff 1 acknowledged that complete street addresses for the parents and emergency contact persons had not been provided.”

8VAC20-780-230-B

“Based upon observation and staff interview, the facility has not ensured that individuals from independent contractors who do not meet staff qualifications are within sight and sound supervision of a staff member. Evidence: 1. During the inspection, an independent contractor was in the front classroom alone with a child without staff supervision. 2. Staff 1 acknowledged that the contractor works alone with the child without staff supervision. Staff 1 was unable to produce any documentation of the independent contractor's qualifications.”

8VAC20-780-270-A

“Based upon observation and staff interview, the facility has not ensured that areas and equipment are maintained to be clean and safe. Evidence: 1. Numerous carpets in all children's classrooms showed extreme wear and tear including dirt, stains and pulled threads/strings. 2. The tile floors in the classrooms showed evidence of ground in dirt/grime. 3. There was a toy bed in a back classroom that was stained and dirty. 4. Staff 1 acknowledged that the carpets needed to be cleaned, removed and/or replaced.”

8VAC20-780-70

“Based upon review of staff records and staff interview, the facility has not ensured that telephone references for staff include all required documentation. Evidence: 1. The telephone references in the records provided for staff 2 and 5 are not dated and signed by the person who obtained the references. 2. Staff 1 acknowledged that the telephone references for staff 2 and 5 were not dated and signed.”

8VAC20-780-580-L

“Based upon review of children's records and staff interview, the facility has not ensured that they have parental permission for transportation. Evidence: 1. The records provided for children 3, 4 and 5 did not include parental permission to transport these children who were taken to public school by the facility during the inspection. 2. Staff 1 acknowledged that the records did not include parental permission to transport the children.”

8VAC20-770-60-C-2

“Based upon review of staff records and staff interview, the facility has not ensured that they have obtained a central registry finding within 30 days of employment. Evidence: 1. The results of a child protective services central registry fining were not in the record provided for staff 5, who was hired on 7/11/2022, and has remained in the facility's employ. 2. Staff 1 acknowledged that results of a child protective services central registry finding were not obtained for staff 5.”

8VAC20-780-130-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child has received the immunizations required by the State Board of Health before attending. Evidence: 1. The record provided for child 3, who began attending on 11/9/2021, did not include documentation of the required immunizations. 2. Staff 1 verified that the record for child 3 did not include documentation of immunizations.”

8VAC20-780-60-A

“Based upon review of children's records and staff interview, the facility has not ensured that each child's record contains complete home addresses and addresses for persons other than parents to be contacted in an emergency. Evidence: 1. The record provided for child 2 did not include complete street addresses for the parents nor for the two persons other than parents to be contacted in an emergency. 2. Staff 1 acknowledged that complete street addresses for the parents and emergency contact persons had not been provided.”

8VAC20-780-230-B

“Based upon observation and staff interview, the facility has not ensured that individuals from independent contractors who do not meet staff qualifications are within sight and sound supervision of a staff member. Evidence: 1. During the inspection, an independent contractor was in the front classroom alone with a child without staff supervision. 2. Staff 1 acknowledged that the contractor works alone with the child without staff supervision. Staff 1 was unable to produce any documentation of the independent contractor's qualifications.”

8VAC20-780-270-A

“Based upon observation and staff interview, the facility has not ensured that areas and equipment are maintained to be clean and safe. Evidence: 1. Numerous carpets in all children's classrooms showed extreme wear and tear including dirt, stains and pulled threads/strings. 2. The tile floors in the classrooms showed evidence of ground in dirt/grime. 3. There was a toy bed in a back classroom that was stained and dirty. 4. Staff 1 acknowledged that the carpets needed to be cleaned, removed and/or replaced.”

8VAC20-780-70

“Based upon review of staff records and staff interview, the facility has not ensured that telephone references for staff include all required documentation. Evidence: 1. The telephone references in the records provided for staff 2 and 5 are not dated and signed by the person who obtained the references. 2. Staff 1 acknowledged that the telephone references for staff 2 and 5 were not dated and signed.”

8VAC20-780-580-L

“Based upon review of children's records and staff interview, the facility has not ensured that they have parental permission for transportation. Evidence: 1. The records provided for children 3, 4 and 5 did not include parental permission to transport these children who were taken to public school by the facility during the inspection. 2. Staff 1 acknowledged that the records did not include parental permission to transport the children.”

8VAC20-780-80-A

“Based upon staff interview, the facility has not ensured that they maintain for each group of children, a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. Staff 2, the Program Director, was unable to provide documentation of children’s attendance including the arrival and departure times of each child in each grouping of children. 2. Each classroom did not document the arrival and departure of each child in the classroom as it occurred.”

8VAC20-780-40-E

“Based upon review of written policies and procedures and staff interview, the licensee has not ensured that the center’s activities and services are maintained in compliance with the Standards and the center’s own policies and procedures required by the Standards. Evidence: 1. The facility’s policies and procedures in the Parent Handbook, as well as the Personnel Policy Handbook, regarding the disciplining of children state that ?There will be no physical punishment or disciplinary action to any part of the body?. 2. Three witnesses interviewed described the action of staff 1 in response to behavior by child 1 (ten years old) that was posing imminent danger to the safety of the children and staff as the following: a. Child 1 face down on the floor with staff 1?s ?arms wrapped around his arms? and her ?full body weight? on him. b. Staff 1 ?took (child 1) down? and ?restrained him?. Staff 1 was ?on him or to the side of him?. c. Child 1 was ?face down with (staff 1) on his back?. Staff 1?s ?legs were on child 1?s right side? and her ?torso was on (child 1)?.”

8VAC20-780-510-P

“Based upon review of two children's medications and records and staff interview, the facility has not ensured that when an authorization for medication expires, the parent is notified that the medication must be picked up within 14 days or the parent must renew the authorization. Evidence: 1. There was an epipen stored at the facility fort emergency use in the event of an allergic reaction of child 5. The parent authorization for administration of the epipen expired in August 2019.”

8VAC20-780-510-P

“Based upon review of two children's medications and records and staff interview, the facility has not ensured that when an authorization for medication expires, the parent is notified that the medication must be picked up within 14 days or the parent must renew the authorization. Evidence: 1. There was an epipen stored at the facility fort emergency use in the event of an allergic reaction of child 5. The parent authorization for administration of the epipen expired in August 2019.”