Play-N-Pretend Preschool & Child Care Center

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

“A tuberculosis screening or testing is required every two years from the date of the last screening. The tuberculosis screening for Staff 1 was overdue by 10 months.”

8VAC20-780-80-B-2 Complaint related: Yes

“The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Child 1 (6 years old) sustained an injury, while under the supervision of the center on 12/31/2024, that required outside medical attention. The center did not notify the department that the injury occurred.”

8VAC20-780-550-P Complaint related: Yes

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of the occurrence. Child 1 (6 years old) sustained an injury while under the supervision of the center on 12/31/2024. There was not a written record of the injury.”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children; the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 2 contained a documented hire date of 09/04/2024; the tuberculosis screening was dated 11/01/2023.”

8VAC20-770-60-C-2

“REPEAT VIOLATION Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 3 contained a documented hire date of 04/29/2024. The results from the search of the central registry were dated 07/24/2024; the results were not obtained within 30 days of employment.”

8VAC20-780-240-B

“Based on document review, the center failed to ensure that employees shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff 2 contained a documented hire date of 05/22/2024 and did not contain verification that Staff 2 has completed orientation training. Staff 2 was observed working during the inspection.”

8VAC20-780-530-A

“REPEAT VIOLATION Based on document review and observations, the center failed to ensure that a least one staff in each classroom or area where children are present shall have a current CPR and first aid certification. Evidence: Staff 2 and Staff 3 were observed supervising the school-age group of children. Staff 2 and Staff 3 do not have a current CPR and first aid certification.”

22.1-289.035-A

“Based on record review and staff interviews, the center failed to ensure that every employee of a licensed child day center shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: 1. The most recent search of the central registry in the record for Staff 1 was dated 08/14/2018; there was not a follow-up search obtained by 08/14/2023. 2. The most recent search of the central registry in the record for Staff 5 was dated 10/12/2018; there was not a follow-up search obtained by 10/12/2023.”

22.1-289.036-A

“Based on record review, the center failed to ensure that every applicant for licensure of a child day center shall undergo a background check in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter. Evidence: 1. The most recent search of the central registry in the record for Applicant 1 was dated 01/29/2018; there was not a follow-up search obtained by 01/29/2023. 2. The most recent search of the central registry for Applicant 2 was dated 02/18/2018; there was not a follow-up search obtained by 02/18/2023. 3. The most recent criminal record check for Applicant 2 was dated 02/15/2018; there was not an updated criminal record check obtained by 02/15/2023. 4. The most recent sworn statement for Applicant 2 was dated 01/12/2018; there was not a follow-up sworn statement obtained by 01/12/2023.”

8VAC20-770-60-C-2

“REPEAT VIOLATION Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 3 contained a documented hire date of 04/29/2024. The results from the search of the central registry were dated 07/24/2024; the results were not obtained within 30 days of employment.”

8VAC20-780-240-B

“Based on document review, the center failed to ensure that employees shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff 2 contained a documented hire date of 05/22/2024 and did not contain verification that Staff 2 has completed orientation training. Staff 2 was observed working during the inspection.”

8VAC20-780-530-A

“REPEAT VIOLATION Based on document review and observations, the center failed to ensure that a least one staff in each classroom or area where children are present shall have a current CPR and first aid certification. Evidence: Staff 2 and Staff 3 were observed supervising the school-age group of children. Staff 2 and Staff 3 do not have a current CPR and first aid certification.”

22.1-289.035-A

“Based on record review and staff interviews, the center failed to ensure that every employee of a licensed child day center shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: 1. The most recent search of the central registry in the record for Staff 1 was dated 08/14/2018; there was not a follow-up search obtained by 08/14/2023. 2. The most recent search of the central registry in the record for Staff 5 was dated 10/12/2018; there was not a follow-up search obtained by 10/12/2023.”

22.1-289.036-A

“Based on record review, the center failed to ensure that every applicant for licensure of a child day center shall undergo a background check in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter. Evidence: 1. The most recent search of the central registry in the record for Applicant 1 was dated 01/29/2018; there was not a follow-up search obtained by 01/29/2023. 2. The most recent search of the central registry for Applicant 2 was dated 02/18/2018; there was not a follow-up search obtained by 02/18/2023. 3. The most recent criminal record check for Applicant 2 was dated 02/15/2018; there was not an updated criminal record check obtained by 02/15/2023. 4. The most recent sworn statement for Applicant 2 was dated 01/12/2018; there was not a follow-up sworn statement obtained by 01/12/2023.”

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

“Based on record review, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class in the video footage from 03/19/2024. Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class during the 03/28/2024 inspection. Staff 1 and Staff 2 are both program aides. There was not at least one staff member qualified as a program lead or program director regularly present.”

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

“Based on observation, the center failed to ensure that children under the age of 10 years shall always be within actual sight and sound supervision of staff. Evidence: Three children from the pre-k classroom were observed walking from the restroom back to their classroom during the 03/28/2024 inspection without a staff member. During the time the preschool-aged children were in the restroom and as they walked down the hallway to their classroom they were not within the sight and sound supervision of a staff member.”

8VAC20-780-530-A Complaint related: No

“Based on record review, the center failed to ensure that at least one staff member in each classroom or area where children are present shall have a current certification in CPR and first aid. Evidence: Staff 1 and Staff 2 were the only two staff members observed providing supervision to the Toddler Class in the video footage from 03/19/2024 and during the 03/28/2024 inspection; neither Staff 1 nor Staff 2 have a current certification in CPR or first aid.”

8VAC20-780-550-P Complaint related: Yes

“COMPLAINT RELATED Based on document review, the center failed to ensure that injury reports contain all of the elements as required by the standards. Evidence: The injury report for Child 1 from 03/19/2024 did not contain the following required information: the date and time when parents were notified; and documentation on how parent was notified.”

8VAC20-780-70 Complaint related: No

“Based on record review, the center failed to ensure that staff records shall contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: name, address and telephone number of a person to be notified in an emergency. 2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-780-80-B Complaint related: Yes

“COMPLAINT RELATED Based on the review of video footage, photographs, injury report review, and interviews, the center failed to ensure that the center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: Video footage from the Toddler Class on 03/19/2024 shows Child 1 being pushed by another child and falling onto a wooden shelving unit. Child 1 struck their face on the bottom shelf of the shelving unit resulting in a cut near their left eye. Child 1 was taken for outside medication attention by their parent following pickup on 03/19/2024. As of 03/28/2024, the center had not informed the department of the injury that required outside medical attention.”

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

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff 1 contained a documented hire date of 08/23/2022; there was not documentation that Staff 1 has completed the VDOE orientation course in the record for Staff 1.”

8VAC20-780-245-A

“Based on record review and staff interview, the center failed to ensure that staff shall complete annually a minimum of 16 hour of training appropriate to the age of children in care. Evidence: 1. The record for Staff 1 contained a documented hire date of 08/11/2021. The record did not contain documentation that a minimum of 16 hours of annual training had been completed for 2023. 2. The record for Staff 2 contained a documented hire date of 08/18/2015. The record did not contain documentation that a minimum of 16 hours of annual training had been completed for 2023. 3. The record for Staff 3 contained a documented hire date of 08/19/2022. The record did not contain documentation that a minimum of 16 hours of annual training had been completed for 2023.”

8VAC20-780-240-A

“Based on record review and staff interview, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff 4 contained a documented hire date of 10/30/2023; there was not documentation that Staff 4 has completed the VDOE orientation course in the record for Staff 4. Staff 6 verified that the training has not been completed.”

8VAC20-780-80-A

“Based on document review and staff interviews, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance record for the Playschool Class (2 year old class) indicated that there were 11 children in attendance during the time of the inspection; a total of 10 children were observed in the class. Staff 2 stated that Child 6 had been visiting the class to prepare for the transition to the class but had returned to the Toddler Class. The record of daily attendance did not document the departure of each child as it occurred.”

22.1-289.035-B-4

“Based on record review and staff interviews, the center failed to obtain a copy of the child abuse and neglect registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 4 contained evidence that Staff 4 had resided outside of the state of Virginia within the preceding five years. The record for Staff 4 contained a documented hire date of 10/30/2023. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the 02/07/2024 inspection. Staff 4 was observed working during the 02/07/2024 inspection.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 4 contained a documented hire date of 10/30/2023. The results from the search of the central registry was dated 01/10/2024; the results were not obtained within 30 days of employment.”

8VAC20-780-160-C

“2nd REPEAT VIOLATION Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The most recent tuberculosis screening in the record for Staff 1 was dated 08/08/2021; there was not a follow-up tuberculosis screening obtained by 08/08/2023 available for review. 2. The most recent tuberculosis screening in the record for Staff 2 was dated 12/10/2021; there was not a follow-up tuberculosis screening obtained by 12/10/2023 available for review.”

8VAC20-780-245-A

“Based on record review and staff interview, the center failed to ensure that staff shall complete annually a minimum of 16 hour of training appropriate to the age of children in care. Evidence: 1. The record for Staff 1 contained a documented hire date of 08/11/2021. The record did not contain documentation that a minimum of 16 hours of annual training had been completed for 2023. 2. The record for Staff 2 contained a documented hire date of 08/18/2015. The record did not contain documentation that a minimum of 16 hours of annual training had been completed for 2023. 3. The record for Staff 3 contained a documented hire date of 08/19/2022. The record did not contain documentation that a minimum of 16 hours of annual training had been completed for 2023.”

8VAC20-780-240-A

“Based on record review and staff interview, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff 4 contained a documented hire date of 10/30/2023; there was not documentation that Staff 4 has completed the VDOE orientation course in the record for Staff 4. Staff 6 verified that the training has not been completed.”

8VAC20-780-80-A

“Based on document review and staff interviews, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance record for the Playschool Class (2 year old class) indicated that there were 11 children in attendance during the time of the inspection; a total of 10 children were observed in the class. Staff 2 stated that Child 6 had been visiting the class to prepare for the transition to the class but had returned to the Toddler Class. The record of daily attendance did not document the departure of each child as it occurred.”

22.1-289.035-B-4

“Based on record review and staff interviews, the center failed to obtain a copy of the child abuse and neglect registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 4 contained evidence that Staff 4 had resided outside of the state of Virginia within the preceding five years. The record for Staff 4 contained a documented hire date of 10/30/2023. There was not a child abuse and neglect registry check from all of the states in which the individual had resided in the preceding five years available for review during the 02/07/2024 inspection. Staff 4 was observed working during the 02/07/2024 inspection.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 4 contained a documented hire date of 10/30/2023. The results from the search of the central registry was dated 01/10/2024; the results were not obtained within 30 days of employment.”

8VAC20-780-160-C

“2nd REPEAT VIOLATION Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The most recent tuberculosis screening in the record for Staff 1 was dated 08/08/2021; there was not a follow-up tuberculosis screening obtained by 08/08/2023 available for review. 2. The most recent tuberculosis screening in the record for Staff 2 was dated 12/10/2021; there was not a follow-up tuberculosis screening obtained by 12/10/2023 available for review.”

8VAC20-770-60-B

“Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 5 contained a documented hire date of 05/05/2023. There was not a sworn statement available for review for Staff 5 during the inspection.”

22.1-289.035-A

“Based on record review, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: 1. The most recent criminal history record check (fingerprint eligibility letter) in the record for Staff 3 was dated 04/11/2018; there was not a follow-up criminal history record check obtained by 04/11/2023. 2. The date on the original criminal history record check (fingerprint eligibility letter) in the record for Staff 4 was 03/29/2018. The follow-up criminal history record check was dated 05/19/2023. The follow-up criminal history record check was not obtained within the 5 year period. 3. The record for Staff 4 contained documentation that Staff 4 resides outside of the state. The original out of state child abuse and neglect registry check is dated 07/03/2018. There was not a follow-up out of state child abuse and neglect registry check obtain by 07/03/2023.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child 1, determined to be 20 months old, contained a documented start date of 01/10/2022. The most recent immunization record in the record for Child 1 was dated 11/16/2022; additional immunizations have not been obtained every 6 months. 2. The record for Child 3 contained a documented start date of 08/01/2022. The most recent immunization record in the record for Child 3 was dated 02/12/2022; additional immunizations were not obtained every 6 months from 02/12/2022 until the child turned 2 years old.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance. Evidence: The record for Child 3 did not contain a physical examination record; the record had a documented start date of 08/01/2022.”

8VAC20-780-160-C

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent tuberculosis screening in the record for Staff 1 was dated 10/16/2020; there was not a follow-up tuberculosis screening available for review.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number of the child’s physician. 2. The record for Child 2 did not contain the following information: phone number of the child’s physician. 3. The record for Child 3 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child’s record. 4. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record.”

8VAC20-780-260-B

“Based on document review, the center failed to obtain an annual approval from the health department. Evidence: The most recent approval from the health department was dated 04/28/2022.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The storage closet, that contained the cleaning materials, in the Pre-K Classroom was unlocked and the key to the closet was in the lock on the door. 2. There was a bottle labeled ?bleach and water? on a shelf in the infant room. 3. There was an aerosol spray bottle of Microban on the diaper changing table in the infant room. 4. There was an aerosol spray bottle of Lysol on a shelf in the large room used by the school-aged children.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that that children’s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks. Evidence: The children were observed during morning snack. Child 2 and Child 5 were observed immediately returning to play areas of the classrooms after finishing their snack. The children did not wash their hands with soap or running water or a disposable wipe after eating a snack.”

8VAC20-780-280-D

“REPEAT VIOLATION Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: There were 2 containers of disinfectant deodorant, on a shelf in the closet of the pre-k classroom, that were located directly above the following items: napkins, paper plates, plastic utensils, and plastic cups.”

8VAC20-770-60-B

“Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 5 contained a documented hire date of 05/05/2023. There was not a sworn statement available for review for Staff 5 during the inspection.”

22.1-289.035-A

“Based on record review, the center failed to ensure that all employees shall undergo a background check in accordance with the Code of Virginia prior to employment and every five years thereafter. Evidence: 1. The most recent criminal history record check (fingerprint eligibility letter) in the record for Staff 3 was dated 04/11/2018; there was not a follow-up criminal history record check obtained by 04/11/2023. 2. The date on the original criminal history record check (fingerprint eligibility letter) in the record for Staff 4 was 03/29/2018. The follow-up criminal history record check was dated 05/19/2023. The follow-up criminal history record check was not obtained within the 5 year period. 3. The record for Staff 4 contained documentation that Staff 4 resides outside of the state. The original out of state child abuse and neglect registry check is dated 07/03/2018. There was not a follow-up out of state child abuse and neglect registry check obtain by 07/03/2023.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child 1, determined to be 20 months old, contained a documented start date of 01/10/2022. The most recent immunization record in the record for Child 1 was dated 11/16/2022; additional immunizations have not been obtained every 6 months. 2. The record for Child 3 contained a documented start date of 08/01/2022. The most recent immunization record in the record for Child 3 was dated 02/12/2022; additional immunizations were not obtained every 6 months from 02/12/2022 until the child turned 2 years old.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance. Evidence: The record for Child 3 did not contain a physical examination record; the record had a documented start date of 08/01/2022.”

8VAC20-780-160-C

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent tuberculosis screening in the record for Staff 1 was dated 10/16/2020; there was not a follow-up tuberculosis screening available for review.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number of the child’s physician. 2. The record for Child 2 did not contain the following information: phone number of the child’s physician. 3. The record for Child 3 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child’s record. 4. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record.”

8VAC20-780-260-B

“Based on document review, the center failed to obtain an annual approval from the health department. Evidence: The most recent approval from the health department was dated 04/28/2022.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The storage closet, that contained the cleaning materials, in the Pre-K Classroom was unlocked and the key to the closet was in the lock on the door. 2. There was a bottle labeled ?bleach and water? on a shelf in the infant room. 3. There was an aerosol spray bottle of Microban on the diaper changing table in the infant room. 4. There was an aerosol spray bottle of Lysol on a shelf in the large room used by the school-aged children.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that that children’s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks. Evidence: The children were observed during morning snack. Child 2 and Child 5 were observed immediately returning to play areas of the classrooms after finishing their snack. The children did not wash their hands with soap or running water or a disposable wipe after eating a snack.”

8VAC20-780-280-D

“REPEAT VIOLATION Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: There were 2 containers of disinfectant deodorant, on a shelf in the closet of the pre-k classroom, that were located directly above the following items: napkins, paper plates, plastic utensils, and plastic cups.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete). 2. The record for Child 3 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child’s record.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance. Evidence: The record for Child 1 did not contain a physical examination record; the record had a documented start date of 08/01/2022.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff 3 contained a documented hire date of 08/19/2022. Staff 3 has not completed the Virginia Department of Education sponsored orientation course as of 02/15/2023.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The storage closet, that contained cleaning materials, in the Pre-K Classroom was unlocked and the key to the closet was in the lock on the door.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent tuberculosis screening in the record for Staff 1 was dated 10/16/2020; there was not a follow-up tuberculosis screening available for review.”

8VAC20-780-280-D

“Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: 1. There was a container of stain remover and a container of Febreeze on the shelf about the baby food in the Infant Room storage closet. 2. There was a bottle of Betco cleaner, Great Value Disinfectant and Microban on a shelf with cupcakes, cookies and Cheetos in the Toddler Room storage closet.”

8VAC20-780-80-A

“Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance record for the Infant Class contained documentation that there were 6 children in care during the 02/15/2023 inspection. There were 7 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred. 2. The attendance record for the Toddler Class did not contain documentation of children’s departure on 02/14/2023. 3. The attendance record for the Toddler Class contained documentation that there were 5 children in care during the 02/15/2023 inspection. There were 7 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred. 4. The attendance record for the 2 Year Old Class did not contain documentation of children’s departure on 02/14/2023. 5. The attendance record for the Pre-K Class contained documentation that there were 13 children in care during the 02/15/2023 inspection. There were 14 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete). 2. The record for Child 3 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incomplete); and documentation of child updates and confirmation of up-to-date information in the child’s record.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance; or within 30 days after the first day of attendance. Evidence: The record for Child 1 did not contain a physical examination record; the record had a documented start date of 08/01/2022.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff 3 contained a documented hire date of 08/19/2022. Staff 3 has not completed the Virginia Department of Education sponsored orientation course as of 02/15/2023.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The storage closet, that contained cleaning materials, in the Pre-K Classroom was unlocked and the key to the closet was in the lock on the door.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The most recent tuberculosis screening in the record for Staff 1 was dated 10/16/2020; there was not a follow-up tuberculosis screening available for review.”

8VAC20-780-280-D

“Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: 1. There was a container of stain remover and a container of Febreeze on the shelf about the baby food in the Infant Room storage closet. 2. There was a bottle of Betco cleaner, Great Value Disinfectant and Microban on a shelf with cupcakes, cookies and Cheetos in the Toddler Room storage closet.”

8VAC20-780-80-A

“Based on document review, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance record for the Infant Class contained documentation that there were 6 children in care during the 02/15/2023 inspection. There were 7 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred. 2. The attendance record for the Toddler Class did not contain documentation of children’s departure on 02/14/2023. 3. The attendance record for the Toddler Class contained documentation that there were 5 children in care during the 02/15/2023 inspection. There were 7 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred. 4. The attendance record for the 2 Year Old Class did not contain documentation of children’s departure on 02/14/2023. 5. The attendance record for the Pre-K Class contained documentation that there were 13 children in care during the 02/15/2023 inspection. There were 14 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-540-C

“Based on observation, the center failed to ensure that the first aid kits contain the required components. Evidence: 1. The first aid kit in the main building did not contain adhesive tape. 2. The first aid kit in the school-age building did not contain a thermometer. 3. The first aid kit in the large bus did not contain a thermometer. 4. The first aid kit in the small bus did not contain triangular bandages.”

8VAC20-780-520-C

“Based on observation, the center failed to ensure diaper ointment shall be inaccessible to children. Evidence: There was a tube of Boudreaux’s Butt Paste lying on top of the cubbies in the Pre-K Room that was accessible to the children.”

8VAC20-780-260-A

“Based on discussion with staff, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: Staff 3 stated that the most recent fire inspection was conducted in January 2021 and that a fire inspection has not been conducted in 2022.”

8VAC20-780-245-L

“Based on record review and discussion with staff, the center failed to ensure that there shall always be at least one staff member of duty who has obtained in the last three years instruction in performing the daily health observation of children. Evidence: Staff 3 confirmed that there was not a staff member on duty that has obtained instruction in performing the daily health observation of children within the last three years.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record; and documentation of health information as required by the standards. 2. The record for Child 4 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incorrect); and documentation of viewing proof of the child’s identity and age. 3. The record for Child 5 did not contain the following information: documentation of viewing proof of the child’s identity and age; and 245-Kdocumentation of health information as required by the standards.”

8VAC20-780-540-C

“Based on observation, the center failed to ensure that the first aid kits contain the required components. Evidence: 1. The first aid kit in the main building did not contain adhesive tape. 2. The first aid kit in the school-age building did not contain a thermometer. 3. The first aid kit in the large bus did not contain a thermometer. 4. The first aid kit in the small bus did not contain triangular bandages.”

8VAC20-780-520-C

“Based on observation, the center failed to ensure diaper ointment shall be inaccessible to children. Evidence: There was a tube of Boudreaux’s Butt Paste lying on top of the cubbies in the Pre-K Room that was accessible to the children.”

8VAC20-780-260-A

“Based on discussion with staff, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: Staff 3 stated that the most recent fire inspection was conducted in January 2021 and that a fire inspection has not been conducted in 2022.”

8VAC20-780-245-L

“Based on record review and discussion with staff, the center failed to ensure that there shall always be at least one staff member of duty who has obtained in the last three years instruction in performing the daily health observation of children. Evidence: Staff 3 confirmed that there was not a staff member on duty that has obtained instruction in performing the daily health observation of children within the last three years.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 3 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record; and documentation of health information as required by the standards. 2. The record for Child 4 did not contain the following information: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for both designated people were incorrect); and documentation of viewing proof of the child’s identity and age. 3. The record for Child 5 did not contain the following information: documentation of viewing proof of the child’s identity and age; and 245-Kdocumentation of health information as required by the standards.”

22.1-289.035-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of a child abuse and neglect search and a sex offender registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 1 contained documentation that Staff 1 has resided outside of the state of Virginia within the preceding five years. The record for Staff 1 contained a documented hire date of 03/15/2022. There was not a child abuse and neglect search nor a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

22.1-289.035-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 2 contained a documented hire date of 09/09/2019. The employment eligibility letter was dated 10/01/2019.”

8VAC20-780-520-A

“Based on observation and discussion with staff, the center failed to ensure that over-the-counter skin products shall not be kept or used beyond the expiration date of the product. Evidence: 1. Over-the-counter Skin Product 1 expired on 06/2021. 2. Over-the-counter Skin Product 2 expired on 06/2021. 3. Over-the-counter Skin Product 3 expired on 01/2021. 4. These 3 over-the-counter skin products were located in the 2 year old class.”

8VAC20-780-500-A

“Based on observation and discussion with staff, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Child 4 was observed immediately going to play upon completing their breakfast. Child 4 did not wash their hands with soap and running water or disposable wipes after eating a meal.”

8VAC20-780-350-B-4

“Based on observation and discussion with staff, the center failed to ensure that the required staff to child ratio for children ages 3 years up to school age eligible, 1 staff for every 10 children, shall maintained. Evidence: There were 13 children, ages 3 years-5 years, and 1 staff member observed in the pre-k room; the required staff-to-child ratio for this group of children was 1:10.”

8VAC20-780-340-F

“Based on observation and discussion with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Child 5 was observed walking down the hall and going back to their classroom alone. Staff 5 stated that Child 5 has been allowed to go to the restroom alone. The restroom was out of sight and sound supervision of Staff 5. The restroom is located around a corner and down the hallway from the classroom. Child 5 was determined to be 3 years old.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an unlocked aerosol can of Lysol on a shelf and an unlocked box of cleaning materials on the diaper changing table in the infant room. 2. There were 2 unlocked aerosol cans of Betco disinfectant, 1 glass cleaner and a plastic spray bottle containing a bleach and water solution accessible to children in the room used for school aged children. 3. There is a small storage area, the second room on the left as you enter the front of the building, which had multiple unlocked cabinets which contained various cleaning materials.”

8VAC20-780-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: documentation of health information as required by the standards. 2. The record for Child 3 did not contain the following information: documentation of viewing proof of the child’s identity and age; and documentation of health information as required by the standards. 3. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record as required by the standards; and documentation of health information as required by the standards. 4. The record for Child 5 did not contain the following information: documentation of health information as required by the standards.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 03/15/2022. The central registry search was dated 04/27/2022. 2. The record for Staff 2 contained a documented hire date of 09/09/2019. The central registry search was dated 10/31/2019.”

22.1-289.035-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of a child abuse and neglect search and a sex offender registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 1 contained documentation that Staff 1 has resided outside of the state of Virginia within the preceding five years. The record for Staff 1 contained a documented hire date of 03/15/2022. There was not a child abuse and neglect search nor a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

22.1-289.035-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 2 contained a documented hire date of 09/09/2019. The employment eligibility letter was dated 10/01/2019.”

8VAC20-780-520-A

“Based on observation and discussion with staff, the center failed to ensure that over-the-counter skin products shall not be kept or used beyond the expiration date of the product. Evidence: 1. Over-the-counter Skin Product 1 expired on 06/2021. 2. Over-the-counter Skin Product 2 expired on 06/2021. 3. Over-the-counter Skin Product 3 expired on 01/2021. 4. These 3 over-the-counter skin products were located in the 2 year old class.”

8VAC20-780-500-A

“Based on observation and discussion with staff, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Child 4 was observed immediately going to play upon completing their breakfast. Child 4 did not wash their hands with soap and running water or disposable wipes after eating a meal.”

8VAC20-780-350-B-4

“Based on observation and discussion with staff, the center failed to ensure that the required staff to child ratio for children ages 3 years up to school age eligible, 1 staff for every 10 children, shall maintained. Evidence: There were 13 children, ages 3 years-5 years, and 1 staff member observed in the pre-k room; the required staff-to-child ratio for this group of children was 1:10.”

8VAC20-780-340-F

“Based on observation and discussion with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Child 5 was observed walking down the hall and going back to their classroom alone. Staff 5 stated that Child 5 has been allowed to go to the restroom alone. The restroom was out of sight and sound supervision of Staff 5. The restroom is located around a corner and down the hallway from the classroom. Child 5 was determined to be 3 years old.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an unlocked aerosol can of Lysol on a shelf and an unlocked box of cleaning materials on the diaper changing table in the infant room. 2. There were 2 unlocked aerosol cans of Betco disinfectant, 1 glass cleaner and a plastic spray bottle containing a bleach and water solution accessible to children in the room used for school aged children. 3. There is a small storage area, the second room on the left as you enter the front of the building, which had multiple unlocked cabinets which contained various cleaning materials.”

8VAC20-780-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: documentation of health information as required by the standards. 2. The record for Child 3 did not contain the following information: documentation of viewing proof of the child’s identity and age; and documentation of health information as required by the standards. 3. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record as required by the standards; and documentation of health information as required by the standards. 4. The record for Child 5 did not contain the following information: documentation of health information as required by the standards.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 03/15/2022. The central registry search was dated 04/27/2022. 2. The record for Staff 2 contained a documented hire date of 09/09/2019. The central registry search was dated 10/31/2019.”

22.1-289.035-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of a child abuse and neglect search and a sex offender registry check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 1 contained documentation that Staff 1 has resided outside of the state of Virginia within the preceding five years. The record for Staff 1 contained a documented hire date of 03/15/2022. There was not a child abuse and neglect search nor a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the inspection.”

22.1-289.035-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 2 contained a documented hire date of 09/09/2019. The employment eligibility letter was dated 10/01/2019.”

8VAC20-780-520-A

“Based on observation and discussion with staff, the center failed to ensure that over-the-counter skin products shall not be kept or used beyond the expiration date of the product. Evidence: 1. Over-the-counter Skin Product 1 expired on 06/2021. 2. Over-the-counter Skin Product 2 expired on 06/2021. 3. Over-the-counter Skin Product 3 expired on 01/2021. 4. These 3 over-the-counter skin products were located in the 2 year old class.”

8VAC20-780-500-A

“Based on observation and discussion with staff, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Child 4 was observed immediately going to play upon completing their breakfast. Child 4 did not wash their hands with soap and running water or disposable wipes after eating a meal.”

8VAC20-780-350-B-4

“Based on observation and discussion with staff, the center failed to ensure that the required staff to child ratio for children ages 3 years up to school age eligible, 1 staff for every 10 children, shall maintained. Evidence: There were 13 children, ages 3 years-5 years, and 1 staff member observed in the pre-k room; the required staff-to-child ratio for this group of children was 1:10.”

8VAC20-780-340-F

“Based on observation and discussion with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Child 5 was observed walking down the hall and going back to their classroom alone. Staff 5 stated that Child 5 has been allowed to go to the restroom alone. The restroom was out of sight and sound supervision of Staff 5. The restroom is located around a corner and down the hallway from the classroom. Child 5 was determined to be 3 years old.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an unlocked aerosol can of Lysol on a shelf and an unlocked box of cleaning materials on the diaper changing table in the infant room. 2. There were 2 unlocked aerosol cans of Betco disinfectant, 1 glass cleaner and a plastic spray bottle containing a bleach and water solution accessible to children in the room used for school aged children. 3. There is a small storage area, the second room on the left as you enter the front of the building, which had multiple unlocked cabinets which contained various cleaning materials.”

8VAC20-780-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: documentation of health information as required by the standards. 2. The record for Child 3 did not contain the following information: documentation of viewing proof of the child’s identity and age; and documentation of health information as required by the standards. 3. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record as required by the standards; and documentation of health information as required by the standards. 4. The record for Child 5 did not contain the following information: documentation of health information as required by the standards.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 03/15/2022. The central registry search was dated 04/27/2022. 2. The record for Staff 2 contained a documented hire date of 09/09/2019. The central registry search was dated 10/31/2019.”