Rhema's "Gentle Care" Child Development Center

22.1-289.036-A

“The center is required to have applicants undergo a background check every five years. The most recent central registry for Applicant 1 was overdue by 3 months.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the date of the last screening. Applicant 1 confirmed that their TB screening was overdue.”

8VAC20-780-530-A

“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 from one of the recognized organizations and the training shall include an in-person competency demonstration. Evidence: Staff 2 was the only staff member observed in the infant class; the CPR/first aid certification obtained by Staff 2 was not from one of the recognized organizations and did not contain an in-person competency demonstration.”

22.1-289.035-A

“Based on record review, the center failed to ensure that staff shall undergo a background check in accordance with the Code of Virginia prior to the employment and every five years thereafter. Evidence: The most recent criminal record check for Staff 5 was dated 09/11/2018. There was not an updated criminal record check obtained by 09/11/2023 available for review.”

8VAC20-780-450-D

“Based on observations, the center failed to ensure that when pillows are used, they shall be assigned for individual use and covered with pillowcases. Evidence: A child in the school-aged group was observed using a pillow from the reading area of the classroom during rest time; the pillow was not assigned for individual use and was not covered with a pillowcase.”

8VAC20-780-530-A

“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 from one of the recognized organizations and the training shall include an in-person competency demonstration. Evidence: Staff 2 was the only staff member observed in the infant class; the CPR/first aid certification obtained by Staff 2 was not from one of the recognized organizations and did not contain an in-person competency demonstration.”

22.1-289.035-A

“Based on record review, the center failed to ensure that staff shall undergo a background check in accordance with the Code of Virginia prior to the employment and every five years thereafter. Evidence: The most recent criminal record check for Staff 5 was dated 09/11/2018. There was not an updated criminal record check obtained by 09/11/2023 available for review.”

8VAC20-780-450-D

“Based on observations, the center failed to ensure that when pillows are used, they shall be assigned for individual use and covered with pillowcases. Evidence: A child in the school-aged group was observed using a pillow from the reading area of the classroom during rest time; the pillow was not assigned for individual use and was not covered with a pillowcase.”

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: There were two containers of animal crackers and various cleaning and sanitizing materials (surface disinfectant, Palmolive, air freshener) on the top shelf of a storage cabinet in the Transitional Room.”

8VAC20-780-510-L

“Based on observation and staff interviews, the center failed to ensure that medication, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a bottle of DG Rapid Release Pain Reliver on top of the refrigerator in the infant room. Staff 4 stated that it was their medication.”

8VAC20-780-500-B

“Based on observations, the center failed to ensure that the diapering surface shall be used for diapering or cleaning children. Evidence: 1. The changing table in the Transitional Room had a timer, various containers of play-dough and a pacifier laying on it. 2. The changing table in the infant room had a puzzle laying on it.”

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: The most recent criminal record check for Applicant 1 was dated 06/18/2018. There was not an updated criminal record check obtained by 06/18/2023 available for review.”

8VAC20-780-430-M

“Based on observations, the center failed to ensure that play yards do not use any pillows or filled comforters. Evidence: There was a pink tent style play yard in the infant class that contained two pillows.”

8VAC20-780-430-L

“Based on observations and staff interviews, the center failed to ensure that infant walkers shall not be used. Evidence: There was an infant walker observed in the infant class. Staff 4 verified that the walker was used by children enrolled at the center.”

8VAC20-780-280-G

“Based on observation and staff interviews, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute container shall clearly indicate their contents. Evidence: There was an unlabeled clear plastic spray bottle containing a liquid solution on the top self of a cabinet in the Transitional Room. Staff 6 stated that the bottle contained a soap and water solution.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at least every two years from the date of the original screening or test. Evidence: The tuberculosis screening in the record for Staff 1 was dated 12/04/2021; there was not a follow-up screening obtained by 12/04/2023.”

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: There were two containers of animal crackers and various cleaning and sanitizing materials (surface disinfectant, Palmolive, air freshener) on the top shelf of a storage cabinet in the Transitional Room.”

8VAC20-780-510-L

“Based on observation and staff interviews, the center failed to ensure that medication, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a bottle of DG Rapid Release Pain Reliver on top of the refrigerator in the infant room. Staff 4 stated that it was their medication.”

8VAC20-780-500-B

“Based on observations, the center failed to ensure that the diapering surface shall be used for diapering or cleaning children. Evidence: 1. The changing table in the Transitional Room had a timer, various containers of play-dough and a pacifier laying on it. 2. The changing table in the infant room had a puzzle laying on it.”

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: The most recent criminal record check for Applicant 1 was dated 06/18/2018. There was not an updated criminal record check obtained by 06/18/2023 available for review.”

8VAC20-780-430-M

“Based on observations, the center failed to ensure that play yards do not use any pillows or filled comforters. Evidence: There was a pink tent style play yard in the infant class that contained two pillows.”

8VAC20-780-430-L

“Based on observations and staff interviews, the center failed to ensure that infant walkers shall not be used. Evidence: There was an infant walker observed in the infant class. Staff 4 verified that the walker was used by children enrolled at the center.”

8VAC20-780-280-G

“Based on observation and staff interviews, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute container shall clearly indicate their contents. Evidence: There was an unlabeled clear plastic spray bottle containing a liquid solution on the top self of a cabinet in the Transitional Room. Staff 6 stated that the bottle contained a soap and water solution.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at least every two years from the date of the original screening or test. Evidence: The tuberculosis screening in the record for Staff 1 was dated 12/04/2021; there was not a follow-up screening obtained by 12/04/2023.”

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

“COMPLAINT RELATED Based on staff interviews and document review, the center failed to maintain a written record of children’s serious and minor injuries in which entries are made the day of the occurrence and that the record shall include all of the elements required by the standard. Evidence: 1. Staff 1 and Staff 2 verified that there had been three incidents, one on 05/09/2023, one on 05/10/2023 and one on 05/11/2023, that required an injury report to be completed. Staff 1 stated they had completed the injury reports. There were no injury reports from 05/09/2023 or 05/11/2023 available for review during the 07/26/2023 inspection. 2. The injury report from 05/10/2023 did not include the following required elements: any future action to prevent recurrence of the injury.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation 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 contained a documented start date of 06/02/2023. There was not documentation of a physical examination in the record for Child 3.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The record for Staff 5 contained a documented hire date of 06/23/2023; there were not findings from the search of the central registry available for review during the inspection.”

8VAC20-780-450-C

“Based on staff interviews, the center failed to ensure that crib sheets shall be clean and washed daily. Evidence: Staff 4 stated that the crib sheets are washed weekly.”

8VAC20-780-500-A

“REPEAT VIOLATION 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 and that staff shall wash their hands with soap and running water before preparing or serving food or beverages. Evidence: 1. The school-age group of children were observed leaving the upstairs classroom to come downstairs to eat lunch. The children were observed using hand sanitizer as they entered the room. The children did not wash their hands with soap and running water or a disposable wipe before eating lunch. 2. Child 2 was observed eating lunch, getting up from the table and immediately running around the classroom playing and climbing on various items in the classroom. Child 2 did not wash their hands with soap and running water or a disposable wipe after eating lunch. 3. Staff 2 was observed leaving the upstairs classroom to come downstairs to serve the children lunch. Staff 2 was observed serving lunch to the children. Staff 2 did not wash their hands with soap and running water before serving food or beverages.”

8VAC20-780-350-B-4

“Based on observation, record review and staff interviews, the center failed to maintain the required staff-to-child ratio for children 3 year olds up to school age eligibility. Evidence: There were 12 children observed in the school-age group of children. Staff 2 was the only staff member supervising the group. Staff 2 identified Child 2 as the youngest child in the group. Child 2 was determined to be 3 years old. Based on an allowable variance for staff-to-child ratio issued to the center, the required staff-to-child ratio for children 3 year olds up to school age eligibility is 1:11. Staff 2 stated that Child 2 had been in the school-age group of children since approximately 8:30 am. Child 2 was observed with the school-age group at 10:55 am. Child 2 was observed with the school-age group during lunch and during the designated rest/quiet time after lunch.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment or prior to coming into contact with children and that the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 1 contained a documented hire date of 02/08/2023. The tuberculosis screening in the record for Staff 1 was dated 02/16/2022; the tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on document review and interviews, the center failed to ensure that for each grouping 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. Child 6 was documented in attendance on the pre-k group attendance record. Child 6 was not observed with the pre-k group of children but rather with the school-age group of children. 2. Child 5 was observed in the pre-k group of children but their attendance was not documented on the pre-k group attendance record. 3. There were 6 children were observed in the 2 year old group of children. The attendance record for the 2 year old group contained documentation that there were currently 4 children in care. A total of 6 children had been marked as arriving on 07/26/2023. Two children had been marked as having departed for the day, however, the 2 children were observed to still be in attendance. The attendance record did not document the departure of each child as it occurred. 4. There were 10 children observed in the infant group of children. The attendance record for the infant group contained documentation that there were 6 children in care. The attendance record did not document the arrival of each child as it occurred. 5. The attendance records for each group of children did not properly document the arrival and/or departure of each child as it occurred.”

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

“COMPLAINT RELATED Based on staff interviews and document review, the center failed to maintain a written record of children’s serious and minor injuries in which entries are made the day of the occurrence and that the record shall include all of the elements required by the standard. Evidence: 1. Staff 1 and Staff 2 verified that there had been three incidents, one on 05/09/2023, one on 05/10/2023 and one on 05/11/2023, that required an injury report to be completed. Staff 1 stated they had completed the injury reports. There were no injury reports from 05/09/2023 or 05/11/2023 available for review during the 07/26/2023 inspection. 2. The injury report from 05/10/2023 did not include the following required elements: any future action to prevent recurrence of the injury.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation 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 contained a documented start date of 06/02/2023. There was not documentation of a physical examination in the record for Child 3.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The record for Staff 5 contained a documented hire date of 06/23/2023; there were not findings from the search of the central registry available for review during the inspection.”

8VAC20-780-450-C

“Based on staff interviews, the center failed to ensure that crib sheets shall be clean and washed daily. Evidence: Staff 4 stated that the crib sheets are washed weekly.”

8VAC20-780-500-A

“REPEAT VIOLATION 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 and that staff shall wash their hands with soap and running water before preparing or serving food or beverages. Evidence: 1. The school-age group of children were observed leaving the upstairs classroom to come downstairs to eat lunch. The children were observed using hand sanitizer as they entered the room. The children did not wash their hands with soap and running water or a disposable wipe before eating lunch. 2. Child 2 was observed eating lunch, getting up from the table and immediately running around the classroom playing and climbing on various items in the classroom. Child 2 did not wash their hands with soap and running water or a disposable wipe after eating lunch. 3. Staff 2 was observed leaving the upstairs classroom to come downstairs to serve the children lunch. Staff 2 was observed serving lunch to the children. Staff 2 did not wash their hands with soap and running water before serving food or beverages.”

8VAC20-780-350-B-4

“Based on observation, record review and staff interviews, the center failed to maintain the required staff-to-child ratio for children 3 year olds up to school age eligibility. Evidence: There were 12 children observed in the school-age group of children. Staff 2 was the only staff member supervising the group. Staff 2 identified Child 2 as the youngest child in the group. Child 2 was determined to be 3 years old. Based on an allowable variance for staff-to-child ratio issued to the center, the required staff-to-child ratio for children 3 year olds up to school age eligibility is 1:11. Staff 2 stated that Child 2 had been in the school-age group of children since approximately 8:30 am. Child 2 was observed with the school-age group at 10:55 am. Child 2 was observed with the school-age group during lunch and during the designated rest/quiet time after lunch.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment or prior to coming into contact with children and that the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 1 contained a documented hire date of 02/08/2023. The tuberculosis screening in the record for Staff 1 was dated 02/16/2022; the tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on document review and interviews, the center failed to ensure that for each grouping 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. Child 6 was documented in attendance on the pre-k group attendance record. Child 6 was not observed with the pre-k group of children but rather with the school-age group of children. 2. Child 5 was observed in the pre-k group of children but their attendance was not documented on the pre-k group attendance record. 3. There were 6 children were observed in the 2 year old group of children. The attendance record for the 2 year old group contained documentation that there were currently 4 children in care. A total of 6 children had been marked as arriving on 07/26/2023. Two children had been marked as having departed for the day, however, the 2 children were observed to still be in attendance. The attendance record did not document the departure of each child as it occurred. 4. There were 10 children observed in the infant group of children. The attendance record for the infant group contained documentation that there were 6 children in care. The attendance record did not document the arrival of each child as it occurred. 5. The attendance records for each group of children did not properly document the arrival and/or departure of each child as it occurred.”

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

“COMPLAINT RELATED Based on staff interviews and document review, the center failed to maintain a written record of children’s serious and minor injuries in which entries are made the day of the occurrence and that the record shall include all of the elements required by the standard. Evidence: 1. Staff 1 and Staff 2 verified that there had been three incidents, one on 05/09/2023, one on 05/10/2023 and one on 05/11/2023, that required an injury report to be completed. Staff 1 stated they had completed the injury reports. There were no injury reports from 05/09/2023 or 05/11/2023 available for review during the 07/26/2023 inspection. 2. The injury report from 05/10/2023 did not include the following required elements: any future action to prevent recurrence of the injury.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review, the center failed to obtain documentation 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 contained a documented start date of 06/02/2023. There was not documentation of a physical examination in the record for Child 3.”

8VAC20-770-60-C-2

“Based on record review, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: The record for Staff 5 contained a documented hire date of 06/23/2023; there were not findings from the search of the central registry available for review during the inspection.”

8VAC20-780-450-C

“Based on staff interviews, the center failed to ensure that crib sheets shall be clean and washed daily. Evidence: Staff 4 stated that the crib sheets are washed weekly.”

8VAC20-780-500-A

“REPEAT VIOLATION 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 and that staff shall wash their hands with soap and running water before preparing or serving food or beverages. Evidence: 1. The school-age group of children were observed leaving the upstairs classroom to come downstairs to eat lunch. The children were observed using hand sanitizer as they entered the room. The children did not wash their hands with soap and running water or a disposable wipe before eating lunch. 2. Child 2 was observed eating lunch, getting up from the table and immediately running around the classroom playing and climbing on various items in the classroom. Child 2 did not wash their hands with soap and running water or a disposable wipe after eating lunch. 3. Staff 2 was observed leaving the upstairs classroom to come downstairs to serve the children lunch. Staff 2 was observed serving lunch to the children. Staff 2 did not wash their hands with soap and running water before serving food or beverages.”

8VAC20-780-350-B-4

“Based on observation, record review and staff interviews, the center failed to maintain the required staff-to-child ratio for children 3 year olds up to school age eligibility. Evidence: There were 12 children observed in the school-age group of children. Staff 2 was the only staff member supervising the group. Staff 2 identified Child 2 as the youngest child in the group. Child 2 was determined to be 3 years old. Based on an allowable variance for staff-to-child ratio issued to the center, the required staff-to-child ratio for children 3 year olds up to school age eligibility is 1:11. Staff 2 stated that Child 2 had been in the school-age group of children since approximately 8:30 am. Child 2 was observed with the school-age group at 10:55 am. Child 2 was observed with the school-age group during lunch and during the designated rest/quiet time after lunch.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment or prior to coming into contact with children and that the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 1 contained a documented hire date of 02/08/2023. The tuberculosis screening in the record for Staff 1 was dated 02/16/2022; the tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on document review and interviews, the center failed to ensure that for each grouping 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. Child 6 was documented in attendance on the pre-k group attendance record. Child 6 was not observed with the pre-k group of children but rather with the school-age group of children. 2. Child 5 was observed in the pre-k group of children but their attendance was not documented on the pre-k group attendance record. 3. There were 6 children were observed in the 2 year old group of children. The attendance record for the 2 year old group contained documentation that there were currently 4 children in care. A total of 6 children had been marked as arriving on 07/26/2023. Two children had been marked as having departed for the day, however, the 2 children were observed to still be in attendance. The attendance record did not document the departure of each child as it occurred. 4. There were 10 children observed in the infant group of children. The attendance record for the infant group contained documentation that there were 6 children in care. The attendance record did not document the arrival of each child as it occurred. 5. The attendance records for each group of children did not properly document the arrival and/or departure of each child as it occurred.”

8VAC20-780-245-L

“Based on record review, the center failed to ensure that there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: There was no one on duty during the 01/24/2023 inspection that has obtained instruction in performing daily health observations within the last three years.”

8VAC20-780-260-A

“Based on document review, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection was conducted on 12/14/2021; a fire inspection was not conducted in 2022.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure that staff shall complete a minimum of 16 hours of training annually. Evidence: 1. The records for Staff 1, Staff 2, Staff 3, and Staff 4 contained documentation of completing only 12 hours of annual training for 2022. 2. The record for Staff 2 contained documentation of completing only 2 hours of annual training for 2022. 3. All 5 staff were employed for the entire 2022 year.”

8VAC20-780-80-A

“Based on document review and interviews, the center failed to ensure that for each grouping 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 pre-k to school-age group contained documentation that there were 16 children in care. There were only 14 children in care at the time of the inspection. Staff 4 stated that 2 children had departed the center for school. The attendance record did not document the departure of each child as it occurred. 2. The attendance record for the infant/toddler class contained documentation that there were 7 children in care. There were actually 8 children in care at the time of the inspection. Staff 1 stated that one child had not yet been marked present. The attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review and discussion with the staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain documentation of child updates and confirmation of up-to-date information as required, the most recent update of the record took place on 12/13/2021. 2. The record for Child 4 did not contain documentation of child updates and confirmation of up-to-date information as required, the most recent update of the record took place on 09/13/2021. 3. The record for Child 5 did not contain information regarding allergies and intolerance to medication or any other substance, an actions to take in an emergency situation.”

8VAC20-780-130-E

“Based on document review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child 2 was confirmed to be 14 months old. The most recent documentation of immunizations in the record for Child 2 was dated 10/20/2021. The documented first date of attendance for Child 2 was 12/13/2021. Documentation of additional immunizations were not obtained every six months for a child under two years.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that staff shall wash their hands with soap and running water after any contact with body fluids and before preparing or serving food or beverages. Evidence: Staff 3 was observed wiping a child’s nose and did not wash their hands. Staff 3 was then observed helping to serve the children’s lunch.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation 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 2 contained a documented start date of 12/13/2021. There was not documentation of a physical examination in the record for Child 2.”

8VAC20-780-245-L

“Based on record review, the center failed to ensure that there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: There was no one on duty during the 01/24/2023 inspection that has obtained instruction in performing daily health observations within the last three years.”

8VAC20-780-260-A

“Based on document review, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection was conducted on 12/14/2021; a fire inspection was not conducted in 2022.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure that staff shall complete a minimum of 16 hours of training annually. Evidence: 1. The records for Staff 1, Staff 2, Staff 3, and Staff 4 contained documentation of completing only 12 hours of annual training for 2022. 2. The record for Staff 2 contained documentation of completing only 2 hours of annual training for 2022. 3. All 5 staff were employed for the entire 2022 year.”

8VAC20-780-80-A

“Based on document review and interviews, the center failed to ensure that for each grouping 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 pre-k to school-age group contained documentation that there were 16 children in care. There were only 14 children in care at the time of the inspection. Staff 4 stated that 2 children had departed the center for school. The attendance record did not document the departure of each child as it occurred. 2. The attendance record for the infant/toddler class contained documentation that there were 7 children in care. There were actually 8 children in care at the time of the inspection. Staff 1 stated that one child had not yet been marked present. The attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review and discussion with the staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain documentation of child updates and confirmation of up-to-date information as required, the most recent update of the record took place on 12/13/2021. 2. The record for Child 4 did not contain documentation of child updates and confirmation of up-to-date information as required, the most recent update of the record took place on 09/13/2021. 3. The record for Child 5 did not contain information regarding allergies and intolerance to medication or any other substance, an actions to take in an emergency situation.”

8VAC20-780-130-E

“Based on document review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child 2 was confirmed to be 14 months old. The most recent documentation of immunizations in the record for Child 2 was dated 10/20/2021. The documented first date of attendance for Child 2 was 12/13/2021. Documentation of additional immunizations were not obtained every six months for a child under two years.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure that staff shall wash their hands with soap and running water after any contact with body fluids and before preparing or serving food or beverages. Evidence: Staff 3 was observed wiping a child’s nose and did not wash their hands. Staff 3 was then observed helping to serve the children’s lunch.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation 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 2 contained a documented start date of 12/13/2021. There was not documentation of a physical examination in the record for Child 2.”

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

“Based on observations and discussion with staff, the center failed to ensure that staff shall wash their hands with soap and running water before and after helping a child use the toilet. Evidence: Staff 1 was observed helping children use the toilet after waking from nap. Staff 1 did not wash their hands after helping each child use the toilet.”

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

“Based on observation and discussion with staff, the center failed to ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: Staff 1 did not clean or sanitize the diapering surface after changing a diaper.”

8VAC20-780-60-A

“Based on record review and discussion with the staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address for the first designated person). 2. The record for Child 5 did not contain the following information: the work phone number and place of employment of each parent who has custody (there was not a work phone number provided for the first parent listed); and the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second designated person was incomplete).”

22.1-289.035-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of the criminal record check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 2 contained documentation that Staff 2 had resided outside of the state of Virginia within the preceding five years. The record for Staff 2 contained a documented hire date of 12/12/2019. There was not a criminal record check from the state in which the individual had resided in the preceding five years available for review during the 07/25/2022 inspection.”

8VAC20-780-160-A

“Based on record review and discussion with staff, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 05/17/2022. The tuberculosis screening in the record for Staff 5 was dated 05/27/2022.”

8VAC20-780-290-A-3

“Based on observation and discussion with staff, the center failed to ensure that in areas used by children of preschool age electrical outlets shall have protective covers. Evidence: There were two uncovered electrical outlets in the Infant Classroom.”

8VAC20-780-60-A

“Based on record review and discussion with the staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address for the first designated person). 2. The record for Child 5 did not contain the following information: the work phone number and place of employment of each parent who has custody (there was not a work phone number provided for the first parent listed); and the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second designated person was incomplete).”

22.1-289.035-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of the criminal record check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 2 contained documentation that Staff 2 had resided outside of the state of Virginia within the preceding five years. The record for Staff 2 contained a documented hire date of 12/12/2019. There was not a criminal record check from the state in which the individual had resided in the preceding five years available for review during the 07/25/2022 inspection.”

8VAC20-780-160-A

“Based on record review and discussion with staff, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 05/17/2022. The tuberculosis screening in the record for Staff 5 was dated 05/27/2022.”

8VAC20-780-290-A-3

“Based on observation and discussion with staff, the center failed to ensure that in areas used by children of preschool age electrical outlets shall have protective covers. Evidence: There were two uncovered electrical outlets in the Infant Classroom.”

8VAC20-780-60-A

“Based on record review and discussion with the staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain documentation of health information as required by 9VAC20-780-130. 2. The record for Child 3 did not contain documentation of health information as required by 9VAC20-780-130. 3. The record for Child 4 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached; the address for the second designated person was incomplete. 4. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached; the address for the second designated person was incomplete.”

8VAC20-780-540-D

“Based on observation and discussion with the staff, the center failed to maintain the required nonmedical emergency supplies as required by the standards. Evidence: There was not a working, battery-operated radio onsite during the 01/05/2022 inspection.”

22.1-289.035-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of the criminal record check 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 had resided outside of the state of Virginia within the preceding five years. The record for Staff 1 contained a documented hire date of 08/04/2021. There was not a criminal record check or a sex offender registry check from the state in which the individual had resided in the preceding five years available for review during the 01/05/2022 inspection.”

8VAC20-780-60-A

“Based on record review and discussion with the staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain documentation of health information as required by 9VAC20-780-130. 2. The record for Child 3 did not contain documentation of health information as required by 9VAC20-780-130. 3. The record for Child 4 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached; the address for the second designated person was incomplete. 4. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached; the address for the second designated person was incomplete.”

8VAC20-780-540-D

“Based on observation and discussion with the staff, the center failed to maintain the required nonmedical emergency supplies as required by the standards. Evidence: There was not a working, battery-operated radio onsite during the 01/05/2022 inspection.”

22.1-289.035-B-4

“Based on record review and discussion with staff, the center failed to obtain a copy of the criminal record check 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 had resided outside of the state of Virginia within the preceding five years. The record for Staff 1 contained a documented hire date of 08/04/2021. There was not a criminal record check or a sex offender registry check from the state in which the individual had resided in the preceding five years available for review during the 01/05/2022 inspection.”