Salem Fields Learning Center

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

“Complaint Violation & Repeat Violation: When staff are supervising children, they shall always ensure their care, protection, and guidance. On 07/25/2025, children in classroom #1 were in possession of a vape pen for approximately 35 minutes. Based on video surveillance, staff # 1 was observed sitting on the floor with the children. At approximately 12:39, staff #1 got up from the floor and a vape pen fell out of their pocket onto the ground. Child #3 found the vape pen on the floor and picked it up to put in their play purse. Child #1 and child #2 were also seen playing with the vape pen and tried to use the vape pen. At approximately 1:14, staff #5 found child #3 with a vape pen and took the device to management.”

8VAC20-780-280-H Complaint related: Yes

“Complaint Violation: Cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children. On 07/25/2025, staff #1 had a vape pen in their pocket while supervising children. Based on video surveillance, the vape pen dropped out of staff #1?s pocket where children found the vape pen on the floor and were in possession of the pen for approximately 35 minutes.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. The central registry search for Staff #1 was requested one day late.”

8VAC20-780-400-B

“(Repeat Violation) Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Documentation and video footage reviewed showed that while on the playground on 07/23/25, after several attempts to put shoes on Child #1 (3-year-old), Staff #1 picked up the child by one arm and proceeded to drag him approximately four feet before picking him up under his arms. Staff #1 took the child to the edge of the playground, dropped his shoes on the ground, and walked away. The child was observed sitting in the same spot, with his shoes off for approximately five minutes. Staff #1's interactions with Child #1 were not constructive in nature and were not intended to redirect the child to appropriate behavior.”

8VAC20-780-410-1

“(Repeat Violation) The following actions or threats thereof are forbidden: roughly handling a child. On 07/23/25, Staff #1 roughly moved Child #1(3-year-old) from one area of the playground to another. Documentation and video footage reviewed showed that after attempting to put shoes on Child #1, the staff picked up the child by one arm and proceeded to drag him approximately four feet before picking him up under his arms. Staff #1 took the child to the edge of the playground, dropped his shoes on the ground, and walked away.”

8VAC20-780-40-E

“(Repeat Violation) The center is required to ensure the center's own policies and procedures that are required by these standards are in compliance. On 07/23/25, Staff #1 did not follow the center’s discipline policies when Staff #1 physically moved Child #1 (3-year-old) from one area of the playground to another when the child did not want to wear his shoes. Documentation and video footage reviewed showed that after attempting to put shoes on Child #1, the staff picked up the child by one arm and proceeded to drag him approximately four feet before picking him up under his arms. Staff #1 took the child to the edge of the playground, dropped his shoes on the ground, and walked away. The center's discipline policies state "Discipline will be constructive in nature and include the following techniques: Using limits that are fair, consistently applied, and appropriate and understandable for the child’s developmental level and age; providing children with reasons for limits; giving positively worded directions; modeling and redirecting children to acceptable behavior??”

8VAC20-780-160-A

“(Repeat Violation) The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. The TB screening for Staff #1 was dated one day after their first day of employment.”

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

“(Repeat Violation) When staff are supervising children, they shall always ensure their care, protection, and guidance. On 05/12/25 when Child #1 (two-year-old) was picked up, his diaper was soaked and soiled. A collateral interview reported the child’s ?butt was raw and bleeding? and the child screamed when his diaper was changed. Management acknowledged seeing a diaper rash and redness at the end of the day when it was brought to their attention. The child was visibly walking with discomfort and said ?ow? when he was carried. Staff interviewed reported Child #1 did not have a diaper rash in the morning or throughout the day, and reported the child’s last diaper change was between 2:45pm and 3:30pm. Child #1 was picked up at 4:52pm. The center failed to protect Child #1 by not ensuring he was promptly changed when his diaper became wet or soiled causing the child to have a diaper rash.”

8VAC20-780-520-C Complaint related: No

“If diaper ointment or cream is used, written parent authorization noting any known adverse reactions shall be obtained. A tube of diaper cream for Child #1 was observed, but no written parent authorization could be located at the time of the inspection. It was reported the cream had been applied to Child #1 for approximately three days.”

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

“When staff are supervising children, they shall always ensure their care, protection and guidance. On 03/12/25, Child #1 (2-year-old), was standing on a chair, lost his balance, fell, and hit his head on a chair. The child’s forehead was swollen and had a visible bump and a bruise. The center did not immediately communicate the head injury to the child’s parent. The parent was contacted approximately six and a half hours later.”

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

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The TB in the record of Staff #1 was obtained 20 days after employment. A previous TB in the record expired over a month prior to the staff's first day of employment.”

8VAC20-780-400-B Complaint related: Yes

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Video footage reviewed shows that on 03/18/25, Staff #1 used physical methods to move Child #1 (3-year-old) away from a group activity in an attempt to stop the child's disruptive behavior during class. Staff #1 tried to get the child to move from the carpet to a spot next to the staff's chair. The staff picked up the child under her arms and said ?I don?t like to pick you up. I don?t like to pick you up. I don?t like to pick you up.? The child resisted by going limp and released one arm. The staff continued moving the child while holding only one arm, lifting her, and using a dragging motion until they were by the staff’s chair. Staff #1's interactions with Child #1 were not constructive in nature and were not intended to redirect the child to appropriate behavior.”

8VAC20-780-410-1 Complaint related: Yes

“The following actions or threats thereof are forbidden: roughly handling a child. On 03/18/25, Staff #1 roughly removed Child #1 (3-year-old) from a group activity when the child was disrupting the class. Video footage reviewed shows a child tell Staff #1 that Child #1 pulled their hair. Staff #1 asked the child to stop, but the child did not comply. Staff #1 got up from her chair, walked over to the child, and said ?I?m gonna need you to move now. That’s all done.? The child said, ?I?m not moving.? The staff then proceeded to pick up the child under her arms. The child resisted by going limp and released one arm. The staff continued moving the child while holding only one arm, lifting her, and using a dragging motion until they were by the staff’s chair. The distance between where the child was, and the staff’s chair was approximately 6 feet.”

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

“The center is required to ensure the center's own policies and procedures that are required by these standards are in compliance. Video footage reviewed shows that on 03/18/25, Staff #1 used physical methods to remove Child #1 (3-year-old) from a group activity when the child was disrupting the class. After multiple attempts to try to get Child #1 to stop disrupting the class, Staff #1 tried to get the child to move from the carpet to a spot next to the staff's chair. The staff picked up the child under her arms and said ?I don?t like to pick you up. I don?t like to pick you up. I don?t like to pick you up.? The child resisted by going limp and released one arm. The staff continued moving the child while holding only one arm, lifting her, and using a dragging motion until they were by the staff’s chair. The center's discipline policies state "Inappropriate behavior is explained, and children are encouraged to be responsible for their own behavior. When minor incidents occur, our teachers redirect children to avoid further problems. At no time will a teacher use physical punishment or punishment related to food, bathroom or naps. Our teachers never ridicule, embarrass or humiliate children."”

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

“The center is to maintain a written record of children's serious and minor injuries that contains all of the required information. Two out of three written injury reports reviewed for Child #1 (19-months-old) did not contain documentation on how the parent was notified of the child's injuries.”

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

“The center is to maintain a written record of children's serious and minor injuries that contains all of the required information and where entries are made the day of occurrence. There were 21 written injury reports for Child #1 (23-month-old) ranging from 08/12/2024 through 01/21/2025 that were reviewed. Eight reports were missing any future action to prevent recurrence of the injury; three reports were missing documentation on how parent was notified; one report was missing the time when parents were notified; and one report was completed the day after the day of occurrence.”

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

“The center is to notify the parent by the end of the day of any known minor injuries. There were 21 written injury reports for Child #1 (23-month-old) ranging from 08/12/2024 through 01/21/2025 that were reviewed. Five of the injury reports were signed by the parent the day after the injury. It was determined the center did not notify the parent until the parent inquired about the injuries.”

8VAC20-780-510-F

“Medication authorizations shall be available to staff during the entire time it is effective. A prescription medication was observed on-site for Child #13, but the center did not have written authorization from the parent.”

8VAC20-780-510-F

“Medication authorizations shall be available to staff during the entire time it is effective. A prescription medication was observed on-site for Child #13, but the center did not have written authorization from the parent.”

8VAC20-780-490-E Complaint related: Yes

“When any surface has been contaminated with body fluids, it shall be cleaned and sanitized. On October 28, Child #1's soiled bedding, clothes, and socks were placed on a table used for serving food after the child had a toileting accident. The clothes had not been removed and the area had not been cleaned or sanitized for over an hour.”

8VAC20-780-500-B Complaint related: Yes

“The diapering area shall have a nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing. The diapering area in Room 614, where two-year-old children receive care, did not have a changing table or countertop designated for changing.”

8VAC20-780-410-6

“Based on review of documentation and interview, the center did not ensure that a forbidden action, verbal remarks which were demeaning to a child, did not occur. Evidence: On 6/18/24 a witness reported that they heard Staff #1 say to Child A, a seven-month-old, ?Don?t start your crap, [child’s name].? Then shortly after, ?We just sat your ass in the chair [child’s name]. Wait.?”

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

“Based on review of documentation, the center did not maintain a written record of children’s serious and minor injuries that included any future action to prevent recurrence of the injury. Evidence: During the investigation, 98 accident/incident reports were reviewed. 66 of the accident/incident reports did not contain documentation of the actions the center took to prevent recurrence of the injury.”

8VAC20-780-245-J-3 Complaint related: Yes

“Based on interview, the center did not ensure that a child for whom emergency medication has been prescribed was always in the care of a staff member who met the medication administration training requirements. Evidence: Child A was prescribed an emergency medication that has been at the center since 11/15/23. As of the date of the investigation, 5/30/24, the center had only one staff trained to administer the emergency medication. Interview revealed that Child A previously attended the center in the mornings before going to public school, which was outside of the trained staff’s scheduled hours. During the investigation on 5/30/24, Child A was onsite, but the trained staff was taking their break and was not onsite in order to care for the child if an emergency arose.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on observation, review of documentation, and interview, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: 1. At approximately 8:48am on 5/15/24, 11 children were observed in Class #614. The attendance contained documentation of 15 children present. 2. At approximately 8:58am on 5/15/24, 18 children were observed in Class #613. The attendance contained documentation of 12 children present. 3. At approximately 10:05am on 5/15/24, 18 children were observed in Class #618. The attendance contained documentation of 21 children present. A staff member then updated the attendance to show that one additional child had arrived at approximately 9:30am, and four had transitioned to another class at 9:30am.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on review of six child records, the center did not obtain documentation that each child had received required immunizations before the child attended the center. Evidence: The immunizations on record for Child F, with a start date of 7/31/23, were dated 11/27/23.”

8VAC20-780-350-B-3

“Based on observation, the center did not ensure that the required ratio of one staff to eight two-year-old children was met. Evidence: On 5/15/24 at approximately 8:55am two staff were observed supervising 18 two-year-olds. At approximately 9:01am four children were transitioned back to their classroom, putting the two-year-old class back into ratio.”

8VAC20-780-350-B-4

“Based on observation, the center did not ensure that the required ratio of one staff to 10 three-year-old children was met. Evidence: On 5/15/24 at approximately 8:48am one staff was observed supervising 11 three-year-olds. A second staff did not enter the classroom until approximately 8:55am.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that children’s hands were washed with soap and running water after toileting. Evidence: In Class #609 multiple children were observed having their diaper changed and returning to play without having their hands washed.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that diaper changing surfaces were cleaned with soap and water and sanitized after each use. Evidence: In Class #609 for children 16-months through 23-months, a staff member was observed changing children’s diapers and using a sanitizer spray in between children, but no soap and water spray was used.”

8VAC20-780-140-A

“Based on review of six child records, the center did not obtain documentation of a physical examination for each child by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The physical on record for Child A, with a start date of 12/14/21, was dated 3/24/22. The physical on record for Child F, with a start date of 7/31/23, was dated 11/27/23.”

8VAC20-780-80-A

“REPEAT VIOLATION Based on observation, review of documentation, and interview, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: 1. At approximately 8:48am on 5/15/24, 11 children were observed in Class #614. The attendance contained documentation of 15 children present. 2. At approximately 8:58am on 5/15/24, 18 children were observed in Class #613. The attendance contained documentation of 12 children present. 3. At approximately 10:05am on 5/15/24, 18 children were observed in Class #618. The attendance contained documentation of 21 children present. A staff member then updated the attendance to show that one additional child had arrived at approximately 9:30am, and four had transitioned to another class at 9:30am.”

8VAC20-780-130-A

“REPEAT VIOLATION Based on review of six child records, the center did not obtain documentation that each child had received required immunizations before the child attended the center. Evidence: The immunizations on record for Child F, with a start date of 7/31/23, were dated 11/27/23.”

8VAC20-780-350-B-3

“Based on observation, the center did not ensure that the required ratio of one staff to eight two-year-old children was met. Evidence: On 5/15/24 at approximately 8:55am two staff were observed supervising 18 two-year-olds. At approximately 9:01am four children were transitioned back to their classroom, putting the two-year-old class back into ratio.”

8VAC20-780-350-B-4

“Based on observation, the center did not ensure that the required ratio of one staff to 10 three-year-old children was met. Evidence: On 5/15/24 at approximately 8:48am one staff was observed supervising 11 three-year-olds. A second staff did not enter the classroom until approximately 8:55am.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that children’s hands were washed with soap and running water after toileting. Evidence: In Class #609 multiple children were observed having their diaper changed and returning to play without having their hands washed.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that diaper changing surfaces were cleaned with soap and water and sanitized after each use. Evidence: In Class #609 for children 16-months through 23-months, a staff member was observed changing children’s diapers and using a sanitizer spray in between children, but no soap and water spray was used.”

8VAC20-780-140-A

“Based on review of six child records, the center did not obtain documentation of a physical examination for each child by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The physical on record for Child A, with a start date of 12/14/21, was dated 3/24/22. The physical on record for Child F, with a start date of 7/31/23, was dated 11/27/23.”

8VAC20-780-180-C

“Based on review of two staff records and interview, the center did not ensure that staff who drive a vehicle transporting children disclose any moving traffic violation that occurred five years prior to or during employment or assignment as a driver. Evidence: Staff #1 and Staff #2 drive center buses but the staff records did not contain DMV driving records or a statement from staff regarding disclosure of moving traffic violations.”

8VAC20-780-160-A

“Based on review of two staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: The TB screening on record for Staff #2, with a re-employment date of 8/11/23, was dated 8/17/23.”

8VAC20-780-180-C

“Based on review of two staff records and interview, the center did not ensure that staff who drive a vehicle transporting children disclose any moving traffic violation that occurred five years prior to or during employment or assignment as a driver. Evidence: Staff #1 and Staff #2 drive center buses but the staff records did not contain DMV driving records or a statement from staff regarding disclosure of moving traffic violations.”

8VAC20-780-160-A

“Based on review of two staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: The TB screening on record for Staff #2, with a re-employment date of 8/11/23, was dated 8/17/23.”

8VAC20-780-130-A

“Based on review of six child records, the center did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: The record for Child C, with a start date of 3/2/22, contained documentation of immunizations dated 6/20/22. The record did not contain documentation of immunizations from prior to 3/2/22. The record for Child D, with a start date of 12/28/22, contained documentation of immunizations dated 3/31/23. The record did not contain documentation of immunizations from prior to 12/28/22.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: 1. On 11/1/23 at approximately 11:42am, there were 12 children observed in the ?Threes 614? classroom. The attendance record contained documentation of 13 children present. Staff stated that a child had moved to another classroom around 9:00am. 2. On 11/1/23 at approximately 11:50am, there were 10 children observed in the ?Threes 617? classroom. The attendance record contained documentation of 11 children present. Staff stated that a child had moved to another classroom around 8:00am.”

8VAC20-780-440-I

“Based on observation and interview, the center did not ensure that cribs were placed where objects outside the crib, such as cords, are not within reach of infants. Evidence: On 11/1/23 an ?Alexa Dot? device was observed in the corner of an unoccupied, but assigned, infant crib. The cord was plugged into the device and the wall outlet and the device, along with the cord, was sitting inside of the crib. Staff reported that it had been moved there the day before.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed of in a leakproof or plastic-lined storage system that was either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touched an exterior surface of the storage system during disposal. Evidence: On 11/1/23, disposable diapers/pull-ups were observed in an open trashcan that did not have a lid or a trash can liner and was not foot-operated.”

22.1-289.035-B-4

“Based on review of six staff records, the program did not obtain documentation of the results of a search of the central registry from each state that a staff member resided in within the past five years, within 30 days of employment. Evidence: The record for Staff #3, with an employment date of 9/18/23, contained documentation that the staff member had resided in West Virginia within the past five years. There was no documentation of the results of a search of the central registry from West Virginia on record for the staff member.”

8VAC20-780-130-A

“Based on review of six child records, the center did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: The record for Child C, with a start date of 3/2/22, contained documentation of immunizations dated 6/20/22. The record did not contain documentation of immunizations from prior to 3/2/22. The record for Child D, with a start date of 12/28/22, contained documentation of immunizations dated 3/31/23. The record did not contain documentation of immunizations from prior to 12/28/22.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: 1. On 11/1/23 at approximately 11:42am, there were 12 children observed in the ?Threes 614? classroom. The attendance record contained documentation of 13 children present. Staff stated that a child had moved to another classroom around 9:00am. 2. On 11/1/23 at approximately 11:50am, there were 10 children observed in the ?Threes 617? classroom. The attendance record contained documentation of 11 children present. Staff stated that a child had moved to another classroom around 8:00am.”

8VAC20-780-440-I

“Based on observation and interview, the center did not ensure that cribs were placed where objects outside the crib, such as cords, are not within reach of infants. Evidence: On 11/1/23 an ?Alexa Dot? device was observed in the corner of an unoccupied, but assigned, infant crib. The cord was plugged into the device and the wall outlet and the device, along with the cord, was sitting inside of the crib. Staff reported that it had been moved there the day before.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed of in a leakproof or plastic-lined storage system that was either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touched an exterior surface of the storage system during disposal. Evidence: On 11/1/23, disposable diapers/pull-ups were observed in an open trashcan that did not have a lid or a trash can liner and was not foot-operated.”

22.1-289.035-B-4

“Based on review of six staff records, the program did not obtain documentation of the results of a search of the central registry from each state that a staff member resided in within the past five years, within 30 days of employment. Evidence: The record for Staff #3, with an employment date of 9/18/23, contained documentation that the staff member had resided in West Virginia within the past five years. There was no documentation of the results of a search of the central registry from West Virginia on record for the staff member.”

8VAC20-780-130-A

“Based on review of six child records, the center did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: The record for Child C, with a start date of 3/2/22, contained documentation of immunizations dated 6/20/22. The record did not contain documentation of immunizations from prior to 3/2/22. The record for Child D, with a start date of 12/28/22, contained documentation of immunizations dated 3/31/23. The record did not contain documentation of immunizations from prior to 12/28/22.”

8VAC20-780-80-A

“Based on review of documentation and interview, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: 1. On 11/1/23 at approximately 11:42am, there were 12 children observed in the ?Threes 614? classroom. The attendance record contained documentation of 13 children present. Staff stated that a child had moved to another classroom around 9:00am. 2. On 11/1/23 at approximately 11:50am, there were 10 children observed in the ?Threes 617? classroom. The attendance record contained documentation of 11 children present. Staff stated that a child had moved to another classroom around 8:00am.”

8VAC20-780-440-I

“Based on observation and interview, the center did not ensure that cribs were placed where objects outside the crib, such as cords, are not within reach of infants. Evidence: On 11/1/23 an ?Alexa Dot? device was observed in the corner of an unoccupied, but assigned, infant crib. The cord was plugged into the device and the wall outlet and the device, along with the cord, was sitting inside of the crib. Staff reported that it had been moved there the day before.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed of in a leakproof or plastic-lined storage system that was either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touched an exterior surface of the storage system during disposal. Evidence: On 11/1/23, disposable diapers/pull-ups were observed in an open trashcan that did not have a lid or a trash can liner and was not foot-operated.”

22.1-289.035-B-4

“Based on review of six staff records, the program did not obtain documentation of the results of a search of the central registry from each state that a staff member resided in within the past five years, within 30 days of employment. Evidence: The record for Staff #3, with an employment date of 9/18/23, contained documentation that the staff member had resided in West Virginia within the past five years. There was no documentation of the results of a search of the central registry from West Virginia on record for the staff member.”

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

“Based on interview, the center did not ensure that when staff were supervising children, they always ensured their care, protection, and guidance. Evidence: On 7/19/23 the Schoolage class went on a field trip to a water park. Staff did not have the children in one group reapply their sunscreen and approximately eight children received sunburns.”

8VAC20-780-570-A

“Based on review of the infant room it was determined that not all children who were placed in feeding chairs utilized protective belts. Child A and Child B were observed seated in infant table chairs. The protective belts were hanging under the seat and not being utilized.”

8VAC20-780-570-A

“Based on review of the infant room it was determined that not all children who were placed in feeding chairs utilized protective belts. Child A and Child B were observed seated in infant table chairs. The protective belts were hanging under the seat and not being utilized.”

8VAC20-780-570-A

“Based on review of the infant room it was determined that not all children who were placed in feeding chairs utilized protective belts. Child A and Child B were observed seated in infant table chairs. The protective belts were hanging under the seat and not being utilized.”