Shepherd's Care Day School

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. The children in Classroom 6 (youngest child 18 months) were served whole meatballs.”

8VAC20-780-500-A

“REPEAT VIOLATION Children’s hands shall be washed with soap and running water after toileting and staff shall wash hands with soap and running water before and after a diaper change. The staff in Classroom 8 stated that the sink in the classroom was broken and that they were using hand wipes to wipe both the children’s and staff’s hands before and after diaper changes.”

8VAC20-780-290-A-3

“REPEAT VIOLATION In areas used by preschool age or younger children, electrical outlets shall have protective covers. There were two uncovered electrical outlets in the hallway near the upstairs women’s restroom; the children were seated in the hallway by the uncovered outlets during a restroom break. There were two uncovered electrical outlets in the downstairs women’s restroom used by children.”

8VAC20-780-410-1

“REPEAT VIOLATION Roughly handling a child, or the threat thereof, is forbidden. On 04/10/2025, on three separate occasions, Staff 1 roughly handled children when they used their foot to pick up one end of cots that were occupied with sleeping children. Staff 1 lifted each cot approximately 1 foot off the ground and then dropped the cot back onto the ground, jarring the children, to wake-up the sleeping children. The center was previously cited on 01/23/2025 for using a forbidden action.”

8VAC20-780-350-B-4

“The required ratio for children 3 years old up to school age eligibility is one staff per 10 children. On 04/10/2025, Staff 1 was the only staff member supervising the 12 children (ages 4-5 years) in Classroom 1; two staff was required for this group of children.”

8VAC20-780-340-F

“REPEAT VIOLATION Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 04/10/2025, Child 1 (4 years old) was left lying on the carpet in Classroom 1 for approximately 10 minutes while the class went into the hallway, directly outside of the classroom, for a restroom break following rest time. Child 1 was not within actual sight and sound supervision of staff during this time. The center was previously cited on 04/01/2025 for leaving a child alone and unsupervised.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 04/01/2025, 5 children were left in the care of Applicant 1 in the lobby of the center for approximately 1 minute and 37 seconds. During this time, the children were not within the actual sight and sound supervision of center staff. On 04/01/2025, Child 1 (5 years old) exited the center through the front door of the facility and was outside of the building for approximately 1 minute 24 seconds before being found by their parent. Child 1 was not within actual sight and sound supervision of staff during this time.”

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

“COMPLAINT RELATED When staff are supervising children, they shall always ensure their care, protection, and guidance. Staff 1 and Staff 2 did not provide care, protection and guidance to a group of 10 children (age two years old) in Classroom 1 on 02/17/2025. The children were observed running around the classroom, climbing on top of shelving units, jumping on cots, wrestling on cots, and throwing toys at one another. During this time, Child 1 (2 years old) sustained an injury to their forehead that required outside medical attention. Staff 1 and Staff 2 were unable to identify how the injury occurred.”

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

“COMPLAINT RELATED The center shall maintain a written record of children’s serious and minor injuries and the record shall include the required components. The injury record for Child 1 did not contain two signatures.”

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

“The diapering surface shall be cleaned with soap and water and sanitized after each use. Staff 1 changed a total of 9 children’s diapers on 02/17/2025. Staff 1 did not clean or sanitize the diapering surface after each use.”

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

“COMPLAINT RELATED 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 (2 years old) sustained an injury, while under the supervision of the center on 02/17/2025, that required outside medical attention. The center did not notify the department that the injury occurred.”

8VAC20-780-560-L Complaint related: No

“Staff shall sit with children during meal times. The staff in Classroom 1 did not sit with the children during lunch on 02/17/2025.”

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

“Children shall wash their hands before and after eating and after toileting, and staff shall wash their hands before and after a diaper change. The children did not wash their hands after lunch on 02/17/2025. Staff 1 changed a total of 9 children’s diapers on 02/17/2025, the children did not wash their hands after the diaper change, nor did Staff 1 wash their hands in between each of the diaper changes.”

8VAC20-780-410-1

“REPEAT VIOLATION The following actions, or threats thereof, are forbidden, physical punishment or striking a child. Staff 1 did not ensure that forbidden actions were not used with Infant 1 (14 months old) on 01/23/2025 when they struck Infant 1 on the face for biting another infant.”

8VAC20-780-40-E

“REPEAT VIOLATION Centers shall be in compliance with the center’s own policies and procedures that are required by the standards. The center’s discipline policy prevents the use of abusive language and corporal punishment, including hitting, spanking, beating, shaking, pinching, and other measures that produce physical pain. Staff 1 did not follow the center’s discipline policy on 01/23/2025 when they used corporal punishment on Infant 1 (14 months old) for biting another infant. Staff 1 struck Infant 1 in the face, resulting in the child stumbling backwards, and then pointed their finger at Infant 1 and scolded the infant for their behavior.”

8VAC20-780-320-B

“Water temperatures from sinks should not exceed 120 degrees Fahrenheit. The water temperature in the portable sink/diaper changing station in Classroom 5 measured 167 degrees.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually. Staff 2, who has been employed for more than one year, obtained less than an hour of the required 16 hours of annual training in 2024.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The additional immunizations for Child 2 (14 months old) were overdue by 6 months.”

8VAC20-780-410-1

“REPEAT VIOLATION The following actions, or threats thereof, are forbidden, physical punishment or striking a child. Staff 1 did not ensure that forbidden actions were not used with Infant 1 (14 months old) on 01/23/2025 when they struck Infant 1 on the face for biting another infant.”

8VAC20-780-40-E

“REPEAT VIOLATION Centers shall be in compliance with the center’s own policies and procedures that are required by the standards. The center’s discipline policy prevents the use of abusive language and corporal punishment, including hitting, spanking, beating, shaking, pinching, and other measures that produce physical pain. Staff 1 did not follow the center’s discipline policy on 01/23/2025 when they used corporal punishment on Infant 1 (14 months old) for biting another infant. Staff 1 struck Infant 1 in the face, resulting in the child stumbling backwards, and then pointed their finger at Infant 1 and scolded the infant for their behavior.”

8VAC20-780-320-B

“Water temperatures from sinks should not exceed 120 degrees Fahrenheit. The water temperature in the portable sink/diaper changing station in Classroom 5 measured 167 degrees.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually. Staff 2, who has been employed for more than one year, obtained less than an hour of the required 16 hours of annual training in 2024.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The additional immunizations for Child 2 (14 months old) were overdue by 6 months.”

8VAC20-780-410-1

“REPEAT VIOLATION The following actions, or threats thereof, are forbidden, physical punishment or striking a child. Staff 1 did not ensure that forbidden actions were not used with Infant 1 (14 months old) on 01/23/2025 when they struck Infant 1 on the face for biting another infant.”

8VAC20-780-40-E

“REPEAT VIOLATION Centers shall be in compliance with the center’s own policies and procedures that are required by the standards. The center’s discipline policy prevents the use of abusive language and corporal punishment, including hitting, spanking, beating, shaking, pinching, and other measures that produce physical pain. Staff 1 did not follow the center’s discipline policy on 01/23/2025 when they used corporal punishment on Infant 1 (14 months old) for biting another infant. Staff 1 struck Infant 1 in the face, resulting in the child stumbling backwards, and then pointed their finger at Infant 1 and scolded the infant for their behavior.”

8VAC20-780-320-B

“Water temperatures from sinks should not exceed 120 degrees Fahrenheit. The water temperature in the portable sink/diaper changing station in Classroom 5 measured 167 degrees.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually. Staff 2, who has been employed for more than one year, obtained less than an hour of the required 16 hours of annual training in 2024.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The additional immunizations for Child 2 (14 months old) were overdue by 6 months.”

8VAC20-780-410-1

“REPEAT VIOLATION The following actions, or threats thereof, are forbidden, physical punishment or striking a child. Staff 1 did not ensure that forbidden actions were not used with Infant 1 (14 months old) on 01/23/2025 when they struck Infant 1 on the face for biting another infant.”

8VAC20-780-40-E

“REPEAT VIOLATION Centers shall be in compliance with the center’s own policies and procedures that are required by the standards. The center’s discipline policy prevents the use of abusive language and corporal punishment, including hitting, spanking, beating, shaking, pinching, and other measures that produce physical pain. Staff 1 did not follow the center’s discipline policy on 01/23/2025 when they used corporal punishment on Infant 1 (14 months old) for biting another infant. Staff 1 struck Infant 1 in the face, resulting in the child stumbling backwards, and then pointed their finger at Infant 1 and scolded the infant for their behavior.”

8VAC20-780-320-B

“Water temperatures from sinks should not exceed 120 degrees Fahrenheit. The water temperature in the portable sink/diaper changing station in Classroom 5 measured 167 degrees.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually. Staff 2, who has been employed for more than one year, obtained less than an hour of the required 16 hours of annual training in 2024.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The additional immunizations for Child 2 (14 months old) were overdue by 6 months.”

8VAC20-780-280-B

“Based on observations, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was an unlocked cabinet in the Kings Kids Classroom that contained the following cleaning materials: Microban, Clorox All Purpose Spray, Great Value Disinfectant, Lysol, and Great Value All Purpose Cleaner. Children were observed in the classroom while the cabinet was unlocked.”

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 and the documentation shall have been completed within the last 30 calendar days of the date of the employment. Evidence: The record for Staff 6 contained a documented hire date of 06/24/2024; the tuberculosis screening was dated 01/28/2024.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that tuberculosis screenings are updated 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 8 was dated 07/22/2022; an updated screening was not obtained by 07/22/2024. 2. The most recent tuberculosis screening in the record for Staff 9 was dated 01/31/2022; an updated screening was not obtained by 01/31/2024. 3. The most recent tuberculosis screening in the record for Staff 10 was dated 05/31/2022; an updated screening was not obtained by 05/31/2024.”

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. Evidence: Staff 7 was the only staff member assigned to supervise the Toon Squad; Staff 7 does not have a current CPR and first aid certification.”

8VAC20-780-280-B

“Based on observations, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was an unlocked cabinet in the Kings Kids Classroom that contained the following cleaning materials: Microban, Clorox All Purpose Spray, Great Value Disinfectant, Lysol, and Great Value All Purpose Cleaner. Children were observed in the classroom while the cabinet was unlocked.”

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 and the documentation shall have been completed within the last 30 calendar days of the date of the employment. Evidence: The record for Staff 6 contained a documented hire date of 06/24/2024; the tuberculosis screening was dated 01/28/2024.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that tuberculosis screenings are updated 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 8 was dated 07/22/2022; an updated screening was not obtained by 07/22/2024. 2. The most recent tuberculosis screening in the record for Staff 9 was dated 01/31/2022; an updated screening was not obtained by 01/31/2024. 3. The most recent tuberculosis screening in the record for Staff 10 was dated 05/31/2022; an updated screening was not obtained by 05/31/2024.”

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. Evidence: Staff 7 was the only staff member assigned to supervise the Toon Squad; Staff 7 does not have a current CPR and first aid certification.”

63.2-1509-A Complaint related: Yes

“COMPLAINT RELATED Based on staff interviews and the review of an audio recorded interview, the center failed to ensure that the persons listed in the Code of Virginia, who, in their professional or official capacity (a person employed by a child day program), have reason to suspect that a child is an abused or neglected child, shall report the matter immediately to the local department of the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department’s toll-free child abuse and neglect hotline. Evidence: During an interview on 01/26/2024, Staff 2 stated that approximately 2 months ago she observed Staff 4 pinch Child 2 (20 months). During an interview on 02/05/2024, Staff 4 admitted to pinching Child 2 on her side. The abuse of Child 2 was not reported to the local department or any other authority by center staff.”

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

“COMPLAINT RELATED Based on the review of required policies and procedures and interviews with staff, the center failed to maintain the operational responsibility of the licensee to ensure that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards. Evidence: 1. Staff interviews and the review of an audio interview confirmed that Staff 4 did not follow the center’s discipline policy. During an interview on 02/05/2024, Staff 4 admitting to pinching Child 2 (20 months), stating that they did so in response to being bitten by Child 2. The center’s discipline policy prohibits physical punishment. 2. The record for Staff 4 contained documentation of receiving this information in writing; the document was signed on 08/19/2022.”

8VAC20-780-570-G Complaint related: Yes

“COMPLAINT RELATED Based on interviews with staff, the center failed to ensure that milk, formula, or breast milk shall be not heated or warmed directly in a microwave. Evidence: During an interview on 02/08/2024, Staff 7 stated that they use a microwave to heat up the refrigerated formula for Child 5 (3 months old). The following is stated on the back of the formula container ?Warning: Do not use a microwave oven to warm formula. Serious burns may occur.?”

8VAC20-780-350-B-1 Complaint related: No

“Based on observation and staff interviews, the center failed to maintain the required staff-to-child ratio whenever children are in care. Evidence: During the 01/26/2024 inspection, a total of 8 children and 1 staff member were observed in The Tiger’s Class during nap time. Child 6 was 14 months old. The required staff-to-child ratio for children from birth up to 16 months is 1:4. Two staff would be required for this group of children.”

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

“COMPLAINT RELATED Based on interviews with staff and the review of an audio recorded interview, the center failed to ensure that actions towards children that are forbidden by the standards (physical punishment, striking a child, roughly handling or shaking a child) were not used at the center. Evidence: During an interview on 01/26/2024, Staff 2 stated that approximately 2 months ago they observed Staff 4 pinch Child 2 (20 months). During an interview on 02/05/2024, Staff 4 admitted to pinching Child 2 (20 months), stating that they did so in response to being bitten by Child 2.”

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

“Based on record review and staff interviews, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Such program leader shall supervise no more than two aides. Evidence: Staff 1, Staff 2, Staff 3, and Staff 4 were assigned to The Tiger’s Class. The record for Staff 1 contained documentation that they held the job position of a program leader. The records for Staff 2, Staff 3, and Staff 4 contained documentation that they all held the job position of a program aide. Staff 1 was supervising a total of three aides. Staff 6 confirmed that Staff 1 was the only program lead for the group of children.”

8VAC20-780-290-A-3

“Based on observations, the center failed to ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers. Evidence: 1. There were 3 uncovered electrical outlets on a power cord located by a downstairs restroom. 2. There was an uncovered electrical outlet in the downstairs men’s restroom. 3. There were 4 uncovered electrical outlets in the cafeteria. 4. Preschool aged children were observed in the areas.”

8VAC20-780-290-A-3

“Based on observations, the center failed to ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers. Evidence: 1. There were 3 uncovered electrical outlets on a power cord located by a downstairs restroom. 2. There was an uncovered electrical outlet in the downstairs men’s restroom. 3. There were 4 uncovered electrical outlets in the cafeteria. 4. Preschool aged children were observed in the areas.”

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 2 did not contain the following information: a written care plan for a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction (the record contained documentation of a confirmed food allergy). 2. The record for Child 5 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 addresses for both designated people were incomplete).”

8VAC20-780-560-F-4

“Based on observations, the center failed to ensure that when centers choose to provide meals or snacks, children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: Children ages 16 months-3 years were observed eating whole corndog nuggets for lunch. The hotdog inside of the corndog breading is considered to be a potential choking hazard.”

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: The record for Child 5 contained a documented start date of 12/15/2020. The most recent immunization record in the record for Child 5 was dated 11/18/2021; additional immunizations were not obtained every 6 months from 11/18/2021 until the child turned 2 years old.”

22.1-289.036-A

“Based on record review, the center failed to ensure that all applicants 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 sworn statement in the record for Applicant 1 was dated 10/04/2017; there was not a follow-up sworn statement obtained by 10/04/2022. 2. The most recent sworn statement in the record for Applicant 2 was dated 08/21/2017; there was not a follow-up sworn statement obtained by 08/21/2022. 3. The most recent search of the central registry in the record for Applicant 2 was dated 11/07/2017; there was not a follow-up search of the central registry obtained by 11/07/2022. 4. The most recent search of the central registry in the record for Applicant 3 was dated 11/07/2017; there was not a follow-up search of the central registry obtained by 11/07/2022.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on record review, the center failed to obtain a copy of a child abuse and neglect search and criminal record check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 9 contained documentation that Staff 9 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 9. The documented hire date in the Record for Staff 9 was 03/23/2023.”

8VAC20-780-160-A

“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 and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 04/05/2023. The tuberculosis screening in the record for Staff 5 was dated 06/21/2023. The tuberculosis screening had not been completed prior to coming into contact with children.”

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 2 did not contain the following information: a written care plan for a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction (the record contained documentation of a confirmed food allergy). 2. The record for Child 5 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 addresses for both designated people were incomplete).”

8VAC20-780-560-F-4

“Based on observations, the center failed to ensure that when centers choose to provide meals or snacks, children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: Children ages 16 months-3 years were observed eating whole corndog nuggets for lunch. The hotdog inside of the corndog breading is considered to be a potential choking hazard.”

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: The record for Child 5 contained a documented start date of 12/15/2020. The most recent immunization record in the record for Child 5 was dated 11/18/2021; additional immunizations were not obtained every 6 months from 11/18/2021 until the child turned 2 years old.”

22.1-289.036-A

“Based on record review, the center failed to ensure that all applicants 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 sworn statement in the record for Applicant 1 was dated 10/04/2017; there was not a follow-up sworn statement obtained by 10/04/2022. 2. The most recent sworn statement in the record for Applicant 2 was dated 08/21/2017; there was not a follow-up sworn statement obtained by 08/21/2022. 3. The most recent search of the central registry in the record for Applicant 2 was dated 11/07/2017; there was not a follow-up search of the central registry obtained by 11/07/2022. 4. The most recent search of the central registry in the record for Applicant 3 was dated 11/07/2017; there was not a follow-up search of the central registry obtained by 11/07/2022.”

22.1-289.035-B-4

“REPEAT VIOLATION Based on record review, the center failed to obtain a copy of a child abuse and neglect search and criminal record check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 9 contained documentation that Staff 9 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 9. The documented hire date in the Record for Staff 9 was 03/23/2023.”

8VAC20-780-160-A

“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 and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 04/05/2023. The tuberculosis screening in the record for Staff 5 was dated 06/21/2023. The tuberculosis screening had not been completed prior to coming into contact with children.”

8VAC20-770-60-B

“Based on record review and staff interviews, 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 rehire date of 06/18/2021. The sworn statement was dated 06/18/2021. Staff 7 stated that Staff 5 was a previous employee and that Staff 5 had completed a sworn statement prior to the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of a child abuse and neglect search and criminal record check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 3 contained documentation that Staff 3 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 3. The documented hire date in the Record for Staff 3 was 01/12/2023.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 1 contained a documented rehire date of 07/15/2022. The findings from a search of the central registry were dated 09/01/2022. Staff 7 stated that Staff 1 was a previous employee and that a search of the central registry was completed within 30 days of the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire. 2. The record for Staff 2 contained a documented hire date of 08/16/2022. The findings from a search of the central registry were dated 09/26/2022. 3. The record for Staff 5 contained a documented rehire date of 06/16/2021. The findings from a search of the central registry were dated 08/10/2022. Staff 7 stated that Staff 5 was a previous employee and that a search of the central registry was completed within 30 days of the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire.”

8VAC20-780-510-P

“Based on document review, the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The authorization form for Medication 6 expired on 01/20/2023. Medication 6 was on-site during the 02/14/2023 inspection.”

8VAC20-780-510-G

“Based on document review and interviews with staff, the center failed to ensure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Medication 5 was not labeled with the child’s name, dosage amount and the times to be given. The label had been pulled off. Staff 6 stated that Medication 5 belonged to Child 4.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have a protective covers. Evidence: 1. There were 2 uncovered electrical outlets in the Lions Classroom. 2. There were 4 uncovered electrical outlets in the cafeteria. 3. There was 1 uncovered electrical outlet on a power strip in the hallway near the bathroom on the lower floor of the center.”

22.1-289.035-B-2

“Based on record review and staff interviews, 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: 1. The record for Staff 1 contained a documented rehire date of 07/15/2022. The date on the fingerprint eligibility letter was 07/19/2022. Staff 7 stated that Staff 1 was a previous employee and that Staff 1 had completed a fingerprint background check prior to the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire. 2. The record for Staff 5 contained a documented rehire date of 06/16/2021. The date on the fingerprint eligibility letter was 11/21/2022. Staff 7 stated that Staff 5 was a previous employee and that Staff 5 had completed a fingerprint background check prior to the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire.”

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: There was a plastic spray bottle of Great Value Disinfectant sitting on the sink in the Tigers Classroom. The disinfectant was not locked to prevent access by children.”

8VAC20-770-60-B

“Based on record review and staff interviews, 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 rehire date of 06/18/2021. The sworn statement was dated 06/18/2021. Staff 7 stated that Staff 5 was a previous employee and that Staff 5 had completed a sworn statement prior to the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire.”

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of a child abuse and neglect search and criminal record check from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 3 contained documentation that Staff 3 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 3. The documented hire date in the Record for Staff 3 was 01/12/2023.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the finding from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 1 contained a documented rehire date of 07/15/2022. The findings from a search of the central registry were dated 09/01/2022. Staff 7 stated that Staff 1 was a previous employee and that a search of the central registry was completed within 30 days of the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire. 2. The record for Staff 2 contained a documented hire date of 08/16/2022. The findings from a search of the central registry were dated 09/26/2022. 3. The record for Staff 5 contained a documented rehire date of 06/16/2021. The findings from a search of the central registry were dated 08/10/2022. Staff 7 stated that Staff 5 was a previous employee and that a search of the central registry was completed within 30 days of the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire.”

8VAC20-780-510-P

“Based on document review, the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The authorization form for Medication 6 expired on 01/20/2023. Medication 6 was on-site during the 02/14/2023 inspection.”

8VAC20-780-510-G

“Based on document review and interviews with staff, the center failed to ensure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Medication 5 was not labeled with the child’s name, dosage amount and the times to be given. The label had been pulled off. Staff 6 stated that Medication 5 belonged to Child 4.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have a protective covers. Evidence: 1. There were 2 uncovered electrical outlets in the Lions Classroom. 2. There were 4 uncovered electrical outlets in the cafeteria. 3. There was 1 uncovered electrical outlet on a power strip in the hallway near the bathroom on the lower floor of the center.”

22.1-289.035-B-2

“Based on record review and staff interviews, 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: 1. The record for Staff 1 contained a documented rehire date of 07/15/2022. The date on the fingerprint eligibility letter was 07/19/2022. Staff 7 stated that Staff 1 was a previous employee and that Staff 1 had completed a fingerprint background check prior to the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire. 2. The record for Staff 5 contained a documented rehire date of 06/16/2021. The date on the fingerprint eligibility letter was 11/21/2022. Staff 7 stated that Staff 5 was a previous employee and that Staff 5 had completed a fingerprint background check prior to the original hire date. More than 12 months had passed between the original employment termination date and the rehire date which required new background checks prior to rehire.”

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: There was a plastic spray bottle of Great Value Disinfectant sitting on the sink in the Tigers Classroom. The disinfectant was not locked to prevent access by children.”

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 after toileting and any contact with blood, feces, or urine. Evidence: Child 3 was observed during a diaper change. Child 3 was observed immediately returning to activities following the diaper change. Child 3 did not wash hands with soap and running water after toileting.”

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: 1. There were 5 uncovered electrical outlets on a power strip in the hallway near the restroom on the bottom floor of the center. This area of the center is used by children of preschool age. 2. There were 5 uncovered electrical outlets on a power strip near the sink in the Bears Classroom. This area of the center is used by children of preschool age.”

8VAC20-780-520-A

“Based on observation and discussion with staff, the center failed to ensure that all nonprescription drugs and over-the-counter skin products shall not be kept beyond the expiration date of the product. Evidence: 1. Over-the-counter Skin Product 1, in the Piggie Classroom, had an expiration date of 05/2022. 2. Over-the-counter Skin Product 2, in the Tigers Classroom, had an expiration date of 01/2020.”

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 after toileting and any contact with blood, feces, or urine. Evidence: Child 3 was observed during a diaper change. Child 3 was observed immediately returning to activities following the diaper change. Child 3 did not wash hands with soap and running water after toileting.”

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: 1. There were 5 uncovered electrical outlets on a power strip in the hallway near the restroom on the bottom floor of the center. This area of the center is used by children of preschool age. 2. There were 5 uncovered electrical outlets on a power strip near the sink in the Bears Classroom. This area of the center is used by children of preschool age.”

8VAC20-780-520-A

“Based on observation and discussion with staff, the center failed to ensure that all nonprescription drugs and over-the-counter skin products shall not be kept beyond the expiration date of the product. Evidence: 1. Over-the-counter Skin Product 1, in the Piggie Classroom, had an expiration date of 05/2022. 2. Over-the-counter Skin Product 2, in the Tigers Classroom, had an expiration date of 01/2020.”

8VAC20-780-340-A

“Based on video footage and discussion with the staff, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: 1. Video footage shows Staff 4 and six children sitting on a carpet. Staff 4 can be seen pushing the leg of Child 1 in an effort to move the child away from the group of children; Child 1 was determined to be 20 months old. Child 1 is seen toppling over onto their side at the same time that Staff 4 pushes Child 1?s leg. Staff 1 then proceeds to push Child 1?s legs two more times. Child 1 can be heard crying in the video. There are two other staff members, one of which is holding the phone camera, in the area observing the behavior, that did not intervene during the incident. 2. In an interview, Staff 2 stated that Child 1 was not part of Staff 4?s group but wanted to participate in the activity anyway. Staff 2 stated that they could tell Staff 4 was frustrated that Child 1 wouldn?t return to their group and that Staff 2 and Staff 3 wanted to record the situation to show their boss. 3. In an interview, Staff 3 stated that Child 1 was including themselves in another group’s activity and that Staff 4 did not want the child in the activity so they began to push the child’s legs to move them away. Staff 3 stated they decided to record the situation. 4. In an interview, Staff 4 stated that Child 1 would not return to their group so Staff 4 pushed the child’s legs to get the child to move and while Staff 4 was pushing the child’s legs the child flopped themselves over. Staff 4 stated that Staff 2 and Staff 3 would not assist in getting the child to return to the correct group and chose to video rather than assist.”

8VAC20-780-60-A

“Based on record review and discussion, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 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 addresses for the designated people were incomplete); and the names of persons authorized to pick up the child.”

8VAC20-780-40-K

“Based on discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff 4 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.”

8VAC20-780-60-A

“Based on record review and discussion, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 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 addresses for the designated people were incomplete); and the names of persons authorized to pick up the child.”

8VAC20-780-40-K

“Based on discussion with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff 4 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.”