Starling International Child Care and Learning Complex

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 11:00 a.m. on 6/27/2024, there were 15 children present in the twos room, but only 13 were marked present on the attendance record.”

8VAC20-780-160-A

“Based on review of 10 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Staff 2 (date of employment 10/06/2023) had a TB test done on 7/19/2023. Staff 9 (date of employment 5/23/2023) did not have a TB test done until 7/10/2023.”

8VAC20-780-180-C

“Based on staff interview and review of staff files, the facility failed to have 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 7 is a driver for the center and did not have a driver disclosure statement on file. Management confirmed they did not have a driver disclosure statement on file for drivers.”

8VAC20-780-500-B

“Based on observation, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: In the infant room, one staff cleaned and sanitized the diaper changing table, but did not allow the bleach water solution to dry for a period of at least 2 minutes, as required.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five children age 16 months up to 24 months. Evidence: On 1/23/2024, there were 13 children ages 16 months to age 2 years alone with two staff. One staff walked a child to the front of the building, leaving the second staff person alone with 12 children ages 16 months to 2 years old for approximately one minute.”

8VAC20-780-340-D

“Based on observation and staff interview, the facility failed to have at least one staff member who meets the qualifications of a program leader in each grouping of children. Evidence: there were no staff in the JK/Kindergarten room that lead teacher qualifications. Management stated the two staff in the room are program assistants.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: one 5 year old child was laying on a stack of seven cots. Another child was digging in the trash before continuing to play toys.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the twos classroom and the 4 year old/kindergarten classroom, the cleaning solution and sanitizing solution were in an upper cabinet. that was not locked.”

8VAC20-780-160-A

“Based on review of 10 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Staff 2 (date of employment 10/06/2023) had a TB test done on 7/19/2023. Staff 9 (date of employment 5/23/2023) did not have a TB test done until 7/10/2023.”

8VAC20-780-180-C

“Based on staff interview and review of staff files, the facility failed to have 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 7 is a driver for the center and did not have a driver disclosure statement on file. Management confirmed they did not have a driver disclosure statement on file for drivers.”

8VAC20-780-500-B

“Based on observation, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: In the infant room, one staff cleaned and sanitized the diaper changing table, but did not allow the bleach water solution to dry for a period of at least 2 minutes, as required.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five children age 16 months up to 24 months. Evidence: On 1/23/2024, there were 13 children ages 16 months to age 2 years alone with two staff. One staff walked a child to the front of the building, leaving the second staff person alone with 12 children ages 16 months to 2 years old for approximately one minute.”

8VAC20-780-340-D

“Based on observation and staff interview, the facility failed to have at least one staff member who meets the qualifications of a program leader in each grouping of children. Evidence: there were no staff in the JK/Kindergarten room that lead teacher qualifications. Management stated the two staff in the room are program assistants.”

8VAC20-780-340-A

“Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: one 5 year old child was laying on a stack of seven cots. Another child was digging in the trash before continuing to play toys.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the twos classroom and the 4 year old/kindergarten classroom, the cleaning solution and sanitizing solution were in an upper cabinet. that was not locked.”

8VAC20-780-240-A

“Based on review of ten staff files, the facility failed to have 3 out of 11 staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 1 (date of employment 5/16/2022), Staff 2 (date of employment 3/27/2022), and Staff 8 (date of employment 12/28/2022) did not have documentation of having completed the VA Dept of Education sponsored orientation course within 90 days of employment.”

8VAC20-780-240-B

“Based on review of ten staff records, the facility failed to have documentation of orientation for each staff prior to working alone with children. Evidence: Staff 10 (date of employment 5/17/2023) did not have documentation of orientation on file.”

8VAC20-780-560-M

“Based on observation, the facility failed to prevent children from drinking while walking around. One child in the toddler room was observed walking around and drinking from a sippy cup.”

8VAC20-780-160-A

“Based on review of ten staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test at the time of employment and prior to coming in contact with children. Evidence: Staff 1 (date of employment 5/16/2022) had a TB test 7/14/2022, Staff 6 (date of employment (9/12/2022) had a TB test 1/13/2023, and Staff 8 (date of employment 12/18/2022) had a TB test on 5/5/2023.”

8VAC20-780-80-A

“Based on record review and interview, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children. Evidence: The attendance record for the infant classroom on 5/31/2023 documented that there were 14 children present, but 18 were in attendance. The attendance record in the twos room on 5/31/2023 documented that there were 12 children present, but 16 were in attendance. Management stated that the attendance records were not accurate.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the twos classroom, cleaners including Purell surface cleaner were on a counter , unlocked.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five children age 16 months up to 24 months. Evidence: On 5/31/2023, there was one staff alone on the toddler playground with 8 children ages 16 months to age 2. A second staff was reportedly inside cleaning the classroom with one toddler.”

8VAC20-780-500-A

“Based on observation, the facility failed to have children wash hands with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Nineteen children ate dinner outside on the picnic tables. Children did not wash hands after eating and before playing toys. Staff stated there was a tub of water available, but no running water. The inspector recommended the children use disposable wipes. Management brought out disposable wipes for the children to use.”

8VAC20-780-140-A

“Based on review of eleven children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 8 (date of enrollment 5/1/2023) did not have documentation of a physical on file.”

8VAC20-780-240-A

“Based on review of ten staff files, the facility failed to have 3 out of 11 staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 1 (date of employment 5/16/2022), Staff 2 (date of employment 3/27/2022), and Staff 8 (date of employment 12/28/2022) did not have documentation of having completed the VA Dept of Education sponsored orientation course within 90 days of employment.”

8VAC20-780-240-B

“Based on review of ten staff records, the facility failed to have documentation of orientation for each staff prior to working alone with children. Evidence: Staff 10 (date of employment 5/17/2023) did not have documentation of orientation on file.”

8VAC20-780-560-M

“Based on observation, the facility failed to prevent children from drinking while walking around. One child in the toddler room was observed walking around and drinking from a sippy cup.”

8VAC20-780-160-A

“Based on review of ten staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test at the time of employment and prior to coming in contact with children. Evidence: Staff 1 (date of employment 5/16/2022) had a TB test 7/14/2022, Staff 6 (date of employment (9/12/2022) had a TB test 1/13/2023, and Staff 8 (date of employment 12/18/2022) had a TB test on 5/5/2023.”

8VAC20-780-80-A

“Based on record review and interview, the center failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children. Evidence: The attendance record for the infant classroom on 5/31/2023 documented that there were 14 children present, but 18 were in attendance. The attendance record in the twos room on 5/31/2023 documented that there were 12 children present, but 16 were in attendance. Management stated that the attendance records were not accurate.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the twos classroom, cleaners including Purell surface cleaner were on a counter , unlocked.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five children age 16 months up to 24 months. Evidence: On 5/31/2023, there was one staff alone on the toddler playground with 8 children ages 16 months to age 2. A second staff was reportedly inside cleaning the classroom with one toddler.”

8VAC20-780-500-A

“Based on observation, the facility failed to have children wash hands with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Nineteen children ate dinner outside on the picnic tables. Children did not wash hands after eating and before playing toys. Staff stated there was a tub of water available, but no running water. The inspector recommended the children use disposable wipes. Management brought out disposable wipes for the children to use.”

8VAC20-780-140-A

“Based on review of eleven children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 8 (date of enrollment 5/1/2023) did not have documentation of a physical on file.”

8VAC20-780-340-A

“Based on interviews and review of documentation, the facility failed to ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: 1. On 9/12/2022 at approximately 3:24 p.m., leadership was informed that Child 1 (age 2 years) was unable to be located on the playground. The teachers had searched the playground and the classroom. 2. At 3:28 p.m., law enforcement received a call from Passerby 1 regarding a child unattended in the Aldi parking lot. A second passerby reportedly ?scooped the child up? when he started running down the handicap ramp toward the intersection. Passerby 2 took the child into the grocery store to wait for law enforcement. 3. The police report stated that Staff 1 entered the Aldi store approximately 10 minutes after their arrival. Staff 1 stated the child was missing from the day care facility. 4. The grocery store is located off of a four-lane road at the intersection of Parham Road and Starling Drive. The speed limit on Parham road is 45 MPH.”

8VAC20-780-40-E

“Based on interviews with staff and review of supervision policies, the facility failed to follow the center's own policies and procedures that are required by these standards. Evidence: The center's ?Lost or missing children? policy states "It is the program’s strict policy that no child is ever left alone. It is the teacher’s responsibility to know where children in attendance are at all times. Children must be under sight and sound supervision at all times.? On 9/12/2022, at approximately 3:24 p.m., Staff 2 reportedly told leadership that they could not locate Child 1 (age 2 years) on the playground or in the classroom. The child could not be located for at least 15 minutes.”

8VAC20-780-340-D

“Based on review of two staff records and interviews, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: 1.The records of the two teachers in charge of the combined twos and threes class were reviewed. There was no documentation to support that either one meets lead teacher qualification. 2. The administrator stated that Staff 2 was the lead teacher in the class, but Staff 2 stated that she did not have the training or experience required to be lead.”

8VAC20-780-340-D

“Based on review of two staff records and interviews, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: 1.The records of the two teachers in charge of the combined twos and threes class were reviewed. There was no documentation to support that either one meets lead teacher qualification. 2. The administrator stated that Staff 2 was the lead teacher in the class, but Staff 2 stated that she did not have the training or experience required to be lead.”

8VAC20-780-340-F

“Based on interviews and a review of documentation, the facility failed to ensure children under the age of 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. At approximately 3:24 p.m. on 9/12/2022, leadership was informed that a (2 year old) child could not be located by staff. 2. Passerby 1 and Passerby 2 found the child alone in the Aldi parking lot. Passerby 1 contacted police at approximately 3:28 p.m. 3. Passerby 2 took the child into the Aldi store to wait for law enforcement. 4. The police report stated that a Staff 1 arrived at the grocery store 10 minutes after their arrival. Staff 1 stated the child was missing from the day care facility. 5. It is estimated that the child was out of sight and sound supervision of staff for a minimum of 15 minutes.”

8VAC20-780-160-A

“Based on review of 9 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Evidence: Staff 5 (date of employment 8/29/2022) had a TB test 7/25/2022, Staff 6 (date of employment 6/22/2022) had a TB test on 9/1/2021, Staff 7 (date of employment (8/29/2022) had a TB test 7/17/2022, and Staff 9 (date of employment 9/1/2022) had a TB test 7/9/2022.”

8VAC20-780-70

“Based on review of nine staff records, the facility failed to have all required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of employment 8/22/2022) did not have documentation of a second reference on file. Staff 3 (date of employment 4/4/2022) did not have two references documented until 5/5/2022. Staff 6 (date of employment 6/22/2022) did not have two references documented until 7/11/2022. The two references for Staff 9 were not dated.”

8VAC20-780-240-B

“Based on review of nine staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 7(date of employment 8/29/2022) and Staff 8 (date of employment 7/5//2022) did not have documentation of orientation on file.”

22.1-289.035-B-4

“Based on review of nine staff files and staff interview, facility failed to submit an out of state child abuse and neglect search or equivalent from any state in which the individual has lived in the past 5 years. Evidence: Staff 3 (date of employment 4/4/2022) indicated on the sworn disclosure statement that she had lived in another state in the past 5 years. There was no documentation to support that the out of state child abuse and neglect search request was sent. A member of management verified that the child abuse and neglect check had not been submitted within the required time frame.”

8VAC20-780-340-A

“Based on interviews and review of documentation, the facility failed to ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: 1. On 9/12/2022 at approximately 3:24 p.m., leadership was informed that Child 1 (age 2 years) was unable to be located on the playground. The teachers had searched the playground and the classroom. 2. At 3:28 p.m., law enforcement received a call from Passerby 1 regarding a child unattended in the Aldi parking lot. A second passerby reportedly ?scooped the child up? when he started running down the handicap ramp toward the intersection. Passerby 2 took the child into the grocery store to wait for law enforcement. 3. The police report stated that Staff 1 entered the Aldi store approximately 10 minutes after their arrival. Staff 1 stated the child was missing from the day care facility. 4. The grocery store is located off of a four-lane road at the intersection of Parham Road and Starling Drive. The speed limit on Parham road is 45 MPH.”

8VAC20-780-40-E

“Based on interviews with staff and review of supervision policies, the facility failed to follow the center's own policies and procedures that are required by these standards. Evidence: The center's ?Lost or missing children? policy states "It is the program’s strict policy that no child is ever left alone. It is the teacher’s responsibility to know where children in attendance are at all times. Children must be under sight and sound supervision at all times.? On 9/12/2022, at approximately 3:24 p.m., Staff 2 reportedly told leadership that they could not locate Child 1 (age 2 years) on the playground or in the classroom. The child could not be located for at least 15 minutes.”

8VAC20-780-340-D

“Based on review of two staff records and interviews, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: 1.The records of the two teachers in charge of the combined twos and threes class were reviewed. There was no documentation to support that either one meets lead teacher qualification. 2. The administrator stated that Staff 2 was the lead teacher in the class, but Staff 2 stated that she did not have the training or experience required to be lead.”

8VAC20-780-340-D

“Based on review of two staff records and interviews, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: 1.The records of the two teachers in charge of the combined twos and threes class were reviewed. There was no documentation to support that either one meets lead teacher qualification. 2. The administrator stated that Staff 2 was the lead teacher in the class, but Staff 2 stated that she did not have the training or experience required to be lead.”

8VAC20-780-340-F

“Based on interviews and a review of documentation, the facility failed to ensure children under the age of 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. At approximately 3:24 p.m. on 9/12/2022, leadership was informed that a (2 year old) child could not be located by staff. 2. Passerby 1 and Passerby 2 found the child alone in the Aldi parking lot. Passerby 1 contacted police at approximately 3:28 p.m. 3. Passerby 2 took the child into the Aldi store to wait for law enforcement. 4. The police report stated that a Staff 1 arrived at the grocery store 10 minutes after their arrival. Staff 1 stated the child was missing from the day care facility. 5. It is estimated that the child was out of sight and sound supervision of staff for a minimum of 15 minutes.”

8VAC20-780-160-A

“Based on review of 9 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Evidence: Staff 5 (date of employment 8/29/2022) had a TB test 7/25/2022, Staff 6 (date of employment 6/22/2022) had a TB test on 9/1/2021, Staff 7 (date of employment (8/29/2022) had a TB test 7/17/2022, and Staff 9 (date of employment 9/1/2022) had a TB test 7/9/2022.”

8VAC20-780-70

“Based on review of nine staff records, the facility failed to have all required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of employment 8/22/2022) did not have documentation of a second reference on file. Staff 3 (date of employment 4/4/2022) did not have two references documented until 5/5/2022. Staff 6 (date of employment 6/22/2022) did not have two references documented until 7/11/2022. The two references for Staff 9 were not dated.”

8VAC20-780-240-B

“Based on review of nine staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 7(date of employment 8/29/2022) and Staff 8 (date of employment 7/5//2022) did not have documentation of orientation on file.”

22.1-289.035-B-4

“Based on review of nine staff files and staff interview, facility failed to submit an out of state child abuse and neglect search or equivalent from any state in which the individual has lived in the past 5 years. Evidence: Staff 3 (date of employment 4/4/2022) indicated on the sworn disclosure statement that she had lived in another state in the past 5 years. There was no documentation to support that the out of state child abuse and neglect search request was sent. A member of management verified that the child abuse and neglect check had not been submitted within the required time frame.”

8VAC20-780-340-A

“Based on interviews and review of documentation, the facility failed to ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: 1. On 9/12/2022 at approximately 3:24 p.m., leadership was informed that Child 1 (age 2 years) was unable to be located on the playground. The teachers had searched the playground and the classroom. 2. At 3:28 p.m., law enforcement received a call from Passerby 1 regarding a child unattended in the Aldi parking lot. A second passerby reportedly ?scooped the child up? when he started running down the handicap ramp toward the intersection. Passerby 2 took the child into the grocery store to wait for law enforcement. 3. The police report stated that Staff 1 entered the Aldi store approximately 10 minutes after their arrival. Staff 1 stated the child was missing from the day care facility. 4. The grocery store is located off of a four-lane road at the intersection of Parham Road and Starling Drive. The speed limit on Parham road is 45 MPH.”

8VAC20-780-40-E

“Based on interviews with staff and review of supervision policies, the facility failed to follow the center's own policies and procedures that are required by these standards. Evidence: The center's ?Lost or missing children? policy states "It is the program’s strict policy that no child is ever left alone. It is the teacher’s responsibility to know where children in attendance are at all times. Children must be under sight and sound supervision at all times.? On 9/12/2022, at approximately 3:24 p.m., Staff 2 reportedly told leadership that they could not locate Child 1 (age 2 years) on the playground or in the classroom. The child could not be located for at least 15 minutes.”

8VAC20-780-340-D

“Based on review of two staff records and interviews, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: 1.The records of the two teachers in charge of the combined twos and threes class were reviewed. There was no documentation to support that either one meets lead teacher qualification. 2. The administrator stated that Staff 2 was the lead teacher in the class, but Staff 2 stated that she did not have the training or experience required to be lead.”

8VAC20-780-340-D

“Based on review of two staff records and interviews, the center failed to ensure at least one staff in each grouping of children meets lead teacher qualifications. Evidence: 1.The records of the two teachers in charge of the combined twos and threes class were reviewed. There was no documentation to support that either one meets lead teacher qualification. 2. The administrator stated that Staff 2 was the lead teacher in the class, but Staff 2 stated that she did not have the training or experience required to be lead.”

8VAC20-780-340-F

“Based on interviews and a review of documentation, the facility failed to ensure children under the age of 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. At approximately 3:24 p.m. on 9/12/2022, leadership was informed that a (2 year old) child could not be located by staff. 2. Passerby 1 and Passerby 2 found the child alone in the Aldi parking lot. Passerby 1 contacted police at approximately 3:28 p.m. 3. Passerby 2 took the child into the Aldi store to wait for law enforcement. 4. The police report stated that a Staff 1 arrived at the grocery store 10 minutes after their arrival. Staff 1 stated the child was missing from the day care facility. 5. It is estimated that the child was out of sight and sound supervision of staff for a minimum of 15 minutes.”

8VAC20-780-160-A

“Based on review of 9 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Evidence: Staff 5 (date of employment 8/29/2022) had a TB test 7/25/2022, Staff 6 (date of employment 6/22/2022) had a TB test on 9/1/2021, Staff 7 (date of employment (8/29/2022) had a TB test 7/17/2022, and Staff 9 (date of employment 9/1/2022) had a TB test 7/9/2022.”

8VAC20-780-70

“Based on review of nine staff records, the facility failed to have all required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of employment 8/22/2022) did not have documentation of a second reference on file. Staff 3 (date of employment 4/4/2022) did not have two references documented until 5/5/2022. Staff 6 (date of employment 6/22/2022) did not have two references documented until 7/11/2022. The two references for Staff 9 were not dated.”

8VAC20-780-240-B

“Based on review of nine staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 7(date of employment 8/29/2022) and Staff 8 (date of employment 7/5//2022) did not have documentation of orientation on file.”

22.1-289.035-B-4

“Based on review of nine staff files and staff interview, facility failed to submit an out of state child abuse and neglect search or equivalent from any state in which the individual has lived in the past 5 years. Evidence: Staff 3 (date of employment 4/4/2022) indicated on the sworn disclosure statement that she had lived in another state in the past 5 years. There was no documentation to support that the out of state child abuse and neglect search request was sent. A member of management verified that the child abuse and neglect check had not been submitted within the required time frame.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The boy's bathroom contained chipped and peeling paint, exposing drywall, at a bracket where the stall attaches to the wall. The area is approximately 4x2 inches. 2. Paint chipping of the walls was observed in the Preschool and Two's rooms. 3. In one area by the sink in the preschool room, the soap dispenser was detached and falling from the wall exposing the drywall and chipped paint 4. There was a hole in the wall at the corner of an electrical outlet in the school age room. The hole exposed the drywall. 5. Administration acknowledged the chipped/peeling paint and exposed drywall.”

8VAC20-780-550-B

“Based on a review of the emergency preparedness plan and interview, the center did not ensure the plan contained all the required procedural components. Evidence: 1. The evacuation, shelter-in-place, and lockdown procedures did not contain documentation of procedures to reunite children with a parent or authorized person designated by the parent to pick up the child. 2. The evacuation, shelter-in-place, and lockdown procedures did not contain accommodations or special requirements for children with special needs to ensure their safety. Administration confirmed this was not complete.”

8VAC20-780-500-B

“Based on observation, the center did not ensure the diapering surface shall be cleaned and sanitized after each use. Evidence: 1. Staff was observed, after diapering, to not clean and sanitize the diaper changing table. Staff did not spray with soap and water first. Staff sprayed a bleach and water solution only and immediately wiped it away.”

22.1-289.035-B-2

“Based on a review of staff records, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of Staff #1, hired on 10/8/21, contained documentation of fingerprints dated 10/18/21. 2. The record of Staff #3, hired on 12/23/21, contained documentation of fingerprints dated 1/13/22.”

8VAC20-770-60-B

“Based on a review of staff records, the center did not ensure to obtain a sworn statement from each staff prior to employment. Evidence: The record of Staff #3 contained documentation of a sworn statement dated 1/3/22. Staff #3 completed orientation on 12/23/21.”

8VAC20-770-60-C-2

“Based on a review of staff records, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Staff #1, hired on 10/8/21, contained documentation of a central registry finding dated 11/15/21. 2. The record of Staff #4 contained documentation of a central registry finding dated 12/7/21. Staff #4 completed orientation training on 10/20/21.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within the required timeframe. Evidence: 1. The record of Staff #2, hired on 9/14/21, contained documentation of a tuberculosis screening dated 12/12/21. 2. The record of Staff #3, hired on 12/23/21, did not contain documentation of a tuberculosis screening. 3. The record of Staff #4, hired on 10/20/21, contained documentation of a tuberculosis screening dated 1/19/21.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Glass cleaner with a label that stated "keep out of the reach of children and caution" was located in an unlocked cabinet in the preschool room. Administration acknowledged the door was not locked. 2. Bleach and water solution and cleansers were located in an unlocked cabinet in the toddler room.”

8VAC20-780-320-B

“Based on observation and measurement, the center did not ensure to have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. Evidence: The water temperature was measured using a digital thermometer. The water temperature reading on the thermometer in the preschool room was 125.2?F.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that two or more references were checked before employment. Evidence: 1. The record of Staff #1, hired on 10/8/21, contained documentation of telephone references dated 10/14/21. The reference checks were not signed by the person making the call.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. There were missing outlet covers in the two's room and in the lobby. 2. Administration acknowledged they were missing.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The boy's bathroom contained chipped and peeling paint, exposing drywall, at a bracket where the stall attaches to the wall. The area is approximately 4x2 inches. 2. Paint chipping of the walls was observed in the Preschool and Two's rooms. 3. In one area by the sink in the preschool room, the soap dispenser was detached and falling from the wall exposing the drywall and chipped paint 4. There was a hole in the wall at the corner of an electrical outlet in the school age room. The hole exposed the drywall. 5. Administration acknowledged the chipped/peeling paint and exposed drywall.”

8VAC20-780-550-B

“Based on a review of the emergency preparedness plan and interview, the center did not ensure the plan contained all the required procedural components. Evidence: 1. The evacuation, shelter-in-place, and lockdown procedures did not contain documentation of procedures to reunite children with a parent or authorized person designated by the parent to pick up the child. 2. The evacuation, shelter-in-place, and lockdown procedures did not contain accommodations or special requirements for children with special needs to ensure their safety. Administration confirmed this was not complete.”

8VAC20-780-500-B

“Based on observation, the center did not ensure the diapering surface shall be cleaned and sanitized after each use. Evidence: 1. Staff was observed, after diapering, to not clean and sanitize the diaper changing table. Staff did not spray with soap and water first. Staff sprayed a bleach and water solution only and immediately wiped it away.”

22.1-289.035-B-2

“Based on a review of staff records, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of Staff #1, hired on 10/8/21, contained documentation of fingerprints dated 10/18/21. 2. The record of Staff #3, hired on 12/23/21, contained documentation of fingerprints dated 1/13/22.”

8VAC20-770-60-B

“Based on a review of staff records, the center did not ensure to obtain a sworn statement from each staff prior to employment. Evidence: The record of Staff #3 contained documentation of a sworn statement dated 1/3/22. Staff #3 completed orientation on 12/23/21.”

8VAC20-770-60-C-2

“Based on a review of staff records, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Staff #1, hired on 10/8/21, contained documentation of a central registry finding dated 11/15/21. 2. The record of Staff #4 contained documentation of a central registry finding dated 12/7/21. Staff #4 completed orientation training on 10/20/21.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within the required timeframe. Evidence: 1. The record of Staff #2, hired on 9/14/21, contained documentation of a tuberculosis screening dated 12/12/21. 2. The record of Staff #3, hired on 12/23/21, did not contain documentation of a tuberculosis screening. 3. The record of Staff #4, hired on 10/20/21, contained documentation of a tuberculosis screening dated 1/19/21.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Glass cleaner with a label that stated "keep out of the reach of children and caution" was located in an unlocked cabinet in the preschool room. Administration acknowledged the door was not locked. 2. Bleach and water solution and cleansers were located in an unlocked cabinet in the toddler room.”

8VAC20-780-320-B

“Based on observation and measurement, the center did not ensure to have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. Evidence: The water temperature was measured using a digital thermometer. The water temperature reading on the thermometer in the preschool room was 125.2?F.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that two or more references were checked before employment. Evidence: 1. The record of Staff #1, hired on 10/8/21, contained documentation of telephone references dated 10/14/21. The reference checks were not signed by the person making the call.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. There were missing outlet covers in the two's room and in the lobby. 2. Administration acknowledged they were missing.”

22VAC40-185-550-M Complaint related: Yes

“Based on a review of injury reports and staff interviews, the center did not maintain a complete written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1. An incident report dated November 2, 2021, did not include the date and time when the parent was notified, documentation on how the parent was notified, the date the facility representative signed the report, or future actions to prevent recurrence of injury. 2. In an interview with staff on November 17, 2021, staff acknowledged the incident occurred November 2, 2021. The center provided documentation of the incident report. The information regarding if the parent was notified, how the parent was notified and the date and time the parent was notified was written in pencil. The incident report stated the parent was notified of the incident "upon present" at 4:15pm on November 2, 2021. 3. During interviews, the staff agreed the documented information on the incident report was not correct.”

22VAC40-185-550-L Complaint related: Yes

“Based on interviews, the center did not ensure parents were notified the same day when a child sustained an injury. Evidence: 1. An incident report dated November 2, 2021, indicated that the parent was notified "upon present at 4:15pm." 2. During interviews, staff agreed the documented information on the incident was not correct and that the parent wasn't notified "upon present." 3. Administration stated the child's teacher had the incident report on a clipboard and left for the day without notifying the front desk that an injury had occurred. Administration stated "we have to work on notifying parents the same day."”

22VAC40-185-500-A Complaint related: Yes

“Based on staff and witness interviews on October 27, 2021, the center did not ensure that staff wash their hands with soap and running water before helping a child use the toilet or a diaper change. Evidence: 1. Staff 1 stated she puts gloves on prior to changing a diaper and washes hands after the diaper change. 2. Staff 2 stated she puts gloves on prior to changing a diaper and washes hands after the diaper change. 3. An outside witness stated she puts gloves on prior to changing a diaper and then washes hands after the diaper change.”

22VAC40-185-500-B Complaint related: Yes

“Based on interviews on October 27, 2021, the center did not ensure the diapering surface shall be cleaned and sanitized after each use. Evidence: 1. Staff 1 stated the diapering table is sprayed with bleach water and then wiped after 10 seconds. 2. Staff 2 stated the diapering table is sprayed with bleach water and then wiped after 1 minute. 3. Staff 3 stated the diapering table is sprayed with bleach water and then wiped immediately. 4. An outside witness stated she used baby wipes to wipe the diapering table after a diaper change.”