Sunshine Faces LLC-2042

8VAC20-790-600-F

“The vendor shall ensure staff completed who work directly with children shall have completed the departments annual health and safety update course. Staff #4?s updated course was overdue by 1 month.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Two injury reports were reviewed and they did not include the staff present and treatment, any future action to prevent recurrence of the injury and staff and parent signatures or two staff signatures.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. On the playground the white wooden benches and garden boxes have areas of chipped and peeling paint and splintering wood.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was dated 5-1-2023.”

8VAC20-780-70

“Documentation to demonstrate that the individual possesses the education, certification, and training required by the job position, shall be in each staff record. Staff #1, designated as a Program Director does not have documentation of the experience and training to meet the qualifications.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1.The record for Child #1, who had been enrolled for approximately 1 month did not include a phone number of 1 emergency contact listed and did not include a 2nd emergency contact name, address and phone number. 2.The record for Child #4, who had been enrolled for approximately over 1 ? years did not include the physicians name, physicians phone number and the complete address for 1 emergency contact listed. 3. The record for Child #5, who had been enrolled for approximately over 7 months did not include the physicians name, physicians phone number and a 2nd emergency contact name, address and phone number.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. The center’s list was not dated.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #5 updated screening was due over 5 months and it had not yet been completed.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). USDA indicates children ages 3-5 shall have 6 fluid ounces of milk for lunch. On 12-17-2024 the center served during lunch approximately 4 fluid ounces to the 3 year old children.”

8VAC20-780-340-D

“Repeat Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence: There were not qualified staff for one out of four class rooms. Staff #1 was observed alone supervising 3 infants. Center owner confirmed there was not documentation available to indicate Staff #1 meets the qualification for program lead.”

8VAC20-790-600-F

“Based on a record review and staff interviews, the vendor did not ensure staff who work directly with children shall have completed the departments health and safety update course. Evidence: The record for Staff #5 did not include the required updated course as the most recent one is dated 9-7-2022.”

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: Staff #6 confirmed the most recent copy of the health inspection available for review was dated 12-14-2022.”

8VAC20-780-270-A

“Based on observation and staff interviews, the licensee did not ensure. Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: The outside play space had three areas where the outdoor carpet was peeling a part from the ground and was posing as tripping hazard.”

8VAC20-780-280-B

“Repeat Based on observation, the licensee did not ensure hazardous substances and other harmful agents 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: Hazardous chemicals were found stored in an unlocked manner in the following rooms 1. The two-year-old room had a container of bleach/water spray solution, disinfectant spray and room deodorizer in an unlocked cabinet. 2. The three-year old room had a container of bleach/water spray solution and disinfectant spray. The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-340-D

“Repeat Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence: There were not qualified staff for two out of three of the classrooms. 1.Staff #3 was the only staff observed supervising 5 children in the two- to three-year-old room. Staff #6 confirmed there was not documentation available to indicate Staff #3 meets the qualification for program lead. 2. Staff #1 and Staff #2 were the only staff observed supervising 10 children in the two-year-old room. Staff #6 confirmed there was not documentation available to indicate Staff #1 or Staff #2 meet the qualifications for program lead.”

8VAC20-780-350-B-1

“Based on observation, staff interview and record review, the licensee did not ensure to follow the required ratio of 1 staff for every 4 infants in care. Evidence: In the infant room there were 8 children, youngest age 7 weeks, observed with only 1 staff. The ratio of 1 staff to every 4 children was not followed.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: In the infant room there were 5 children observed eating snack and they did not wash their hands prior to eating snack..”

8VAC20-780-500-B

“Based on observation and staff interviews, the licensee did not ensure diapering requirements were followed. Evidence: Three out of three rooms had diaper pads that were torn and were no longer nonabsorbent.”

8VAC20-780-550-G

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #6 confirmed they did not have documentation of evacuation drills conducted in March 2024”

8VAC20-780-570-E

“Based on observation and provider interviews, the licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: Child #1 was observed drinking a bottle and it was not labeled or dated.”

22.1-289.058

“Based on observation and provider interview the licensee did not ensure that each building that houses a child day program that is licensed, that serves preschool-age children, shall be equipped with at least one carbon monoxide detector. Evidence: Staff #6 confirmed they did not have information that indicates the center has a carbon monoxide detector.”

8VAC20-770-60-C-2

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 1 (hire date 7-24-2023) did not have documentation of CPS results.”

8VAC20-780-160-A

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: Staff #2?s TB screening was dated 2-3-2024 and first day of employment was 3-19-2024. TB screening was more than 30 days prior to hire”

8VAC20-780-40-M

“Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The written list of all children's allergies, sensitivities, and dietary restrictions were not maintained as required. 1. The list in the two-year-old room did not include the dietary restrictions (no pork, no eggs) for Child #3. 2.The list in three out of three classrooms was not dated.”

8VAC20-780-70

“Repeat Based on record review and staff interviews, the licensee did not ensure staff records contained all required documentation. Evidence: The following records were determined incomplete 1.The records for Staff #1, Staff #2 and Staff #3 did not include information about any health problems that may interfere with fulfilling the job responsibilities. 2. References for Staff #3 were not available for review”

8VAC20-780-240-A

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE) -sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1, date of hire was 7-24-2023 and their record did not include documentation of completing the VDOE orientation.”

8VAC20-790-600-F

“Based on a record review and staff interviews, the vendor did not ensure staff who work directly with children shall have completed the departments health and safety update course. Evidence: The record for Staff #5 did not include the required updated course as the most recent one is dated 9-7-2022.”

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: Staff #6 confirmed the most recent copy of the health inspection available for review was dated 12-14-2022.”

8VAC20-780-270-A

“Based on observation and staff interviews, the licensee did not ensure. Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. Evidence: The outside play space had three areas where the outdoor carpet was peeling a part from the ground and was posing as tripping hazard.”

8VAC20-780-280-B

“Repeat Based on observation, the licensee did not ensure hazardous substances and other harmful agents 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: Hazardous chemicals were found stored in an unlocked manner in the following rooms 1. The two-year-old room had a container of bleach/water spray solution, disinfectant spray and room deodorizer in an unlocked cabinet. 2. The three-year old room had a container of bleach/water spray solution and disinfectant spray. The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-340-D

“Repeat Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence: There were not qualified staff for two out of three of the classrooms. 1.Staff #3 was the only staff observed supervising 5 children in the two- to three-year-old room. Staff #6 confirmed there was not documentation available to indicate Staff #3 meets the qualification for program lead. 2. Staff #1 and Staff #2 were the only staff observed supervising 10 children in the two-year-old room. Staff #6 confirmed there was not documentation available to indicate Staff #1 or Staff #2 meet the qualifications for program lead.”

8VAC20-780-350-B-1

“Based on observation, staff interview and record review, the licensee did not ensure to follow the required ratio of 1 staff for every 4 infants in care. Evidence: In the infant room there were 8 children, youngest age 7 weeks, observed with only 1 staff. The ratio of 1 staff to every 4 children was not followed.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: In the infant room there were 5 children observed eating snack and they did not wash their hands prior to eating snack..”

8VAC20-780-500-B

“Based on observation and staff interviews, the licensee did not ensure diapering requirements were followed. Evidence: Three out of three rooms had diaper pads that were torn and were no longer nonabsorbent.”

8VAC20-780-550-G

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Staff #6 confirmed they did not have documentation of evacuation drills conducted in March 2024”

8VAC20-780-570-E

“Based on observation and provider interviews, the licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name. Evidence: Child #1 was observed drinking a bottle and it was not labeled or dated.”

22.1-289.058

“Based on observation and provider interview the licensee did not ensure that each building that houses a child day program that is licensed, that serves preschool-age children, shall be equipped with at least one carbon monoxide detector. Evidence: Staff #6 confirmed they did not have information that indicates the center has a carbon monoxide detector.”

8VAC20-770-60-C-2

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 1 (hire date 7-24-2023) did not have documentation of CPS results.”

8VAC20-780-160-A

“Repeat Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) prior to employment. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: Staff #2?s TB screening was dated 2-3-2024 and first day of employment was 3-19-2024. TB screening was more than 30 days prior to hire”

8VAC20-780-40-M

“Based on observation and staff interviews, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: The written list of all children's allergies, sensitivities, and dietary restrictions were not maintained as required. 1. The list in the two-year-old room did not include the dietary restrictions (no pork, no eggs) for Child #3. 2.The list in three out of three classrooms was not dated.”

8VAC20-780-70

“Repeat Based on record review and staff interviews, the licensee did not ensure staff records contained all required documentation. Evidence: The following records were determined incomplete 1.The records for Staff #1, Staff #2 and Staff #3 did not include information about any health problems that may interfere with fulfilling the job responsibilities. 2. References for Staff #3 were not available for review”

8VAC20-780-240-A

“Based on a record review and staff interviews, the licensee did not ensure that staff have completed the Virginia Department of Education (VDOE) -sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1, date of hire was 7-24-2023 and their record did not include documentation of completing the VDOE orientation.”

8VAC20-770-60-C-2

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 1?s (hire date 7-24-2023) did not have documentation of CPS results.”

8VAC20-780-340-D

“Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence. Staff #1 and Staff #3 were observed as the only staff supervising 7 children ages 2-3 Staff #5, Center Director confirmed there was not documentation available for review that Staff #1 or Staff #3 meets the qualification for program lead.”

8VAC20-780-160-C

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: Staff #4 did not have documentation in their record for an updated TB screening as the most recent TB screening is dated 9-30-2021.”

8VAC20-780-40-H

“Based on documentation review and staff interviews, the licensee did not ensure they shall maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. Evidence: The liability insurance available for review expired 10-9-2023.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record. Evidence: The following information was missing from the staff records. 1.Staff #1, designated as program leader/ lead teacher did not have documentation they have the experience required by the job position. 2.Staff #3 did not have documentation of 2 required references.”

8VAC20-780-280-B

“Repeat Based on observation and staff interviews, the licensee did not ensure 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: Hazardous substances, (1 container of bleach water spry and disinfectant spray) were observed on a wire shelf in two’s and three’s room.”

8VAC20-780-60-A

“Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information. Evidence: The following information is missing from 2 out of 5 of the children’s records reviewed. 1.Child #1?s record does not have 1 of 2 required emergency contacts(name, address, phone number), the employment information (location, phone number) or home information (address, phone number) for one parent. 2. Child # 1 has a diagnosed food allergy (egg yolk) and the record did not include a written allergy action/care plan, to include instructions from a physician. 3. Child #2?s record does not have the employment information (location, phone number) for both parents. and the city, state and zip code for both emergency contacts listed. 4. Child #3?s record does not have the doctors name or phone number listed and does not have the home address for 1 emergency contact listed.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) 30 days prior to employment and coming in contact with children. Evidence: The following TB screenings were not conducted in the required timeframe. 1.Staff #1?s TB screening was dated 9-14-2022 and hire date was 7-24-2023 which is more than 30 days prior to hire. 2. Staff #3 (hire date 10-16-2023) did not have documentation of a TB screening. Staff #3 was observed working on the day of the inspection.”

8VAC20-770-60-C-2

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff # 1?s (hire date 7-24-2023) did not have documentation of CPS results.”

8VAC20-780-340-D

“Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence. Staff #1 and Staff #3 were observed as the only staff supervising 7 children ages 2-3 Staff #5, Center Director confirmed there was not documentation available for review that Staff #1 or Staff #3 meets the qualification for program lead.”

8VAC20-780-160-C

“Based on record review and staff interviews, the licensee did not ensure each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: Staff #4 did not have documentation in their record for an updated TB screening as the most recent TB screening is dated 9-30-2021.”

8VAC20-780-40-H

“Based on documentation review and staff interviews, the licensee did not ensure they shall maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. Evidence: The liability insurance available for review expired 10-9-2023.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record. Evidence: The following information was missing from the staff records. 1.Staff #1, designated as program leader/ lead teacher did not have documentation they have the experience required by the job position. 2.Staff #3 did not have documentation of 2 required references.”

8VAC20-780-280-B

“Repeat Based on observation and staff interviews, the licensee did not ensure 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: Hazardous substances, (1 container of bleach water spry and disinfectant spray) were observed on a wire shelf in two’s and three’s room.”

8VAC20-780-60-A

“Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information. Evidence: The following information is missing from 2 out of 5 of the children’s records reviewed. 1.Child #1?s record does not have 1 of 2 required emergency contacts(name, address, phone number), the employment information (location, phone number) or home information (address, phone number) for one parent. 2. Child # 1 has a diagnosed food allergy (egg yolk) and the record did not include a written allergy action/care plan, to include instructions from a physician. 3. Child #2?s record does not have the employment information (location, phone number) for both parents. and the city, state and zip code for both emergency contacts listed. 4. Child #3?s record does not have the doctors name or phone number listed and does not have the home address for 1 emergency contact listed.”

8VAC20-780-160-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall submit documentation of a negative tuberculosis screening (TB) 30 days prior to employment and coming in contact with children. Evidence: The following TB screenings were not conducted in the required timeframe. 1.Staff #1?s TB screening was dated 9-14-2022 and hire date was 7-24-2023 which is more than 30 days prior to hire. 2. Staff #3 (hire date 10-16-2023) did not have documentation of a TB screening. Staff #3 was observed working on the day of the inspection.”

8VAC20-780-440-E

“Based on observation and staff interviews, the licensee did not ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: In the preschool room there were 2 children observed during nap time and there was approximately 3 inches between their cots and a minimum of 12 inches between cots is required.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee did not ensure 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: Hazardous substances, (1 container of room deodorizer) and 1 containers of lotion) both were observed on a shelf in the unlocked restroom that was accessible to the children in the infant / toddler room. These items observed were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-440-B

“Based on observation and staff interviews, the licensee did not ensure cribs, cots and mats shall be identified for use by a specific child. Evidence: Child #1, Child #6 and Child #7 were observed sleeping cribs that were not identified for use by them.”

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record Evidence: 1. The record for Staff #3 did not include an updated TB screening as they are required every two years from the date of the last screening and the most recent screening available for review was dated 7-6-2021. 2. The record for Staff #4 did not have documentation of the required 16 hours of annual training as there was only 9 hours of training available for review.”

8VAC20-780-570-B

“Based on observation and staff interviews, the licensee did not ensure bottles shall not be used while the child is in their designated sleeping location. Evidence: Child #6 was observed in their crib sleeping with a bottle. Center Director confirmed the bottle had been given to child while they were in their crib and preparing to go to sleep.”

8VAC20-780-500-B

“Based on observation and staff interviews, the licensee did not ensure the diapering area had all required items. Evidence: Staff # 6 was observed conducting 2 diaper changes in the infant room and they washed their hands and the children hands after diapering however the sink did not have warm water not to exceed 120F. Only the cold-water handle was operating.”

8VAC20-780-80-A

“Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance list for the mini preschool room, (age range 2 to 3) and the preschool room, (age range 3-6) did not reflect the children’s arrival and departure as it occurred 1.In the preschool room there were 20 children observed however the class attendance list 22 children in attendance in the classroom. Classroom staff indicated there are some children who move between the preschool room and the mini preschool room based on staff and ratio. 2.In the mini preschool room there were 8 children observed however the class attendance list 12 children in attendance in the classroom. Classroom staff indicated that the second teach for the mini preschool classroom was out today and the some children were moved the preschool room.”

8VAC20-780-440-E

“Based on observation and staff interviews, the licensee did not ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: In the preschool room there were 2 children observed during nap time and there was approximately 3 inches between their cots and a minimum of 12 inches between cots is required.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee did not ensure 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: Hazardous substances, (1 container of room deodorizer) and 1 containers of lotion) both were observed on a shelf in the unlocked restroom that was accessible to the children in the infant / toddler room. These items observed were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-440-B

“Based on observation and staff interviews, the licensee did not ensure cribs, cots and mats shall be identified for use by a specific child. Evidence: Child #1, Child #6 and Child #7 were observed sleeping cribs that were not identified for use by them.”

8VAC20-780-70

“Based on a record review and staff interviews, the licensee did not ensure that staff have all required documentation in their record Evidence: 1. The record for Staff #3 did not include an updated TB screening as they are required every two years from the date of the last screening and the most recent screening available for review was dated 7-6-2021. 2. The record for Staff #4 did not have documentation of the required 16 hours of annual training as there was only 9 hours of training available for review.”

8VAC20-780-570-B

“Based on observation and staff interviews, the licensee did not ensure bottles shall not be used while the child is in their designated sleeping location. Evidence: Child #6 was observed in their crib sleeping with a bottle. Center Director confirmed the bottle had been given to child while they were in their crib and preparing to go to sleep.”

8VAC20-780-500-B

“Based on observation and staff interviews, the licensee did not ensure the diapering area had all required items. Evidence: Staff # 6 was observed conducting 2 diaper changes in the infant room and they washed their hands and the children hands after diapering however the sink did not have warm water not to exceed 120F. Only the cold-water handle was operating.”

8VAC20-780-80-A

“Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance list for the mini preschool room, (age range 2 to 3) and the preschool room, (age range 3-6) did not reflect the children’s arrival and departure as it occurred 1.In the preschool room there were 20 children observed however the class attendance list 22 children in attendance in the classroom. Classroom staff indicated there are some children who move between the preschool room and the mini preschool room based on staff and ratio. 2.In the mini preschool room there were 8 children observed however the class attendance list 12 children in attendance in the classroom. Classroom staff indicated that the second teach for the mini preschool classroom was out today and the some children were moved the preschool room.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Center Director, confirmed that there was not an allergy list available for staff to view for child #6 that has a physician documented peanut allergy.”

22.1-289.035-B-4

“Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC ) prior to the first day of employment and an out of state child abuse and neglect search ( CPS ) was request by the 30th day of employment Evidence: Staff #5?s record did not include an out of state CPS check or a CRC from California or a CRC from Louisiana where they had lived within the last five years from date of hire (DOH 3-7-22). Staff #5 was observed working during the inspection.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Center Director confirmed there was not a written abusive head trauma policy available for review.”

8VAC20-780-430-J

“Based on observation and staff interview, the licensee did not ensure that disposable products shall be used once and discarded. Evidence: In the Preschool room the children were given disposable cups with their names on them to use for water during snack time. The center staff confirmed the disposable cups are used repeatedly during the day for water and are not thrown away after their first use.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Center Director, confirmed that there was not an allergy list available for staff to view for child #6 that has a physician documented peanut allergy.”

22.1-289.035-B-4

“Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC ) prior to the first day of employment and an out of state child abuse and neglect search ( CPS ) was request by the 30th day of employment Evidence: Staff #5?s record did not include an out of state CPS check or a CRC from California or a CRC from Louisiana where they had lived within the last five years from date of hire (DOH 3-7-22). Staff #5 was observed working during the inspection.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Center Director confirmed there was not a written abusive head trauma policy available for review.”

8VAC20-780-430-J

“Based on observation and staff interview, the licensee did not ensure that disposable products shall be used once and discarded. Evidence: In the Preschool room the children were given disposable cups with their names on them to use for water during snack time. The center staff confirmed the disposable cups are used repeatedly during the day for water and are not thrown away after their first use.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Center Director, confirmed that there was not an allergy list available for staff to view for child #6 that has a physician documented peanut allergy.”

22.1-289.035-B-4

“Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC ) prior to the first day of employment and an out of state child abuse and neglect search ( CPS ) was request by the 30th day of employment Evidence: Staff #5?s record did not include an out of state CPS check or a CRC from California or a CRC from Louisiana where they had lived within the last five years from date of hire (DOH 3-7-22). Staff #5 was observed working during the inspection.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Center Director confirmed there was not a written abusive head trauma policy available for review.”

8VAC20-780-430-J

“Based on observation and staff interview, the licensee did not ensure that disposable products shall be used once and discarded. Evidence: In the Preschool room the children were given disposable cups with their names on them to use for water during snack time. The center staff confirmed the disposable cups are used repeatedly during the day for water and are not thrown away after their first use.”

8VAC20-790-600-F

“Based on record review and staff interview the vendor did not ensure Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course. Evidence: Staff confirmed that Staff #1 (date of hire 7-12-2021) did not have documentation for their 2022 health and safety update course.”

8VAC20-780-330-B

“Based on observation and staff interview the licensee did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards from the National Program for Playground Safety’s Surface Materials. Surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Evidence: Staff/Director confirmed the following playground equipment did not have the required depth of at least six inches of resilient surfacing: 1. The red slide (20" high) and the see saw (31 1/2" high) were placed directly on asphalt. 2. The blue climber (17" high) was placed on a plastic covered mat. 3. Staff #1 confirmed children from the preschool classroom were outside on the play are on the day of the inspection.”

8VAC20-780-330-A

“Based on observation and staff interview the licensee did not ensure playgrounds shall be located and designed to protect children from hazards. Evidence: The director confirmed that the outside play was not designed to protect children from hazards and was located directly behind the building, openly in an area, where vehicular traffic is present. Staff #1 confirmed children from the preschool classroom were outside on the play are on the day of the inspection.”

8VAC20-780-260-A

“Based on record review and staff interview the licensee did not ensure the center shall provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: Staff confirmed that the most recent fire inspection was dated 10-1-2021.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff confirmed that child #7 has a known food sensitivity and that there was no allergy list in the infant classroom.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff confirmed that the center's written procedures did not include abusive head trauma.”

22.1-289.035-B-4

“Based on record review and staff interview the licensee did not ensure to obtain a copy of the results of a criminal history record information check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: Director confirmed that they had not obtained an out of state child abuse and neglect record check for California and they had not obtained an out of State criminal history check for California or Louisiana where staff #4 (hire date 3-7-2022) had lived within the last five years.”

8VAC20-780-500-B

“Based on observation, the licensee did not ensure the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #3 was observed not cleaning or sanitizing the diapering surface after changing child #4 and child #9 diapers”

8VAC20-780-500-A

“Based on observation, the licensee did not ensure children’s hands shall be washed with soap and running water after toileting and staff shall wash their hands with soap and running water before and after diapering. Evidence: Staff #3 was observed conducting diaper changes for child #5 and child #9. Neither child’s hands were washed after their diaper change and staff #3 did not wash their hands before and after each diaper change.”

8VAC20-780-440-A

“Based on observation and staff interview the licensee did not ensure cribs shall be provided for children during the designated rest period. Evidence: Staff was observed putting child #8 (date of birth 6-2-2022) in a baby bouncer for nap time. Staff #3 confirmed it was easier than using the crib because they were short staffed.”

8VAC20-780-410-2

“Based on observation and staff interview the licensee did not ensure enclosure in a small, confined space or any space that the child cannot freely exit himself is a forbidden action Evidence: In the infant room staff #3 confirmed that child #3 and child #8 were put in their highchairs, not for their intended purpose but because they hit and bite and because they were short staffed. Child #8 was in highchair from approximately 9:55 until 10:25 and child #3 was in highchair from approximately 9:55 until 10:20 as confirmed by staff #3.”

8VAC20-780-350-B-1

“Based on observation and staff interview the licensee did not ensure the required staff to child ratios were maintained whenever children are in care. Evidence: The center did not ensure to maintain a staff to child ratio of 1:4 for children birth up to 16 months. 1. Staff #3 confirmed that from approximately 8:00am-8:34am, in the infant classroom, they were alone with five children and the youngest child in the group was 9 months old. 2. Between 8:34am-10:09am, four additional children arrived, totaling nine children being supervised alone by Staff #3. 3. A second staff member did not arrive until 10:09am.”

8VAC20-790-600-F

“Based on record review and staff interview the vendor did not ensure Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course. Evidence: Staff confirmed that Staff #1 (date of hire 7-12-2021) did not have documentation for their 2022 health and safety update course.”

8VAC20-780-330-B

“Based on observation and staff interview the licensee did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards from the National Program for Playground Safety’s Surface Materials. Surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Evidence: Staff/Director confirmed the following playground equipment did not have the required depth of at least six inches of resilient surfacing: 1. The red slide (20" high) and the see saw (31 1/2" high) were placed directly on asphalt. 2. The blue climber (17" high) was placed on a plastic covered mat. 3. Staff #1 confirmed children from the preschool classroom were outside on the play are on the day of the inspection.”

8VAC20-780-330-A

“Based on observation and staff interview the licensee did not ensure playgrounds shall be located and designed to protect children from hazards. Evidence: The director confirmed that the outside play was not designed to protect children from hazards and was located directly behind the building, openly in an area, where vehicular traffic is present. Staff #1 confirmed children from the preschool classroom were outside on the play are on the day of the inspection.”

8VAC20-780-260-A

“Based on record review and staff interview the licensee did not ensure the center shall provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: Staff confirmed that the most recent fire inspection was dated 10-1-2021.”

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure the center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff confirmed that child #7 has a known food sensitivity and that there was no allergy list in the infant classroom.”

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff confirmed that the center's written procedures did not include abusive head trauma.”

22.1-289.035-B-4

“Based on record review and staff interview the licensee did not ensure to obtain a copy of the results of a criminal history record information check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: Director confirmed that they had not obtained an out of state child abuse and neglect record check for California and they had not obtained an out of State criminal history check for California or Louisiana where staff #4 (hire date 3-7-2022) had lived within the last five years.”

8VAC20-780-500-B

“Based on observation, the licensee did not ensure the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #3 was observed not cleaning or sanitizing the diapering surface after changing child #4 and child #9 diapers”

8VAC20-780-500-A

“Based on observation, the licensee did not ensure children’s hands shall be washed with soap and running water after toileting and staff shall wash their hands with soap and running water before and after diapering. Evidence: Staff #3 was observed conducting diaper changes for child #5 and child #9. Neither child’s hands were washed after their diaper change and staff #3 did not wash their hands before and after each diaper change.”

8VAC20-780-440-A

“Based on observation and staff interview the licensee did not ensure cribs shall be provided for children during the designated rest period. Evidence: Staff was observed putting child #8 (date of birth 6-2-2022) in a baby bouncer for nap time. Staff #3 confirmed it was easier than using the crib because they were short staffed.”

8VAC20-780-410-2

“Based on observation and staff interview the licensee did not ensure enclosure in a small, confined space or any space that the child cannot freely exit himself is a forbidden action Evidence: In the infant room staff #3 confirmed that child #3 and child #8 were put in their highchairs, not for their intended purpose but because they hit and bite and because they were short staffed. Child #8 was in highchair from approximately 9:55 until 10:25 and child #3 was in highchair from approximately 9:55 until 10:20 as confirmed by staff #3.”

8VAC20-780-350-B-1

“Based on observation and staff interview the licensee did not ensure the required staff to child ratios were maintained whenever children are in care. Evidence: The center did not ensure to maintain a staff to child ratio of 1:4 for children birth up to 16 months. 1. Staff #3 confirmed that from approximately 8:00am-8:34am, in the infant classroom, they were alone with five children and the youngest child in the group was 9 months old. 2. Between 8:34am-10:09am, four additional children arrived, totaling nine children being supervised alone by Staff #3. 3. A second staff member did not arrive until 10:09am.”

8VAC20-770-60-C-2

“Based on review of 3 staff records and staff interviews, the licensee did not ensure each employee obtained a central registry finding ( CPS ) within 30 days of employment or volunteer service. Evidence: The record for staff #2, date of hire 11-22-2021 did not include a CPS finding.”

8VAC20-780-160-A-1

“Based on review of 3 staff records and staff interviews, the licensee did not ensure each employee submitted documentation of the tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #2, date of hire 11-22-2021 did not include a TB screening prior to hire. The screening available for review was dated 2-19-2022.”

8VAC20-770-60-C-2

“Based on review of 3 staff records and staff interviews, the licensee did not ensure each employee obtained a central registry finding ( CPS ) within 30 days of employment or volunteer service. Evidence: The record for staff #2, date of hire 11-22-2021 did not include a CPS finding.”

8VAC20-780-160-A-1

“Based on review of 3 staff records and staff interviews, the licensee did not ensure each employee submitted documentation of the tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #2, date of hire 11-22-2021 did not include a TB screening prior to hire. The screening available for review was dated 2-19-2022.”

22VAC40-665-500-F

“Based on review, the vendor did not maintain a current written allergy list with all children's allergies, sensitivities, and dietary restrictions documented. Evidence: The Director confirmed that the allergy list did not contain all of the allergies noted on child #1's physical examination.”

22VAC40-665-520-B-11

“Based on record review, the vendor did not ensure to have a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The Director confirmed that there was not an allergy plan for Child #1 who had diagnosed food allergies listed on the child's physical examination.”

22VAC40-665-580-H

“Based on record review, in one of three staff records reviewed, the vendor did not ensure that staff who work directly with children shall annually complete the department's health and safety update course. Evidence: The vendor confirmed that the most recent health and safety update training for Staff #1 was completed in 2018.”

22VAC40-185-540-C

“Based on observation and inspection of the facility, the licensee did not ensure that the first aid kit contained all required information. Evidence: The Program Director verified that the first aid kit did not include adhesive tape and a first aid manual.”

22VAC40-665-500-F

“Based on review, the vendor did not maintain a current written allergy list with all children's allergies, sensitivities, and dietary restrictions documented. Evidence: The Director confirmed that the allergy list did not contain all of the allergies noted on child #1's physical examination.”

22VAC40-665-520-B-11

“Based on record review, the vendor did not ensure to have a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The Director confirmed that there was not an allergy plan for Child #1 who had diagnosed food allergies listed on the child's physical examination.”

22VAC40-665-580-H

“Based on record review, in one of three staff records reviewed, the vendor did not ensure that staff who work directly with children shall annually complete the department's health and safety update course. Evidence: The vendor confirmed that the most recent health and safety update training for Staff #1 was completed in 2018.”

22VAC40-185-540-C

“Based on observation and inspection of the facility, the licensee did not ensure that the first aid kit contained all required information. Evidence: The Program Director verified that the first aid kit did not include adhesive tape and a first aid manual.”