The Goddard School

8VAC20-780-160-C

“(Repeat Violation) (Systemic) A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for staff #3 was due 4 months ago.”

8VAC20-780-60-A

“(Systemic) Children's records are required to contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached. The records for child #1, attending for 2 years, child #3, attending for 1 day, child #6, attending for 1 month, and child #9, attending for 1 month were missing complete information for two emergency contacts.”

8VAC20-780-70

“(Repeat Violation) (Systemic) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #4, who has been actively working at the center for the past 4 months, and staff # 8, who has been actively working for 1 month, did not have any completed reference verifications on file; staff #5, who has been actively working at the center for 1 month, only had one completed reference.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5, who is working with children, has not yet completed this course which is overdue by 10 months. Staff #7, who is working with children, has not yet completed this course which is overdue by 9 months.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to working alone with children and no later than 7 days of hire. Staff #6, who has been working for 1 month, staff #7, who has been working for 1 year, and staff #8, who has been working for 1 month, did not have evidence they have received orientation training.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #6, who has been employed for 1 month, did not have a central registry search requested. Staff #8 was employed for one day before a central registry search request was made.”

8VAC20-780-160-A

“(Repeat Violation) (Systemic) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The screening for staff #5 was completed nine months prior to hire; staff #7 had no documentation of screening and had been employed for one year; and staff #9 had no documentation of screening and had been employed for over five years.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #7, employed for one year, did not have documentation of requesting a central registry check or criminal history check from a different state. Staff #8, employed for one month, did not have documentation of requesting a central registry check from a different state.”

22.1-289.036-B-2

“(Systemic) Based on review of two applicant records, it was determined that not all applicants had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check, as required. Evidence: the record for applicant #2 did not contain a fingerprint determination letter.”

8VAC20-770-40-D-1-a

“(Systemic) Based on review of two applicant records, it was determined that not all applicants had a sworn statement or an original central registry search report, as required. Evidence: the record for applicant #1 did not contain documentation of a central registry search report and the record for applicant #2 did not contain documentation of a sworn statement or a central registry search report.”

8VAC20-770-60-C-2

“(Repeat violation, Systemic) Based on review of seven staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #5 (Date of hire: 5/3/2024) and staff #6 (Date of hire: 5/9/2024) did not have documentation of a Central Registry search request. The record for staff #2 (Date of hire: 8/22/2024) had Central Registry search results dated: 1/31/2024”

8VAC20-780-130-A

“Based on review of 12 child records, the facility failed to obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #8 (date of first attendance: 5/28/2024) did not have documentation of immunizations.”

8VAC20-780-160-A

“(Repeat Violation) Based on review of six staff records, the facility did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment that was completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #2 (date of hire: 8/22/2023) had a TB test/screening dated: 9/7/2023. The record for staff #6 (date of hire: 5/9/2024) had a TB test/screening dated: 3/22/2024.”

8VAC20-780-160-C

“Based on review of six staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed at least every two years from the date of the initial test or screening. Evidence: the record for staff #4 had a negative TB test/screening dated: 5/27/2022.”

8VAC20-780-40-M

“Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children's allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: the written allergy list did not include child #4, with a diagnosed food allergy, or child #7, with a food sensitivity.”

8VAC20-780-60-A-8

“Based on record review, it was determined that not all records contained all required information. Evidence: the records for child #4, child #10 and child #12, with diagnosed food allergies, did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic to and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-70

“(Repeat Violation) Based on review of six staff records, it was determined that not all records contained all required information. Evidence: The record for staff #6 did not contain documentation of two reference checks as required.”

8VAC20-780-245-J-3

“Based on review of documentation, and an interview with staff, the facility failed to ensure that any child who has been prescribed emergency medication is always in the care of a staff member who meets the Medication Administration Training (MAT) requirements. Evidence: 1) child # 11 went on a field trip with emergency medication but no staff with the child had documentation of current MAT training. Child #14 has prescription Diazepam on site that is required to be administered rectally and no staff on site have the required MAT Rectal Medication Certificate.”

8VAC20-780-260-B

“Based on review of documentation, the facility failed to obtain documentation of annual approval from the health department. Evidence: the most recent documented health department inspection was dated: 3/10/2023.”

22.1-289.035-A

“(Repeat Violation, Systemic) Based on review of seven staff records, it was determined that not all staff had a repeat Central Registry Search every five years as required. Evidence: The record for staff #1 had a Central Registry search results letter dated: 12/19/2017.”

22.1-289.036-B-2

“(Systemic) Based on review of two applicant records, it was determined that not all applicants had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check, as required. Evidence: the record for applicant #2 did not contain a fingerprint determination letter.”

8VAC20-770-40-D-1-a

“(Systemic) Based on review of two applicant records, it was determined that not all applicants had a sworn statement or an original central registry search report, as required. Evidence: the record for applicant #1 did not contain documentation of a central registry search report and the record for applicant #2 did not contain documentation of a sworn statement or a central registry search report.”

8VAC20-770-60-C-2

“(Repeat violation, Systemic) Based on review of seven staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #5 (Date of hire: 5/3/2024) and staff #6 (Date of hire: 5/9/2024) did not have documentation of a Central Registry search request. The record for staff #2 (Date of hire: 8/22/2024) had Central Registry search results dated: 1/31/2024”

8VAC20-780-130-A

“Based on review of 12 child records, the facility failed to obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #8 (date of first attendance: 5/28/2024) did not have documentation of immunizations.”

8VAC20-780-160-A

“(Repeat Violation) Based on review of six staff records, the facility did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment that was completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #2 (date of hire: 8/22/2023) had a TB test/screening dated: 9/7/2023. The record for staff #6 (date of hire: 5/9/2024) had a TB test/screening dated: 3/22/2024.”

8VAC20-780-160-C

“Based on review of six staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed at least every two years from the date of the initial test or screening. Evidence: the record for staff #4 had a negative TB test/screening dated: 5/27/2022.”

8VAC20-780-40-M

“Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children's allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: the written allergy list did not include child #4, with a diagnosed food allergy, or child #7, with a food sensitivity.”

8VAC20-780-60-A-8

“Based on record review, it was determined that not all records contained all required information. Evidence: the records for child #4, child #10 and child #12, with diagnosed food allergies, did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic to and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-70

“(Repeat Violation) Based on review of six staff records, it was determined that not all records contained all required information. Evidence: The record for staff #6 did not contain documentation of two reference checks as required.”

8VAC20-780-245-J-3

“Based on review of documentation, and an interview with staff, the facility failed to ensure that any child who has been prescribed emergency medication is always in the care of a staff member who meets the Medication Administration Training (MAT) requirements. Evidence: 1) child # 11 went on a field trip with emergency medication but no staff with the child had documentation of current MAT training. Child #14 has prescription Diazepam on site that is required to be administered rectally and no staff on site have the required MAT Rectal Medication Certificate.”

8VAC20-780-260-B

“Based on review of documentation, the facility failed to obtain documentation of annual approval from the health department. Evidence: the most recent documented health department inspection was dated: 3/10/2023.”

22.1-289.035-A

“(Repeat Violation, Systemic) Based on review of seven staff records, it was determined that not all staff had a repeat Central Registry Search every five years as required. Evidence: The record for staff #1 had a Central Registry search results letter dated: 12/19/2017.”

8VAC20-770-60-C-2 Complaint related: No

“(Repeat Violation) Based on review of two staff records, it was determined that not all staff had an original central registry report within 30 days of employment, and no documented follow up was conducted. Evidence: the record for staff #2 (date of hire: 11/7/2022) did not contain documentation of a central registry search report or follow up.”

8VAC20-780-280-B

“Based on observation, the facility failed to 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: In eight out of eight classrooms, there was a bottle of bleach water solution in in unlocked cabinet.”

8VAC20-780-550-F

“Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 8/11/2021.”

8VAC20-770-60-C-2

“(Systemic) Based on review of six staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #1 (Date of hire: 4/24/2023), staff #3 (Date of hire: 5/25/2023) and staff #5 (Date of hire: 5/1/2023) did not have documentation of a Central Registry search request.”

22.1-289.035-B-4

“(Systemic) Based on review of six staff records, it was determined that Out of State background checks (Sex Offender Registry search and Child Abuse and Neglect search) were not conducted as required for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #1, (Date of hire: 4/24/2023), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state sex offender registry search or an out of state child abuse and neglect search request.”

22.1-289.035-B-2

“(Systemic) Based on review of six staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #3 (date of rehire: 5/25/2023) had a fingerprint determination letter dated: 8/19/2019 and staff #5 (date of hire: 5/1/2023) had a fingerprint determination letter dated: 5/10/2023.”

8VAC20-780-160-A

“Based on review of six staff records, the facility did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment that was completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #1 (date of hire: 4/24/2023) had a TB test/screening dated: 11/29/2022. The record for staff #3 (date of rehire: 5/25/2023) had a TB test/screening dated: 10/5/2021. The record for staff #5 (date of hire: 5/1/2023) had a TB test/screening dated: 5/12/2023.”

8VAC20-780-40-G

“Based on review of five child records, the facility failed to meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. Evidence: the record for child #1, child #3 and child #4 did not contain documentation of proof of child identity and age.”

8VAC20-780-70

“Based on review of six staff records, it was determined that not all records contained all required information. Evidence: 1) The record for staff #2 did not contain documentation of two reference checks as required; 2) The records for staff #2, staff #3, and staff #4 did not contain documentation to demonstrate that the individual possesses the education or certification required by the (lead teacher) job position; 3) The records for staff #1 and staff #5 did not contain documentation of orientation training as required.”

22.1-289.035-A

“(Systemic) Based on review of six staff records, it was determined that not all staff had a repeat Central Registry Search every five years as required. Evidence: The record for staff #6 had a Central Registry search results letter dated: 12/19/2017.”

8VAC20-780-280-B

“Based on observation, the facility failed to 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: In eight out of eight classrooms, there was a bottle of bleach water solution in in unlocked cabinet.”

8VAC20-780-550-F

“Based on review of documentation, not all lockdown drills were practiced at least annually as required. Evidence: The last documented lockdown drill was conducted on: 8/11/2021.”

8VAC20-770-60-C-2

“(Systemic) Based on review of six staff records, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #1 (Date of hire: 4/24/2023), staff #3 (Date of hire: 5/25/2023) and staff #5 (Date of hire: 5/1/2023) did not have documentation of a Central Registry search request.”

22.1-289.035-B-4

“(Systemic) Based on review of six staff records, it was determined that Out of State background checks (Sex Offender Registry search and Child Abuse and Neglect search) were not conducted as required for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #1, (Date of hire: 4/24/2023), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state sex offender registry search or an out of state child abuse and neglect search request.”

22.1-289.035-B-2

“(Systemic) Based on review of six staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #3 (date of rehire: 5/25/2023) had a fingerprint determination letter dated: 8/19/2019 and staff #5 (date of hire: 5/1/2023) had a fingerprint determination letter dated: 5/10/2023.”

8VAC20-780-160-A

“Based on review of six staff records, the facility did not have documentation of a negative tuberculosis (TB) test/ screening for all staff at the time of employment that was completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #1 (date of hire: 4/24/2023) had a TB test/screening dated: 11/29/2022. The record for staff #3 (date of rehire: 5/25/2023) had a TB test/screening dated: 10/5/2021. The record for staff #5 (date of hire: 5/1/2023) had a TB test/screening dated: 5/12/2023.”

8VAC20-780-40-G

“Based on review of five child records, the facility failed to meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. Evidence: the record for child #1, child #3 and child #4 did not contain documentation of proof of child identity and age.”

8VAC20-780-70

“Based on review of six staff records, it was determined that not all records contained all required information. Evidence: 1) The record for staff #2 did not contain documentation of two reference checks as required; 2) The records for staff #2, staff #3, and staff #4 did not contain documentation to demonstrate that the individual possesses the education or certification required by the (lead teacher) job position; 3) The records for staff #1 and staff #5 did not contain documentation of orientation training as required.”

22.1-289.035-A

“(Systemic) Based on review of six staff records, it was determined that not all staff had a repeat Central Registry Search every five years as required. Evidence: The record for staff #6 had a Central Registry search results letter dated: 12/19/2017.”

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

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: On 01/30/2023 staff could not explain how child A (Age 4) woke up from nap with a round, blistered mark on their right nostril. Staff confirm that child A did not have a mark on their face before nap. Staff were not able to provide an explanation as to how Child A sustained the injury to their nose. Child A did not articulate how the mark came to appear on their nose.”

8VAC20-780-80-A

“Based on review of daily attendance records it was determined that not all attendance records documented the arrival and departure of each child in care as it occurs. Evidence: The following classrooms did not have all children accounted on their attendance records: 1.) Toddler Room: Child A was not marked as present on attendance. 2.) Two year old room: Child B and Child C were not marked as present on attendance. 3.) Four year old room: Child D was not marked as present on attendance.”

8VAC20-780-520-C

“Based on observation of the toddler room it was determined that not all requirements for diaper cream were met. Evidence: Diaper cream was observed in an unlocked cabinet under the changing table accessible to children.”

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

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: On 01/30/2023 staff could not explain how child A (Age 4) woke up from nap with a round, blistered mark on their right nostril. Staff confirm that child A did not have a mark on their face before nap. Staff were not able to provide an explanation as to how Child A sustained the injury to their nose. Child A did not articulate how the mark came to appear on their nose.”

8VAC20-780-80-A

“Based on review of daily attendance records it was determined that not all attendance records documented the arrival and departure of each child in care as it occurs. Evidence: The following classrooms did not have all children accounted on their attendance records: 1.) Toddler Room: Child A was not marked as present on attendance. 2.) Two year old room: Child B and Child C were not marked as present on attendance. 3.) Four year old room: Child D was not marked as present on attendance.”

8VAC20-780-520-C

“Based on observation of the toddler room it was determined that not all requirements for diaper cream were met. Evidence: Diaper cream was observed in an unlocked cabinet under the changing table accessible to children.”

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

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: On 01/30/2023 staff could not explain how child A (Age 4) woke up from nap with a round, blistered mark on their right nostril. Staff confirm that child A did not have a mark on their face before nap. Staff were not able to provide an explanation as to how Child A sustained the injury to their nose. Child A did not articulate how the mark came to appear on their nose.”

8VAC20-780-80-A

“Based on review of daily attendance records it was determined that not all attendance records documented the arrival and departure of each child in care as it occurs. Evidence: The following classrooms did not have all children accounted on their attendance records: 1.) Toddler Room: Child A was not marked as present on attendance. 2.) Two year old room: Child B and Child C were not marked as present on attendance. 3.) Four year old room: Child D was not marked as present on attendance.”

8VAC20-780-520-C

“Based on observation of the toddler room it was determined that not all requirements for diaper cream were met. Evidence: Diaper cream was observed in an unlocked cabinet under the changing table accessible to children.”

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

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Staff could not provide an explanation regarding a dislocated left clavicle with a fracture sustained by child A (Age 17 Months) during child care hours. It was discovered through interviews that child A arrived at the day care around 9:00 am with a happy disposition. The child appeared normal throughout the day until they woke up from nap. It was reported that child A fell asleep on their back without incident at around 12:20 pm. Child A was reported to have been sleeping on their cot with a pacifier in their mouth, blanket placed over their torso, and dressed in a long sleeved shirt, legging type pants, and a onesie under the long sleeve shirt. Staff A went on break at approximately 12:45 pm leaving the children in the class under the supervision of staff B. When staff A returned from break they noticed that child A's cot had been moved and child A was still sleeping but now positioned on their stomach with their long sleeved shirt removed. Staff B reported to staff A that child A had woke up and that they had attempted to rock the child back to sleep next to their cot and that child A later fell back to sleep. It is not determined how child A's long sleeve shirt was removed. Child A reportedly woke up around 3:00 pm crying and appeared to be in distress. Staff A diapered child A, attempted to console them and offer them a snack. When child A was still observed to be in distress, staff A assessed the child to investigate the source of their distress. Staff noticed that child A appeared to flinch when their left arm and shoulder area was touched. Staff A notified management and requested that they notify child A's parent. Child A was picked up around 4:15 and was taken for medical evaluation. It was later determined by emergency room medical personnel that child A had a dislocated left clavicle with a fracture.”

8VAC20-780-270-A Complaint related: Yes

“Based on observation of the infant room it was determined that not all areas of the center are maintained in clean and safe condition. Evidence: The Licensing Inspector observed black mold under the top cabinet, located to the left of the microwave.”

8VAC20-770-60-C-2

“Based on review of three staff records it was determined that not all records contained documentation of a central registry check within the first 30 days of employment. Evidence: Staff A (start date: 10/13/2021), Staff B (start date: 02/01/2022), and Staff C (start date: 05/10/2022) did not have documentation of a central registry check on file.”

8VAC20-780-60-A

“Based on review of five children's records it was determined that not all records contained the required information. Evidence: The records for child A and child B (start date: 03/01/2022) did not contain documentation of the name and telephone number of the children's physician.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in clean, safe, and operable condition. Evidence: There are two large birds nest attached to the entryway outside of the door to the playground. Bird excrement was observed on the ground and wall below the nest.”

8VAC20-780-130-A

“Based on review of two children's records it was determined that not all records contained documentation of immunization records before the first date of attendance. Evidence: Child A and Child B (start date: 03/01/2022) did not have documentation of immunizations on file.”

8VAC20-780-140-A

“Based on review of five children's records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: Child A and Child B (start date: 03/01/2022) did not have documentation of a physical on file.”

8VAC20-770-60-C-2

“Based on review of three staff records it was determined that not all records contained documentation of a central registry check within the first 30 days of employment. Evidence: Staff A (start date: 10/13/2021), Staff B (start date: 02/01/2022), and Staff C (start date: 05/10/2022) did not have documentation of a central registry check on file.”

8VAC20-780-60-A

“Based on review of five children's records it was determined that not all records contained the required information. Evidence: The records for child A and child B (start date: 03/01/2022) did not contain documentation of the name and telephone number of the children's physician.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in clean, safe, and operable condition. Evidence: There are two large birds nest attached to the entryway outside of the door to the playground. Bird excrement was observed on the ground and wall below the nest.”

8VAC20-780-130-A

“Based on review of two children's records it was determined that not all records contained documentation of immunization records before the first date of attendance. Evidence: Child A and Child B (start date: 03/01/2022) did not have documentation of immunizations on file.”

8VAC20-780-140-A

“Based on review of five children's records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: Child A and Child B (start date: 03/01/2022) did not have documentation of a physical on file.”

8VAC20-780-350-B-2

“Based on observation and interviews with administration it was determined that the facility failed to maintain a ratio of one staff to 5 children ages 16 months - 2 years. Evidence: Two staff members were observed caring for 15 children in the toddler room with ages ranging from 16 months - 2 years.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in clean, safe, and operable condition. Evidence: 1. The drain box on the right side of the playground has sharp edges protruding from the ground that could snag skin or cause a tripping hazard. 2. The lumber barrier around the playground structure has a nail protruding (4 threads) that could snag skin or cause a tripping hazard. 3. There is a large birds nest attached to a wind chime outside of the door to the playground. Bird excrement was observed on the ground and wall below the nest.”

8VAC20-780-80-A

“Based on interviews and review of attendance records it was determined that not all attendance records documented the arrival of children as it occurred. Evidence: There were 8 children observed in the older infant room with only 4 children checked in on the daily attendance record. The time of arrival for child A, B, C, and D were not documented on the attendance record.”

8VAC20-780-350-B-2

“Based on observation and interviews with administration it was determined that the facility failed to maintain a ratio of one staff to 5 children ages 16 months - 2 years. Evidence: Two staff members were observed caring for 15 children in the toddler room with ages ranging from 16 months - 2 years.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in clean, safe, and operable condition. Evidence: 1. The drain box on the right side of the playground has sharp edges protruding from the ground that could snag skin or cause a tripping hazard. 2. The lumber barrier around the playground structure has a nail protruding (4 threads) that could snag skin or cause a tripping hazard. 3. There is a large birds nest attached to a wind chime outside of the door to the playground. Bird excrement was observed on the ground and wall below the nest.”

8VAC20-780-80-A

“Based on interviews and review of attendance records it was determined that not all attendance records documented the arrival of children as it occurred. Evidence: There were 8 children observed in the older infant room with only 4 children checked in on the daily attendance record. The time of arrival for child A, B, C, and D were not documented on the attendance record.”

8VAC20-780-350-B-2

“Based on observation and interviews with administration it was determined that the facility failed to maintain a ratio of one staff to 5 children ages 16 months - 2 years. Evidence: Two staff members were observed caring for 15 children in the toddler room with ages ranging from 16 months - 2 years.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in clean, safe, and operable condition. Evidence: 1. The drain box on the right side of the playground has sharp edges protruding from the ground that could snag skin or cause a tripping hazard. 2. The lumber barrier around the playground structure has a nail protruding (4 threads) that could snag skin or cause a tripping hazard. 3. There is a large birds nest attached to a wind chime outside of the door to the playground. Bird excrement was observed on the ground and wall below the nest.”

8VAC20-780-80-A

“Based on interviews and review of attendance records it was determined that not all attendance records documented the arrival of children as it occurred. Evidence: There were 8 children observed in the older infant room with only 4 children checked in on the daily attendance record. The time of arrival for child A, B, C, and D were not documented on the attendance record.”

22VAC40-185-350-E-2

“Based on observation and interviews with administration it was determined that the facility failed to maintain a ratio of one staff to 5 children ages 16 months - 2 years. Evidence: Two staff members were observed caring for 12 children in the toddler room with ages ranging from 16 months - 2 years. Based on the attendance record and staff interview it was determined that the classroom was not in ratio from approximately 10:00 am - 11:00 am.”

22VAC40-191-60-C-2

“Based on review of three staff records it was determined that staff were still permitted to work at the facility when documentation of a central registry check was not on file within the first 30 days of employment. Evidence: Staff A (start date: 11/06/2020), did not have documentation of a central registry check on file and were still permitted to work at the facility. This is a repeat violation, administration states the central registry check for staff A was obtained however, misplaced.”

22VAC40-185-350-E-1

“Based on observation and interviews with administration it was determined that the facility failed to maintain a ratio of one staff to 4 children ages birth to 16 months. Evidence: One staff member was observed caring for five children in the older infant room with ages ranging from 12 months - 16 months. Based on the attendance record and staff interview it was determined that the classroom was not in ratio from approximately 10:30 am - 11:00 am.”

63.2(17)-1720.1-B-4

“Based on review of three staff records it was determined that administration failed to request out of state central registry checks, out of state criminal history checks, and out of state sex offender checks within the first thirty days of employment for staff indicating that they have lived outside of Virginia within the last five years. Evidence: Staff A (start date: 11/06/2020) who indicated living outside of Virginia within the last five years did not have documentation on file that an out of state central registry check, sex offender check, or criminal history check had been requested. This is a repeat violation.”

22VAC40-185-350-E-2

“Based on observation and interviews with administration it was determined that the facility failed to maintain a ratio of one staff to 5 children ages 16 months - 2 years. Evidence: Two staff members were observed caring for 12 children in the toddler room with ages ranging from 16 months - 2 years. Based on the attendance record and staff interview it was determined that the classroom was not in ratio from approximately 10:00 am - 11:00 am.”

22VAC40-191-60-C-2

“Based on review of three staff records it was determined that staff were still permitted to work at the facility when documentation of a central registry check was not on file within the first 30 days of employment. Evidence: Staff A (start date: 11/06/2020), did not have documentation of a central registry check on file and were still permitted to work at the facility. This is a repeat violation, administration states the central registry check for staff A was obtained however, misplaced.”

22VAC40-185-350-E-1

“Based on observation and interviews with administration it was determined that the facility failed to maintain a ratio of one staff to 4 children ages birth to 16 months. Evidence: One staff member was observed caring for five children in the older infant room with ages ranging from 12 months - 16 months. Based on the attendance record and staff interview it was determined that the classroom was not in ratio from approximately 10:30 am - 11:00 am.”

63.2(17)-1720.1-B-4

“Based on review of three staff records it was determined that administration failed to request out of state central registry checks, out of state criminal history checks, and out of state sex offender checks within the first thirty days of employment for staff indicating that they have lived outside of Virginia within the last five years. Evidence: Staff A (start date: 11/06/2020) who indicated living outside of Virginia within the last five years did not have documentation on file that an out of state central registry check, sex offender check, or criminal history check had been requested. This is a repeat violation.”