The Learning Experience

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #7, who is working with children, has not yet completed this course which is overdue by 1 month.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof system that is either foot-operated or used in a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the disposal system. Diapering surfaces can only be used for diapering or cleaning children. A soiled diaper was observed disposed of in a swivel top trash can in a classroom bathroom. Two balls and artwork were observed laying on a diapering surface in a classroom where children are diapered.”

8VAC20-780-70

“(Repeat violation) Staff records must have documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment and documentation to demonstrate the individual possesses the orientation training required. Staff #3, who has been working at the center for the past 3 months, did not have any completed references and orientation training on file. Staff #4, who has been working at the center for the past 3 months, did not have orientation training on file. Staff #5, who was observed working with children, did not have documentation of date of employment, completed references and orientation training on file.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. The record for staff #4, who had been employed for three months, did not have documentation of a central registry search requested. The record for staff #6, who had been employed for two weeks, did not have documentation of a central registry search requested.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #7, who is working with children, has not yet completed this course which is overdue by 1 month.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof system that is either foot-operated or used in a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the disposal system. Diapering surfaces can only be used for diapering or cleaning children. A soiled diaper was observed disposed of in a swivel top trash can in a classroom bathroom. Two balls and artwork were observed laying on a diapering surface in a classroom where children are diapered.”

8VAC20-780-70

“(Repeat violation) Staff records must have documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment and documentation to demonstrate the individual possesses the orientation training required. Staff #3, who has been working at the center for the past 3 months, did not have any completed references and orientation training on file. Staff #4, who has been working at the center for the past 3 months, did not have orientation training on file. Staff #5, who was observed working with children, did not have documentation of date of employment, completed references and orientation training on file.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. The record for staff #4, who had been employed for three months, did not have documentation of a central registry search requested. The record for staff #6, who had been employed for two weeks, did not have documentation of a central registry search requested.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #7, who is working with children, has not yet completed this course which is overdue by 1 month.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof system that is either foot-operated or used in a way that neither the staff member's hand nor the soiled diaper touches the exterior surface of the disposal system. Diapering surfaces can only be used for diapering or cleaning children. A soiled diaper was observed disposed of in a swivel top trash can in a classroom bathroom. Two balls and artwork were observed laying on a diapering surface in a classroom where children are diapered.”

8VAC20-780-70

“(Repeat violation) Staff records must have documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment and documentation to demonstrate the individual possesses the orientation training required. Staff #3, who has been working at the center for the past 3 months, did not have any completed references and orientation training on file. Staff #4, who has been working at the center for the past 3 months, did not have orientation training on file. Staff #5, who was observed working with children, did not have documentation of date of employment, completed references and orientation training on file.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. The record for staff #4, who had been employed for three months, did not have documentation of a central registry search requested. The record for staff #6, who had been employed for two weeks, did not have documentation of a central registry search requested.”

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

“The center shall maintain a written record of children's injuries and include required information. Seven of nine Accident/Incident Reports did not have documentation of all required information to include parent notification (date/time/method), future action to prevent reoccurrence and a second signature.”

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

“The center shall notify the parent by the end of the day of any known minor injuries. An Accident/Incident Report for Child #5 documented an injury occurring on 9/19/2024 and parent was notified on 9/23/2024. An Accident/Incident Report for Child #8 documented an injury occurring on 7/8/2024 and parent was notified on 7/9/2024. An Accident/Incident Report for Child #9 documented an injury occurring on 9/6/2024 and parent was notified on 9/11/2024.”

8VAC20-780-350-B-3 Complaint related: No

“(Repeat violation) The required ratio for children age 2 years is one staff per eight children. According to an Accident/Incident Report completed on 8/20/2024, Staff #2 was present with nine children in the Preppers Room (children 2 years old).”

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

“Tables shall be sanitized before and after each use for feeding. The tables were not sanitized in the prepper A room and preschool 1A room before children were served breakfast.”

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

“Children’s hands shall be washed with soap and running water after toileting. Children's hands also shall be washed with soap and water before and after eating meals or snacks unless disposable wipes are used. Staff shall wash their hands with soap and running water before and after a diaper change. Staff changed a child’s diaper in the toddler A room and did not wash the child's hands or staff's hands with soap and water. Staff in the toddler A room used a wet paper towel to wipe children's hands after eating breakfast. It was not soap and water or disposable wipes. Staff in the prepper A room and preschool 1A room did not wash children's hands with soap and water or disposable wipes before eating breakfast.”

8VAC20-780-70 Complaint related: No

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, who has been actively working at the center for the past 3 months, did not have any completed reference verifications on file.”

8VAC20-780-350-B-2 Complaint related: No

“(Repeat violation) The required ratio for children ages 16 to 24 month is one staff per five children. On September 4, 2024 at approximately 2:15, one staff was observed supervising eleven children in the Twaddler classroom. Child #1 was the youngest in the group (age 23 months old).”

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

“Based on observation and review, facility did not ensure in each grouping of children there is at least one staff member who has the qualifications of a program leader or program director. Evidence: Between 8:30 am - 8:45 am, five of eight classrooms (groupings of children) did not have a staff member qualified as program leader or program director. Staff records were reviewed with staff member in charge and confirmed there was not sufficient education or training hours for the individuals to be qualified.”

8VAC20-780-350-B-1 Complaint related: Yes

“Based on interview, facility did not ensure there is is at least 1 staff per 4 children when the youngest in the group is of infant age (birth to sixteen months old). Evidence: On approximately June 14, 2024 during the morning hours, 2 staff were present with 11 children in the toddler classroom for approximately 20 minutes. Child #1 (age 14 months) was the youngest in the group.”

8VAC20-780-350-B-4 Complaint related: Yes

“Based on interview, facility did not ensure there is at least 1 staff per 10 children, ages 3 years up to school age. Evidence: During the week of June 17th during the morning hours, 1 staff was present with 14 children ages 3 - 5 years old for approximately 30 minutes.”

8VAC20-780-60-A

“Based on review, facility did not ensure 7 of 10 child records have documentation of required information. Evidence: The records for child #1, #3, #4, #5, #6, #7 and #10 did not have documentation of both parent's employment phone number.”

8VAC20-780-160-A

“Based on review, facility did not ensure 2 of 10 staff have a negative TB screening or test prior to beginning employment. Evidence: The following was found during record review: 1. The record for staff #2 (start date 2/14/2024) had a TB test/screening dated 3/7/2024. 2. The record for staff #5 (start date 2/26/2024) had a TB test/screening dated 2/29/2024.”

8VAC20-780-60-A-8

“Based on review, facility did not ensure 1 of 10 child records has documentation of a written care plan when a child has a diagnosed food allergy. Evidence: The record for child #5 has documentation of a food allergy noted on a physical examination and there was not a written care plan with instructions from a physician with steps to be taken in the even of a suspected or confirmed allergic reaction.”

8VAC20-780-350-B-1 Complaint related: Yes

“Based on interview, facility did not ensure there is is at least 1 staff per 4 children when the youngest in the group is of infant age (birth to sixteen months old). Evidence: On approximately June 14, 2024 during the morning hours, 2 staff were present with 11 children in the toddler classroom for approximately 20 minutes. Child #1 (age 14 months) was the youngest in the group.”

8VAC20-780-350-B-4 Complaint related: Yes

“Based on interview, facility did not ensure there is at least 1 staff per 10 children, ages 3 years up to school age. Evidence: During the week of June 17th during the morning hours, 1 staff was present with 14 children ages 3 - 5 years old for approximately 30 minutes.”

8VAC20-780-60-A

“Based on review, facility did not ensure 7 of 10 child records have documentation of required information. Evidence: The records for child #1, #3, #4, #5, #6, #7 and #10 did not have documentation of both parent's employment phone number.”

8VAC20-780-160-A

“Based on review, facility did not ensure 2 of 10 staff have a negative TB screening or test prior to beginning employment. Evidence: The following was found during record review: 1. The record for staff #2 (start date 2/14/2024) had a TB test/screening dated 3/7/2024. 2. The record for staff #5 (start date 2/26/2024) had a TB test/screening dated 2/29/2024.”

8VAC20-780-60-A-8

“Based on review, facility did not ensure 1 of 10 child records has documentation of a written care plan when a child has a diagnosed food allergy. Evidence: The record for child #5 has documentation of a food allergy noted on a physical examination and there was not a written care plan with instructions from a physician with steps to be taken in the even of a suspected or confirmed allergic reaction.”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on staff interviews and review of documentation, the center did not maintain required staff to child ratios, 1 staff for every 9 children, as an extension of a temporary staff-to-child ratio variance granted by the Office of Child Care Health and Safety on November 1, 2023. Evidence: On January 16, 2024, Preppers A and Preppers B classrooms were combined in one group and there was not at least 1 staff for every 9 children. The staff-to-child ratio for children 2 years old is 1:8 but the center had an approved variance for 1:9. 1. Staff reported that there was only one staff present with up to 14 children, ages 2 years, in the Preppers classroom on the morning of January 16, 2024. Staff reported the second staff arrived to the group at approximately 10:00 am ? 10:15 am. 2. Facility’s attendance sheet documented that 15 children were signed in the Preppers classroom prior to 10:00 am on January 16, 2024.”

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

“Based on observation, facility did not ensure areas and equipment of the center, inside and outside, are maintained in a safe and operable condition. Evidence: On the outside playground, 1 of 2 chains was broken on the bottom portion of a green triangle climbing piece that anchors the triangle to the ground.”

8VAC20-780-350-B-2 Complaint related: Yes

“Based on staff interviews and review of documentation, the center did not maintain required staff to child ratios, 1 staff for every 6 children, as an extension of a temporary staff-to-child ratio variance granted by the Office of Child Care Health and Safety on November 1, 2023. Evidence: On January 16, 2024, the toddler A, toddler B and twaddler classrooms were combined in one group and there was not at least 1 staff for every 6 children. The staff-to-child ratio for children 16 months up to 2 years is 1:5 but the center had an approved variance for 1:6. 1. Staff reported 1 staff was present with 7 children, ages 16 months up to 2 years, in the twaddler classroom on the morning of January 16, 2024. Staff reported the second staff arrived to the group at 7:30 am. 2. Facility’s attendance sheet document 7 children were signed in the toddler and twaddler classrooms prior to 7:30 am on January 16, 2024.”

8VAC20-780-560-F Complaint related: Yes

“Based on observation and interview, facility did not ensure when center provides meals or snacks that there is a menu for the current week that is dated and lists any substituted food. Evidence: The following was found regarding the menu and foods served on January 16, 2024: 1. On January 18, 2024, the posted menu for the current week was not dated. 2. The menu stated cheese, fresh fruit and water were served for the AM snack on Tuesday (January 16, 2024). Program Director confirmed crackers and sunbutter were served on January 16, 2024. The substituted items were not listed on the menu. 3. Staff confirmed parents were not notified of the menu change.”

8VAC20-780-410-1

“Based on interviews with staff and review of recordkeeping, facility did not ensure staff do not commit any forbidden actions. Evidence: On October 20, 2023, between approximately 2:30 pm ? 3:00 pm, staff #1 was observed roughly handling child #1 (16 months old). Child #1 was crawling off her cot and staff #1 pulled child by her ankles approximately 16? back onto her cot. Staff #1 was then observed picking child #1 up by the outside of her upper arms and placing her on the changing table.”

8VAC20-780-340-D

“Based on observation and review, facility did not ensure in each grouping of children at least one staff member who meets the qualifications of a program leader or program director is regularly present. Evidence: Staff #3 was present with 4 children in the Infant B classroom. There was not documentation of program leader or program director qualifications in the staff record. Director stated the individual is not program leader qualified.”

8VAC20-780-500-B

“Based on observation, facility did ensure required items are available in the diapering area and the diapering surface is used only for diapering or cleaning children. Evidence: The following was observed: 1. Diapering areas in the facility had a open basket for soiled linens when a covered receptacle is required. 2. The changing table in the Toddler A classroom had toys and puzzles sitting on the surface.”

8VAC20-780-140-A

“Based on review, facility did not ensure 1 of 5 child records has a physical examination within 30 days of beginning attendance. Evidence: The record for child #5 (start date April 24, 2023) did not have a physical.”

22.1-289.035-B-4

“Based on review, facility did not ensure when an employee has lived outside the state of Virginia within the past 5 years, background checks are completed for those states. Evidence: The following was found during record review: 1. The record for staff #1 (start date 4/17/2023) did not have a child abuse/neglect registry search for a state the individual has lived in within the past 5 years. 2. The record for staff #2 (start date 5/30/2023) did not have a criminal history search for a state the individual has lived in within the past 5 years. 3. The record for staff #3 (start date 4/24/2023) did not have a criminal history search and child abuse/neglect registry search for 2 states the individual has lived in within the past 5 years.”

8VAC20-780-160-A

“Based on review, facility did not ensure 2 of 5 staff have a negative tuberculosis test or screening dated within 30 days prior to beginning employment. Evidence: The following was found during record review: 1. The record for staff #2 (start date 5/30/2023) had a TB screening dated 2/23/2023. 2. The record for staff #5 (start date 5/30/2023) had a TB screening dated 6/1/2022.”

8VAC20-780-70

“Based on review and interview, facility did not ensure 1 of 5 staff records has documentation of required staff orientation training. Evidence: The record for staff #4 (start date April 17, 2023) did not have documentation of orientation training. Director stated the training was completed but the form was not available in the record.”

8VAC20-780-550-B

“Based on review, facility did not ensure the emergency preparedness plan had all required procedural components. Evidence: The emergency preparedness plan did not address the following: establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each; accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety; procedures to reunite children with a parent or authorized person designated by the parent; and continuity of operations to ensure that essential functions are maintained during an emergency.”