The Learning Tree Daycare

8VAC20-780-540-C

“REPEAT VIOLATION Based on observation, the center failed to maintain the minimum requirements for a first aid kit. Evidence: The first aid kit did not contain triangular bandages.”

8VAC20-780-280-D

“Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: There was a container of Family Guard Disinfectant Spray, an aerosol container of Lysol, a plastic spray bottle labeled ?bleach/water?, a plastic spray bottle labeled ?soap/water?, and a container of disinfecting wipes stored in a cabinet of the Toddler 1 Room on a shelf directly above plastic forks and spoons, Styrofoam plates and napkins.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. There was no documentation of annual training hours for Staff 3. 2. There was no documentation of annual training hours for Staff 4.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 3. The record for Staff 3 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review); and documentation to demonstrate that the individual possesses the orientation required by the job position. 4. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The record for Staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.”

22.1-289.011-F

“Based on observation, the center failed to ensure that documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The violation notice from the most recent inspection, required by the Superintendent to be posted, was not posted on the premises; only the inspection summary was posted.”

8VAC20-780-140-A

“Based on staff interviews, the center failed to obtain a copy of the child’s physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 2 had a documented start date of 09/27/2021; there was not a physical examination in the record for Child 2.”

8VAC20-780-550-G

“REPEAT VIOLATION Based on document review, the center failed to ensure that the documentation of emergency evacuation, shelter-in-place, and lockdown drills shall contain all of the elements as required by the standards. Evidence: The documentation of the monthly emergency evacuation drills did not contain the following information: April 2023- special conditions simulated; May 2023-amount of time to complete the drill and weather conditions; and June 2023- number of staff participating, number of children participating, special conditions simulated, amount of time to complete the drill; weather conditions, and problems encountered.”

8VAC20-780-40-J

“Based on document review, the center failed to ensure that injury prevention procedure shall be updated at least annually bason on documentation of injuries and review of the activities and services. Evidence: The injury prevention procedures were last updated in September 2021; they were not updated in September 2022.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. The record for Child 4 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address was incomplete for the first designated person listed); and first date of attendance. 3. There was not a record available for review for Child 5; Staff 6 stated the record was at an off-site location.”

8VAC20-780-540-C

“REPEAT VIOLATION Based on observation, the center failed to maintain the minimum requirements for a first aid kit. Evidence: The first aid kit did not contain triangular bandages.”

8VAC20-780-280-D

“Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: There was a container of Family Guard Disinfectant Spray, an aerosol container of Lysol, a plastic spray bottle labeled ?bleach/water?, a plastic spray bottle labeled ?soap/water?, and a container of disinfecting wipes stored in a cabinet of the Toddler 1 Room on a shelf directly above plastic forks and spoons, Styrofoam plates and napkins.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. There was no documentation of annual training hours for Staff 3. 2. There was no documentation of annual training hours for Staff 4.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review). 3. The record for Staff 3 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment (there was only one reference available for review); and documentation to demonstrate that the individual possesses the orientation required by the job position. 4. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The record for Staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment.”

22.1-289.011-F

“Based on observation, the center failed to ensure that documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The violation notice from the most recent inspection, required by the Superintendent to be posted, was not posted on the premises; only the inspection summary was posted.”

8VAC20-780-140-A

“Based on staff interviews, the center failed to obtain a copy of the child’s physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 2 had a documented start date of 09/27/2021; there was not a physical examination in the record for Child 2.”

8VAC20-780-550-G

“REPEAT VIOLATION Based on document review, the center failed to ensure that the documentation of emergency evacuation, shelter-in-place, and lockdown drills shall contain all of the elements as required by the standards. Evidence: The documentation of the monthly emergency evacuation drills did not contain the following information: April 2023- special conditions simulated; May 2023-amount of time to complete the drill and weather conditions; and June 2023- number of staff participating, number of children participating, special conditions simulated, amount of time to complete the drill; weather conditions, and problems encountered.”

8VAC20-780-40-J

“Based on document review, the center failed to ensure that injury prevention procedure shall be updated at least annually bason on documentation of injuries and review of the activities and services. Evidence: The injury prevention procedures were last updated in September 2021; they were not updated in September 2022.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. The record for Child 4 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address was incomplete for the first designated person listed); and first date of attendance. 3. There was not a record available for review for Child 5; Staff 6 stated the record was at an off-site location.”

8VAC20-790-600-D-2

“Based on document review, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid. Evidence: The record for Staff 1 contained a documented hire date of 11/03/2022. Staff 1 does not have a current certification in first aid.”

8VAC20-790-600-D-1

“Based on document review, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment a current certification in CPR. Evidence: The record for Staff 1 contained a documented hire date of 11/03/2022. Staff 1 does not have a current certification in CPR.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. The record for Child 2 did not contain the following information: the first date of attendance. 3. The record for Child 5 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; and name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address provided for either designated person).”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: job title; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. 2. The record for Staff 2 did not contain the following information: date of employment; and documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for Staff 3 did not contain the following information: job title; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. 4. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The record for Staff 5 did not contain the following information: job title; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for Staff 3 contained a documented hire date of 02/27/2023. The date on the tuberculosis screening was 03/20/2023. The tuberculosis screening was not completed within the last 30 calendar days of the date of employment. 2. The record for Staff 5 contained a documented hire date of 12/05/2022. There was not documentation of a negative tuberculosis screening available for review.”

8VAC20-780-80-A

“Based on document review, the center failed to 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 record for the Infant Class contained documentation that there were 6 children in care during the 03/13/2023 inspection. There were 8 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-550-G

“Based on document review, the center failed to ensure that the documentation of emergency evacuation, shelter-in-place, and lockdown drills shall contain all of the elements as required by the standards. Evidence: The documentation of the monthly emergency evacuation drills did not contain the following information: identity of the person conducting the drill; method used for notification of the drill; number of staff participating; any special conditions simulated; problems encountered, if any; and weather conditions.”

8VAC20-780-550-D

“Based on document review, the center failed to implement a monthly practice evacuation drill. Evidence: There was not an evacuation drill practiced in 12/2022.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child 5 contained a documented first date of attendance of 02/15/2023. There was not an immunization record in the record for Child 5 available for review during the inspection. Child 5 was observed in care during the inspection.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 11/03/2022. Staff 1 has not completed the Virginia Department of Education sponsored orientation course as of 03/13/2023. 2. The record for Staff 5 contained a documented hire date 12/05/2022. Staff 5 has not completed the Virginia Department of Education sponsored orientation course as of 03/13/2023.”

8VAC20-780-340-F

“Based on observation and discussion with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Child 3 was observed walking alone down the hallway from the Pre-K Classroom. Child 3 turned right around a corner, walked down the hallway of the Toddler/Infant Rooms, knocked on the door of the Toddler Room to get supplies from the staff in that class. Child 3 was then observed walking back to the Pre-K Classroom. Child 3 was not within actual sight and sound supervision of staff while walking on the Infant/Toddler Class hallway. Child 3 was determined to be 3 years old.”

8VAC20-780-540-A

“Based on observation and staff interviews, the center failed to ensure that a first aid kit shall be wherever children are in care. Evidence: Staff 6 transported 2 children to school during the inspection. Staff 6 stated that they took the center first aid kit with them during the transportation of the children to school. During that time there was not a first aid kit at the center.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure staff shall wash their hands with soap and running water after any contact with body fluids. Evidence: Staff 4 was observed wiping a child’s nose and then immediately picking up another child. Staff 4 did not wash their hands after contact with body fluids.”

8VAC20-780-540-C

“Based on observation, the center failed to maintain the minimum requirements for a first aid kit. Evidence: The first aid kit did not contain the following items: scissors; adhesive tape; triangular bandages; and first aid instructional manual.”

8VAC20-790-600-D-2

“Based on document review, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid. Evidence: The record for Staff 1 contained a documented hire date of 11/03/2022. Staff 1 does not have a current certification in first aid.”

8VAC20-790-600-D-1

“Based on document review, the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment a current certification in CPR. Evidence: The record for Staff 1 contained a documented hire date of 11/03/2022. Staff 1 does not have a current certification in CPR.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation. 2. The record for Child 2 did not contain the following information: the first date of attendance. 3. The record for Child 5 did not contain the following information: allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; and name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address provided for either designated person).”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: job title; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. 2. The record for Staff 2 did not contain the following information: date of employment; and documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for Staff 3 did not contain the following information: job title; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. 4. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The record for Staff 5 did not contain the following information: job title; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for Staff 3 contained a documented hire date of 02/27/2023. The date on the tuberculosis screening was 03/20/2023. The tuberculosis screening was not completed within the last 30 calendar days of the date of employment. 2. The record for Staff 5 contained a documented hire date of 12/05/2022. There was not documentation of a negative tuberculosis screening available for review.”

8VAC20-780-80-A

“Based on document review, the center failed to 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 record for the Infant Class contained documentation that there were 6 children in care during the 03/13/2023 inspection. There were 8 children observed in care during the inspection. The attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-550-G

“Based on document review, the center failed to ensure that the documentation of emergency evacuation, shelter-in-place, and lockdown drills shall contain all of the elements as required by the standards. Evidence: The documentation of the monthly emergency evacuation drills did not contain the following information: identity of the person conducting the drill; method used for notification of the drill; number of staff participating; any special conditions simulated; problems encountered, if any; and weather conditions.”

8VAC20-780-550-D

“Based on document review, the center failed to implement a monthly practice evacuation drill. Evidence: There was not an evacuation drill practiced in 12/2022.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for Child 5 contained a documented first date of attendance of 02/15/2023. There was not an immunization record in the record for Child 5 available for review during the inspection. Child 5 was observed in care during the inspection.”

8VAC20-780-240-A

“Based on record review, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 11/03/2022. Staff 1 has not completed the Virginia Department of Education sponsored orientation course as of 03/13/2023. 2. The record for Staff 5 contained a documented hire date 12/05/2022. Staff 5 has not completed the Virginia Department of Education sponsored orientation course as of 03/13/2023.”

8VAC20-780-340-F

“Based on observation and discussion with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Child 3 was observed walking alone down the hallway from the Pre-K Classroom. Child 3 turned right around a corner, walked down the hallway of the Toddler/Infant Rooms, knocked on the door of the Toddler Room to get supplies from the staff in that class. Child 3 was then observed walking back to the Pre-K Classroom. Child 3 was not within actual sight and sound supervision of staff while walking on the Infant/Toddler Class hallway. Child 3 was determined to be 3 years old.”

8VAC20-780-540-A

“Based on observation and staff interviews, the center failed to ensure that a first aid kit shall be wherever children are in care. Evidence: Staff 6 transported 2 children to school during the inspection. Staff 6 stated that they took the center first aid kit with them during the transportation of the children to school. During that time there was not a first aid kit at the center.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation, the center failed to ensure staff shall wash their hands with soap and running water after any contact with body fluids. Evidence: Staff 4 was observed wiping a child’s nose and then immediately picking up another child. Staff 4 did not wash their hands after contact with body fluids.”

8VAC20-780-540-C

“Based on observation, the center failed to maintain the minimum requirements for a first aid kit. Evidence: The first aid kit did not contain the following items: scissors; adhesive tape; triangular bandages; and first aid instructional manual.”

8VAC20-780-70

“Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: name, address, job title, and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. Staff 6 verified that the information was not in the record. 2. The record for Staff 2 did not contain the following information: name, address, job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record. 3. The record for Staff 3 did not contain the following information: job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record. 4. The record for Staff 4 did not contain the following information: name, address, job title, and date of employment; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation required by the job position. Staff 6 verified that the information was not in the record. 5. The record for Staff 5 did not contain the following information: job title, and date of employment and the name, address, and telephone number of a person to be notified in an emergency; and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 verified that the information was not in the record.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that children’s hands shall be washed with soap and running water or a disposable wipe before and after eating meals or snacks. Evidence: The 2 year old class was observed during lunch time. Staff 7 verified that the children do not wash their hands before the meal but do wash hands after the meal.”

8VAC20-780-520-B

“Based on observation, the center failed to ensure that sunscreen shall be inaccessible to children under 5 years of age. Evidence: There were 3 containers of sunscreen in the cubbies located in the hallway outside of the 2 year old class that were accessible to children.”

8VAC20-780-560-F

“Based on document review and discussion with staff, observation and discussion with staff, the center failed to ensure that when centers choose to provide meals the most recent, age-appropriate nutritional requirements of the USDA are followed and that menus are dated and list any substituted foods. Evidence: 1. There were two posted menus; one of the posted menus was not dated and the other posted menu was dated 08/08. Staff 8 stated that the menus were rotated each week and they verified which menu was being that week. 2. The posted menu listed hotdogs, corn, strawberries and milk were to be served on Tuesday. The children were served pepperoni pizza, baked beans, strawberries and milk. The substituted items were not listed on the menu.”

8VAC20-820-120-E-2

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility are posted on the premises. Evidence: The most recent inspection findings were not posted. An Inspection Summary only for the 02/03/2022 inspection was posted, the Violation Notice was not posted. The most recent inspection was conducted on 04/21/2022; there were no findings from this inspection posted.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: 1. Staff 6 stated that the hire date for Staff 2 was 08/15/2022. There were no findings from the search of the central registry available for review. 2. Staff 6 stated that the hire date for Staff 3 was 08/25/2022. There were no findings from the search of the central registry available for review. 3. Staff 6 stated that the hire date for Staff 4 was 08/02/2021. The findings from a search of the central registry was dated 11/07/2021. 4. Staff 6 stated that the hire date for Staff 5 was 10/11/2021. There were no findings from the search of the central registry available for review.”

22.1-289.035-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: Staff 6 stated that the hire date for Staff 4 was 08/02/2021. The employment eligibility letter was dated 01/06/2022.”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. Staff 6 verified that the hire date for Staff 3 was 08/25/2022 and that there was not documentation of a negative tuberculosis screening available for review. 2. The record for Staff 5 contained a documented hire date of 10/11/2021. Staff 6 verified that there was not documentation of a negative tuberculosis screening available for review.”

8VAC20-780-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: work phone number of each parent (an employer was list); phone number of the child’s physician; allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; documentation of child updates and confirmation of up-to-date information in the child’s record; and documentation of the required health information. 2. The record for Child 2 did not contain the following information: name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the first designated person was incomplete); documentation of child updates and confirmation of up-to-date information in the child’s record; and documentation of the required health information. 3. The record for Child 3 did not contain the following information: work phone number of each parent (an employer was list); documentation of child updates and confirmation of up-to-date information in the child’s record; and documentation of the required health information. 4. The record for Child 4 did not contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record; and the first date of attendance. 5. The record for Child 5 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (there was not an address provided for the first designated person.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was can of spray disinfectant on the counter beside of the sink in the Girls Bathroom. The disinfectant was accessible to children.”

8VAC20-780-70

“Based on record review and discussion with staff, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for Staff 3 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 4. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 5. The record for Staff 5 did not contain the following information: date of employment; documentation that two or more references as to character and reputation as well as competency were checked before employment; documentation that the individual possesses orientation; and health information as required by the standards.”

8VAC20-770-60-C-2

“Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 4 contained a documented hire date of 01/24/2022. There were no findings from the search of the central registry available for review.”

8VAC20-780-290-A-3

“Based on observation and discussion with staff, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: There were two uncovered electrical outlets in the Toddler Classroom. The uncovered electrical outlets were accessible to children.”

8VAC20-780-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: There were three separate movable plastic climbing/slide structures on the playground. These three structures were directly on top of grass and did not have resilient surfacing that complies with the minimum safety standards under and around the structures to create a fall zone.. The children were observed playing on all three structures during the inspection.”

8VAC20-780-340-F

“Based on observation and discussion with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Child 1 was observed coming out of a restroom stall and walking back to their classroom alone. The restroom was out of sight and sound supervision of all staff. The restroom is located down the hallway and around a corner from the classroom and within close proximity to the entrance/exit doors of the center. Child 1 was determined to be 2 years old.”

8VAC20-780-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain the following information: work phone number of each parent (an employer was list); phone number of the child’s physician; name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address was incomplete for the first designated person and there was not an address listed for the second designated person); documentation of viewing proof of the child’s identity; first date of attendance; and documentation of the required health information. 2. The record for Child 3 did not contain the following information: work phone number of each parent (an employer was list). 3. The record for Child 4 did not contain the following information: first date of attendance. 4. The record for Child 5 did not contain the following information: phone number of the child’s physician.”

8VAC20-780-500-A

“Based on observation and discussion with staff, the center failed to ensure that children’s hands shall be washed with soap and running water after toileting. Evidence: Child 1 was observed coming out of a restroom stall and immediately returning to their classroom. Child 1 did not wash their hands with soap and water after toileting.”

8VAC20-780-560-F

“Based on document review, observation and discussion with staff, the center failed to ensure that when centers choose to provide meals the most recent, age-appropriate nutritional requirements of the USDA are followed and that menus are dated and list any substituted foods. Evidence: 1. The posted menu was not dated. 2. The posted menu listed banana and milk for the morning snack for Thursday. A peanut butter sandwich cookie and fruit snacks were served for the morning snack in the Toddler Room. 3. The posted menu listed chicken nuggets, hush puppies, mashed potatoes, fruit and milk for lunch on Thursday. Pizza, corn, peaches and milk were served. 4. Peanut butter sandwich cookies and fruit snacks to do not meet the most recent, age-appropriate nutritional requirement of the USDA.”

8VAC20-820-120-E-2

“Based on observation and discussion with staff, the center failed to ensure that the findings of the most recent inspection of the facility are posted on the premises. Evidence: There were no inspection findings posted on the premises of the facility during the inspection.”

8VAC20-780-70

“Based on record review and discussion with staff, the center failed to ensure that each staff record contains all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The record for Staff 2 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. 3. The record for Staff 3 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment and health information required by 8VAC20-780-160. 4. The record for Staff 4 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment and health information required by 8VAC20-780-160. 5. The record for Staff 5 did not contain the following information: name, address and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual has the orientation and training required by 8VAC20-780-240. 6. The record for Staff 5 did not contain the following information: verification of age requirement; name, address and telephone number of a person to be notified in an emergency; documentation that two or more references as to character and reputation as well as competency were checked before employment; documentation to demonstrate that the individual has the orientation and training required by 8VAC20-780-240; and health information required by 8VAC20-780-160.”

8VAC20-770-60-B

“Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 5 had a documented hire date of 01/24/2022; there was not a sworn statement available for review during the 02/03/2022 inspection.”

63.2(17)-1720.1-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1. Staff 6 stated that Staff 1 was hired on 08/02/2021. The employment eligibility letter for Staff 1 was dated 09/23/2021. 2. Staff 6 stated that Staff 2 was hired on 08/02/2021. The employment eligibility letter for Staff 2 was dated 09/21/2021. 3. Staff 6 stated that Staff 3 was hired on 08/02/2021. There was not an employment eligibility letter available for review for Staff 3. 4. Staff 6 stated that Staff 5 was hired on 08/02/2021. The employment eligibility letter for Staff 5 was dated 09/21/2021.”

22VAC40-191-60-C-2

“Based on record review and discussion with the staff, the center failed to obtain the central registry findings within 30 days of employment. 1. There were no central registry search results available for review in the record for Staff 1. Staff 6 stated that Staff 1 was hired on 08/02/2021. Staff 1 was observed working during the 10/05/2021 inspection. 2. There were no central registry search results available for review in the record for Staff 3. Staff 6 stated that Staff 3 was hired on 08/02/2021. Staff 3 was observed working during the 10/05/2021 inspection. 3. There were no central registry search results available for review in the record for Staff 4. Staff 6 stated that Staff 4 was hired on 04/08/2021. Staff 4 was observed working during the 10/05/2021 inspection. 4. There were no central registry search results available for review in the record for Staff 5. Staff 6 stated that Staff 5 was hired on 08/02/2021. Staff 5 was observed working during the 10/05/2021 inspection.”

22VAC40-191-60-B

“Based on record review and discussion, the center failed to ensure that an employee must not be employed until the agency has the person's completed sworn statement or affirmation. Evidence: 1. There was not a sworn statement or affirmation available for review in the record for Staff 1. Staff 6 stated that Staff 1 was hired on 08/02/2021. Staff 1 was observed working during the 10/05/2021 inspection. 2. There was not a sworn statement or affirmation available for review in the record for Staff 2. Staff 6 stated that Staff 2 was hired on 08/02/2021. Staff 2 was observed working during the 10/05/2021 inspection. 3. There was not a sworn statement or affirmation available for review in the record for Staff 3. Staff 6 stated that Staff 3 was hired on 08/02/2021. Staff 3 was observed working during the 10/05/2021 inspection. 4. There was not a sworn statement or affirmation available for review in the record for Staff 4. Staff 6 stated that Staff 4 was hired on 04/08/2021. Staff 4 was observed working during the 10/05/2021 inspection. 5. There was not a sworn statement or affirmation available for review in the record for Staff 5. Staff 6 stated that Staff 5 was hired on 08/02/2021. Staff 5 was observed working during the 10/05/2021 inspection.”

22VAC40-185-280-G

“Based on observations and discussion with staff, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1. There was an unlabeled plastic spray bottle in windowsill of the Infant Room. Staff stated that the plastic spray bottle contained bleach and water. 2. There was an unlabeled plastic spray bottle in a cabinet in the Toddler Room. Staff stated that the plastic spray bottle contained bleach and water.”

22VAC40-185-280-B

“Based on observations and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was a clear plastic spray bottle sitting in the windowsill of the Infant Room; the staff identified the the contents of the bottle as bleach and water. 2. There was an aerosol can of Lysol on a shelf of the large wooden shelving unit in the large multi-purpose room. 3. There was a plastic container of "Buckeye Universal Cold Water Floor Stripper" on the table in the large multi-purpose room. 4. There was a container of Microban and OxiClean in an unlocked cabinet of the Pre-K Classroom.”

22VAC40-185-240-B

“Based on discussion, the center failed to ensure that staff shall be provided in writing with policy and procedures as required by the standards by the end of the first day of supervising children. Evidence: 1. Staff 6 verified that Staff 1-5 were not provided in writing with the following policy and procedures: the information required by 22VAC40-185-420-A; procedures for supervising a child who may arrive after scheduled classes or activities including field trips have begun; procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center; procedures for identifying where attending children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and upon return to the center; policy for any administration of medication; and procedures for response to natural and man-made disasters. 2. Staff 1-5 were observed working in a classroom during the 10/05/2021 inspection.”

22VAC40-185-240-A

“Based on discussion with staff, the center failed to ensure that staff receive all of the trainings required by the standards by the end of their first day of assuming job responsibilities. Evidence: 1. Staff 6 verified that Staff 1-5 have not received the following required trainings: job responsibilities and to whom they report; the policies and procedures listed in subsection B of this section and 22VAC40-185-420 A that relate to the staff member's responsibilities; the center's playground safety procedures unless the staff member will have no responsibility for playground activities or equipment; recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by the Code of Virginia; Confidential treatment of personal information about children in care and their families; and the standards in this chapter which relate to the staff member's responsibilities. 2. Staff 1-5 were observed working in a classroom during the 10/05/2021 inspection.”

22VAC40-185-70-A

“Based on record review and discussion with staff, the center failed to ensure that the staff record for each staff person contained all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: name, address, verification of age requirement, job title and date of employment, the name address and telephone number of a person to be notified in an emergency, documentation that two or more references as to character and reputation as well as competency were checked before employment, written information to demonstrate that the individual possesses the education, orientation training, staff development, certification and experience required by the job position, health information as required by 22VAC40-185-160 and 22VAC40-185-170, and information about any health problems which may interfere with fulfilling the job responsibilities. 2. The record for Staff 2 did not contain the following information: name, address, verification of age requirement, job title and date of employment, the name address and telephone number of a person to be notified in an emergency, documentation that two or more references as to character and reputation as well as competency were checked before employment, written information to demonstrate that the individual possesses the education, orientation training, staff development, certification and experience required by the job position, and information about any health problems which may interfere with fulfilling the job responsibilities. 3. The record for Staff 3 did not contain the following information: name, address, verification of age requirement, job title and date of employment, the name address and telephone number of a person to be notified in an emergency, documentation that two or more references as to character and reputation as well as competency were checked before employment, written information to demonstrate that the individual possesses the education, orientation training, staff development, certification and experience required by the job position, and information about any health problems which may interfere with fulfilling the job responsibilities. 4. The record for Staff 4 did not contain the following information: name, address, verification of age requirement, job title and date of employment, the name address and telephone number of a person to be notified in an emergency, documentation that two or more references as to character and reputation as well as competency were checked before employment, written information to demonstrate that the individual possesses the education, orientation training, staff development, certification and experience required by the job position, and information about any health problems which may interfere with fulfilling the job responsibilities. 5. The record for Staff 5 did not contain the following information: name, address, verification of age requirement, job title and date of employment, the name address and telephone number of a person to be notified in an emergency, documentation that two or more references as to character and reputation as well as competency were checked before employment, written information to demonstrate that the individual possesses the education, orientation training, staff development, certification and experience required by the job position, and information about any health problems which may interfere with fulfilling the job responsibilities.”

22VAC40-185-60-A

“Based on record review and discussion with staff, the center failed to ensure that the separate record for each child enrolled contained all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: the work phone number of each parent (an employer was listed but a work phone number was not provided), name address and phone number of two designated people to call in an emergency if a parent cannot be reached (only one designated person was provided), and the first date of attendance. 2. The record for Child 2 did not contain the following information: allergies and intolerance to food, medication, or any substances, and actions to take in an emergency situation, name of previous child day care and schools attended by the child, name of any additional programs or schools that the child is concurrently attending, and the first date of attendance. 3. The record for Child 3 did not contain the following information: health information as required by 22VAC40-185-130-22VAC40-185-150, documentation of viewing proof of the child's identity and age, and first date of attendance. 4. The record for Child 4 did not contain the following information: the work phone number of each parent (an employer was listed but a work phone number was not provided), allergies and intolerance to food, medication, or any substances, and actions to take in an emergency situation, health information as required by 22VAC40-185-130-22VAC40-185-150, name of any additional programs or schools that the child is concurrently attending, and the first date of attendance. 5. The record for Child 5 did not contain the following information: the work phone number of each parent (an employer was listed but a work phone number was not provided), name and phone number of child's physician, name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the address for the second designated person was incomplete), names of persons authorized to pick up the child, health information as required by 22VAC40-185-130-22VAC40-185-150, name of any additional programs or schools that the child is concurrently attending, and the first date of attendance.”

22VAC40-185-240-D-5

“Based on discussion, the center failed to ensure that there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: Staff 6 verified that no one on staff has obtained daily health observation training.”