The Sprout School at Second Presbyterian

8VAC20-780-260-B

“The center shall provide to the licensing representative an annual health inspection report. The last documented health inspection expired 2 months ago.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff 2 did not have a CPR training certificate that included in-person competency component.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. The medication authorization for Child A expired three months ago. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site.”

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: roughly handling a child. Staff B was observed forcefully pulling a child by one arm in a rough manner.”

8VAC20-780-400-C

“When time-out is used as a behavior guidance technique, it shall not exceed 1 minute for each year of the child's age. On 9/29/2025, Staff B placed a child (age 3 years) in time-out for up to 1 hour.”

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: rough handling a child. On July 28, 2025, Staff 1 was observed lifting Child 1 (age 1 year) off the floor by one arm. Child 1 was seen by a physician, and was diagnosed with nursemaid's elbow.”

8VAC20-780-510-E

“The center shall ensure that procedures for administering medication shall include methods to prevent use of outdated medication. The emergency medication for Child B expired 11/2024 and the parent had not been notified that a replacement was needed.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child A was onsite, but the medication authorization had expired months ago.”

8VAC20-780-500-A

“Staff shall wash hands with soap and running water before and after a diaper change. Staff did not wash hands before or after changing a child’s diaper in the infant room. Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff changed a child’s diaper in the infant room and did not wash the child's hands with soap and water.”

8VAC20-780-510-E

“The center shall ensure that procedures for administering medication shall include methods to prevent use of outdated medication. The emergency medication for Child B expired 11/2024 and the parent had not been notified that a replacement was needed.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child A was onsite, but the medication authorization had expired months ago.”

8VAC20-780-500-A

“Staff shall wash hands with soap and running water before and after a diaper change. Staff did not wash hands before or after changing a child’s diaper in the infant room. Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff changed a child’s diaper in the infant room and did not wash the child's hands with soap and water.”

8VAC20-780-510-B

“Medication shall be given to a child only with written authorization from the parent. Two emergency medications for one child did not have written authorization from the parent.”