Thrive Learning Center East

8VAC20-780-340-F

“Repeat Violation Children under 10 years of age always shall be within actual sight and sound supervision of staff. Child #1, age 13 months, was asleep in a crib in the infant room, alone and unsupervised for approximately 10 minutes.”

8VAC20-780-270-A

“Repeat Violation Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1. A thin metal strip was observed hanging from the roof of the trailer. The metal strip had sharp, rusted edges and was located within reach of the children. 2. Two long tables were observed on the playground with peeling and warped laminate surfaces. The damaged laminate had sharp edges, and the exposed metal portions of the tables were rusted.”

8VAC20-780-130-A

“Repeat Violation The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The center did not obtain documentation that child #1, enrolled for 6 days, and who was in attendance, has received the immunizations required by the State Board of Health.”

22.1-289.035-B-1

“Repeat Violation The center is required to obtain a completed sworn statement for each person prior to employment or beginning to serve as a volunteer. The center did not obtain a completed sworn statement for staff #1, who has been employed for 5 days.”

8VAC20-780-160-A

“Repeat Violation Each staff member shall submit documentation of a negative tuberculosis screening. Staff #2, employed for 5 months, did not submit documentation of a negative tuberculosis screening.”

8VAC20-780-560-F

“Repeat Violation When centers choose to provide meals or snacks they are required to list any substituted food. The current menu listed pizza, broccoli, and french fries as the lunch for the day. The center served spaghetti, peas, and apples for lunch. There was not a substitute listed on the menu and parents were not alerted to the change. Administration stated that they were not aware that a substitute needed to be listed.”

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person that includes all required information. 1. The record for staff #1, employed for 5 days, did not contain the date of employment, documentation to demonstrate that they possess the education and experience required by the job position, the name, address, and telephone number of a person to be notified in an emergency, 2 or more references as to character and reputation as well as competency, or information about any health problems that may interfere with fulfilling the job responsibilities. 2. The record for staff #2, employed for 5 months, did not contain the date of employment, documentation to demonstrate that they possess the education and experience required by the job position, 2 or more references as to character and reputation as well as competency, or information about any health problems that may interfere with fulfilling the job responsibilities.”

8VAC20-780-40-M

“Repeat Violation The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The posted allergy list did not list child #2, enrolled for 3 months, who has a dietary restriction. The posted allergy list did not list child #6, enrolled for 3 months, who has a dietary restriction. The posted allergy list did not list child #8, enrolled for 3 months, who has a dietary restriction.”

8VAC20-780-240-B

“Repeat Violation Staff shall complete orientation training appropriate to the age of the children in care and include all required items prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #2, employed for 5 months, did not complete orientation training. Staff #2 was working alone with children.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. A monthly practice evacuation drill was not documented for August 2026.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. On 07/23/2026 child #1, age 3 years 0 months, was served whole grapes. Child #1 began choking on a grape. The Heimlich Maneuver was performed to dislodge the grape.”

8VAC20-780-550-N

“The parent shall be immediately notified if a child requires emergency medical treatment or sustains a serious injury. On 07/23/2026 at 12:15 pm, staff #1 performed the Heimlich maneuver on child #1, age 3 years 0 months, in response to a serious choking episode to dislodge a whole grape. The injury report documents that the parent was not notified of the incident until 4:00 pm.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 07/23/2026, child #1, age 3 years 0 months, was served whole grapes. The child began choking on one of the grapes requiring the Heimlich maneuver to dislodge the choking hazard. Staff #1, who was the only staff supervising a group of 14 children (ages 23 months to 10 years), was unaware the child was choking until the child got up from the table and went to staff #1.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the centers own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center's written policy of the Parent Handbook under "Meals and Snacks; Safety and Hygiene Policies" states that "children aged three and younger will not be offered foods considered potential choking hazards." On 07/23/2026 child #1, age 3 years 0 months, was served whole grapes. Child #1 began choking on a whole grape. Staff #1 performed the Heimlich Maneuver to dislodge the grape.”

8VAC20-780-560-L

“Staff shall sit with children during meals times. On 07/23/2026 14 children ages 23 months to 10 years were sitting and eating lunch. Staff #1 was standing by the gate to the kitchen supervising the group of children. Child #1 began choking on a whole grape, got up from the table, and went over to staff #1, who performed the Heimlich maneuver to dislodge the grape.”

8VAC20-780-350-B-2

“The staff-to-children ratio is one staff to five children for ages 16 months up to 24 months. On 07/23/2026, staff #1 was alone supervising a group of 14 children during lunch when a child experienced a serious choking episode requiring the Heimlich maneuver. The youngest child was 23 months old. Two additional staff were required.”

8VAC20-780-240-B

“Repeat Violation Staff shall complete orientation training appropriate to the age of the children in care and to include all required items prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1, employed for 3 weeks, did not complete orientation training.”

8VAC20-780-70

“Repeat Violation The center is required to maintain staff records that contain all required information. 1. The record for staff #1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The record for staff #3 did not contain documentation that the individual possesses the education, certification, and experience required by the job description.”

8VAC20-780-140-A

“Systemic Deficiency Each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. 1. The record for child #2, enrolled for over 30 days, did not contain documentation of a physical examination. 2. The record for child #3, enrolled for 2 months, did not contain documentation of a physical examination. 3. The record for child #4, enrolled for over 30 days, did not contain documentation of a physical examination. 4. The record for child #5, enrolled for 2 months, did not contain documentation of a physical examination. 5. The record for child #7, enrolled for 2 months, did not contain documentation of a physical examination. 6. The record for child #8, enrolled for 6 weeks, did not contain documentation of a physical examination. 7. The record for child # 10, enrolled for over 30 days, did not contain documentation of a physical examination.”

8VAC20-780-40-M

“Repeat Violation The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. A list of all known allergies, sensitivities, and dietary restrictions was not posted in each room or area where children are present. Child #9 and child #12 have diagnosed food allergies.”

8VAC20-780-130-A

“Repeat Violation The center shall obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. 1. The record for child #2, who was in attendance, did not contain documentation of immunizations. 2. The record for child #4, who was in attendance, did not contain documentation of immunizations. 3. The record for child #10, who was in attendance, did not contain documentation of immunizations.”

22.1-289.035-B-4

“Repeat Violation The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. 1. Staff #1, employed for 3 weeks did not have documentation of requesting a central registry check from one state. 2. Staff #3, employed for 3 months, did not have documentation of requesting a central registry or a criminal history check from one state.”

8VAC20-780-560-F

“Repeat Violation When centers choose to provide meals or snacks, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The most current menu posted was missing an additional component for snack on 5 out of 5 days and 1 additional component for lunch on 1 out of 5 days.”

8VAC20-780-60-A

“Repeat Violation Systemic Deficiency Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information. 1. The record for child #4, enrolled for over 30 days, did not contain documentation of viewing proof of the child's identity and age. 2. The record for child #10, enrolled for over 30 days, did not contain documentation of viewing proof of the child's identity and age. 3. The record for child # 11, enrolled for 2 months, did not contain documentation of viewing the child's identity and age. 4. The record for child #12, enrolled for 2 months, did not contain documentation of viewing the child's identity and age. 5.. The record for child #13 was missing the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 6. 5 out of 14 records viewed did not contain the first date of attendance.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. 1. Several containers of disinfectant spray were on top of a shelf in the bathroom out of reach of children. 2. The cabinet in the bathroom was unlocked. The cabinet contained bottles of cleaning solution. The cabinet is in reach of children. 3. Children as young as 3 years old use this bathroom.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. On 07/23/2026 child #1, age 3 years 0 months, was served whole grapes. Child #1 began choking on a grape. The Heimlich Maneuver was performed to dislodge the grape.”

8VAC20-780-550-N

“The parent shall be immediately notified if a child requires emergency medical treatment or sustains a serious injury. On 07/23/2026 at 12:15 pm, staff #1 performed the Heimlich maneuver on child #1, age 3 years 0 months, in response to a serious choking episode to dislodge a whole grape. The injury report documents that the parent was not notified of the incident until 4:00 pm.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 07/23/2026, child #1, age 3 years 0 months, was served whole grapes. The child began choking on one of the grapes requiring the Heimlich maneuver to dislodge the choking hazard. Staff #1, who was the only staff supervising a group of 14 children (ages 23 months to 10 years), was unaware the child was choking until the child got up from the table and went to staff #1.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the centers own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center's written policy of the Parent Handbook under "Meals and Snacks; Safety and Hygiene Policies" states that "children aged three and younger will not be offered foods considered potential choking hazards." On 07/23/2026 child #1, age 3 years 0 months, was served whole grapes. Child #1 began choking on a whole grape. Staff #1 performed the Heimlich Maneuver to dislodge the grape.”

8VAC20-780-560-L

“Staff shall sit with children during meals times. On 07/23/2026 14 children ages 23 months to 10 years were sitting and eating lunch. Staff #1 was standing by the gate to the kitchen supervising the group of children. Child #1 began choking on a whole grape, got up from the table, and went over to staff #1, who performed the Heimlich maneuver to dislodge the grape.”

8VAC20-780-350-B-2

“The staff-to-children ratio is one staff to five children for ages 16 months up to 24 months. On 07/23/2026, staff #1 was alone supervising a group of 14 children during lunch when a child experienced a serious choking episode requiring the Heimlich maneuver. The youngest child was 23 months old. Two additional staff were required.”

8VAC20-780-240-B

“Repeat Violation Staff shall complete orientation training appropriate to the age of the children in care and to include all required items prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1, employed for 3 weeks, did not complete orientation training.”

8VAC20-780-70

“Repeat Violation The center is required to maintain staff records that contain all required information. 1. The record for staff #1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The record for staff #3 did not contain documentation that the individual possesses the education, certification, and experience required by the job description.”

8VAC20-780-140-A

“Systemic Deficiency Each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. 1. The record for child #2, enrolled for over 30 days, did not contain documentation of a physical examination. 2. The record for child #3, enrolled for 2 months, did not contain documentation of a physical examination. 3. The record for child #4, enrolled for over 30 days, did not contain documentation of a physical examination. 4. The record for child #5, enrolled for 2 months, did not contain documentation of a physical examination. 5. The record for child #7, enrolled for 2 months, did not contain documentation of a physical examination. 6. The record for child #8, enrolled for 6 weeks, did not contain documentation of a physical examination. 7. The record for child # 10, enrolled for over 30 days, did not contain documentation of a physical examination.”

8VAC20-780-40-M

“Repeat Violation The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. A list of all known allergies, sensitivities, and dietary restrictions was not posted in each room or area where children are present. Child #9 and child #12 have diagnosed food allergies.”

8VAC20-780-130-A

“Repeat Violation The center shall obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. 1. The record for child #2, who was in attendance, did not contain documentation of immunizations. 2. The record for child #4, who was in attendance, did not contain documentation of immunizations. 3. The record for child #10, who was in attendance, did not contain documentation of immunizations.”

22.1-289.035-B-4

“Repeat Violation The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. 1. Staff #1, employed for 3 weeks did not have documentation of requesting a central registry check from one state. 2. Staff #3, employed for 3 months, did not have documentation of requesting a central registry or a criminal history check from one state.”

8VAC20-780-560-F

“Repeat Violation When centers choose to provide meals or snacks, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The most current menu posted was missing an additional component for snack on 5 out of 5 days and 1 additional component for lunch on 1 out of 5 days.”

8VAC20-780-60-A

“Repeat Violation Systemic Deficiency Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information. 1. The record for child #4, enrolled for over 30 days, did not contain documentation of viewing proof of the child's identity and age. 2. The record for child #10, enrolled for over 30 days, did not contain documentation of viewing proof of the child's identity and age. 3. The record for child # 11, enrolled for 2 months, did not contain documentation of viewing the child's identity and age. 4. The record for child #12, enrolled for 2 months, did not contain documentation of viewing the child's identity and age. 5.. The record for child #13 was missing the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 6. 5 out of 14 records viewed did not contain the first date of attendance.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. 1. Several containers of disinfectant spray were on top of a shelf in the bathroom out of reach of children. 2. The cabinet in the bathroom was unlocked. The cabinet contained bottles of cleaning solution. The cabinet is in reach of children. 3. Children as young as 3 years old use this bathroom.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks and after toileting. Staff shall wash their hands with soap and running water before and after a diaper change. 1. The children did not wash their hands before eating lunch. 2. Staff #3 was observed changing a child's diaper. Staff #3 did not wash their hands before or after the diaper change. The child's hands were not washed after the diaper change.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid. 1. Staff #1 was alone with a group of children on the playground and in the trailer. Staff #1 does not have current certification in CPR or first aid. 2. Volunteer #1 was alone with a group of children in the trailer. Volunteer #1 does not have current certification in CPR or first aid.”

22.1-289.035-B-3

“Systemic Deficiency The center must request a search of the central registry prior to the employee's first day of employment. Volunteer #1 did not have a central registry search requested. Volunteer #1 was working alone with children.”

8VAC20-780-560-F

“Systemic Deficiency When centers choose to provide meals or snacks, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Lunch consisted of chicken nuggets and macaroni and cheese. A fruit and a vegetable were needed to meet the nutritional requirements of the USDA. The most current menu posted was missing an additional component for breakfast on 3 out of 5 days, 2 additional components for lunch on 5 out of 5 days, and 1 additional component for snack on 5 out of 5 days.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. 1. Children were observed running around the side of the trailer while playing outside, and then going up the steps alone into the main building. Staff #1 who was outside with the children was on the other side of the trailer and not within actual sight and sound supervision of the children. 2. A private vendor contracted by the child's parent was on-site working with child #1. The private vendor was observed taking child #1 outside of the building to try to calm the child down. The child was not signed out of the center's care. The child was out of sight and sound supervision of staff.”

8VAC20-780-240-B

“Staff shall complete orientation training appropriate to the age of the children in care and to include all required items prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. 1. Staff #1, employed for 2 months, did not complete orientation training. Staff #1 was working alone with children. 2. Staff # 2, employed for 8 days, did not complete orientation training. 3. Staff # 4, employed for 1 month, did not complete orientation training. 4. Volunteer #1, who was alone with children, did not complete orientation training.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. 1. A canister of Clorox wipes were on a low shelf outside of the kitchen. The canister was within reach of children. 2. A can of disinfectant spray was on a low shelf behind the toilet within reach of children. 3. A bottle of Febreeze spray was on top of a high shelf in the bathroom out of reach of children.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The gate to the kitchen was unsecured and open. The stove contained a pot of boiling oil. Children were playing near the kitchen entrance and could enter the kitchen. There was not a staff member in the kitchen.”

22.1-289.035-B-2

“Systemic Deficiency The center is required to obtain a completed national criminal background check prior to the employee's first day of employment. Volunteer #1 was left alone in the trailer with a group of children. Volunteer #1 did not have a completed national criminal background check.”

22.1-289.035-B-1

“Systemic Deficiency The center is required to obtain a completed sworn statement prior for each person prior to employment or beginning to serve as a volunteer. 1. Volunteer #1 was left alone with a group of children in the trailer. Volunteer #1 did not have a completed sworn statement. 2. The sworn statement for staff #2 was dated 4 years prior to the center opening and was for another childcare entity.”

8VAC20-780-130-A

“Systemic Deficiency The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. The record for child #7, who was in attendance, did not contain documentation of immunizations. 2. The record for child #8, who was in attendance, did not contain documentation of immunizations. 3. The record for child #9, who was in attendance, did not contain documentation of immunizations. 4. The record for child #12, who was in attendance, did not contain documentation of immunizations.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. A list of all known allergies, sensitivities, and dietary restrictions was not posted in each room or area where children are present. Child # 1 has a diagnosed food allergy.”

22.1-289.035-B-4

“Systemic Deficiency The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4, employed for 1 month, did not have documentation of requesting a central registry or a criminal history check from one state.”

8VAC20-780-430-B

“Materials and equipment available shall be age and stage appropriate for the children. Child #2, age 21 months, was placed in a crib that had the mattress raised to the first position which is designated for infants that are unable to pull themselves up to a seated position. Child #2 was observed on their knees leaning over the side of the crib before laying down and falling asleep.”

8VAC20-780-245-J-3

“Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements of Medication Administration Training. Child #1 has a diagnosed food allergy that requires emergency medication. The emergency medication was on site. There are no staff who meet the requirements of Medication Administration Training.”

8VAC20-780-245-L

“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. There were no staff on duty who have obtained within the last three years instruction in performing the daily health observation of children.”

8VAC20-780-60-A

“Systemic Deficiency Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information. 1. 11 out of 12 records, did not contain the name, home address, and home phone number of each parent who has custody; the name and phone number of the child's physician; the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached; the names of persons authorized to pick up the child. 2. 10 out of 12 records viewed did not contain information about allergies, intolerances to medication or any other substances, and actions to take in an emergency. 3. 4 out of 12 records viewed did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-70

“Systemic Deficiency The center is required to maintain staff records that contain all required information. 1. 3 out of 4 staff records reviewed did not contain the name, address, and telephone number of a person to be notified in an emergency; two or more references as to character and reputation as well as competency before employment; documentation that the individual possesses the education, certification, and experience required by the job position; and information to be kept at the center about any health problems that may interfere with fulfilling the job responsibilities. 2. Volunteer #1, who was alone, supervising a group of children, did not have a staff record.”

8VAC20-780-90-A

“Systemic Deficiency A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include all required information. 11 out of 12 children's records viewed did not contain a signed written agreement. The children were in attendance.”

8VAC20-780-160-A

“Systemic Deficiency Each staff member shall submit documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment and prior to coming into contact with children. 1. Staff #1 did not submit documentation of a negative tuberculosis screening. 2. Staff #4 did not submit documentation of a negative tuberculosis screening. 3. Volunteer #1, who was alone and supervising children, did not submit documentation of a negative tuberculosis screening.”