Tierra Encantada Ford dba Alexandria Day Care

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for two months.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for two months.”

8VAC20-780-410-1

“Repeat Violation Systemic Deficiency Based on staff interviews, observation of video camera footage, and documentation reviewed a staff member used forbidden actions on a child. Evidence: 1. On June 10, 2024, Staff 1 snatched Child #1?s by the arm to sit the child on the carpet. 2. Staff 1 grabbed Child #2 by the arm forcefully to sit the child on the carpet. 3. The Staff Handbook states, ?We take a proactive approach versus a reactive approach that solely seeks to apply guidance to unwanted behaviors.?”

8VAC20-780-340-F

“A child was left out of sight and sound supervision in the classroom of two-year-olds for approximately four minutes. Evidence: 1. .On June 10, 2024, two children were in the bathroom with Staff 1. Staff 2 went in the bathroom to cover for Staff 1. Staff 2 was standing in front of the bathroom stall. One child leaves out of the bathroom. Staff 2 leaves out the bathroom leaving, cut the light off and closes the door. 2. Staff 3 found Child #3 inside the bathroom stall with the lights off. 3. Child #3 was left in the bathroom approximately four minutes with the lights off and door closed. 4. Staff 3 acknowledged she did not they did check the bathroom stalls to ensure there were no children in the bathroom stalls before cutting the lights off and closing the door.”

8VAC20-780-40-E

“Repeat Violation Systemic Deficiency Based on observation, interviews and documentation review the center has failed to demonstrate operational responsibilities including but not limited to ensuring the center’s activities, services and facilities are maintained in compliance with these standards the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department when staff left a child unattended for approximately four minutes. Evidence: 1. On June 10, 2024, Staff 1 snatched Child #1?s by the arm to sit the child on the carpet. Staff #1 grabbed 9 other children by the arm to forcefully sit them on the carpet. 2. Staff 1 grabbed Child #2 by the arm forcefully to sit the child on the carpet. 3. The center’s policy regarding supervision and playground safety of children were not followed when a child was left unattended in the bathroom with the door closed ad lights off on June 10, 2024, for approximately four minutes. 4. Child #3 was left in the bathroom because Staff 2 acknowledged she did not check the bathroom stalls before turning the light off and closing the door. 5. Child #3 was pulled by the arm forcefully to sit down on bathroom bench.”

8VAC20-780-500-A

“Based on observation, the staff did not wash children or their hands with soap and running water or disposable wipes after contact with urine. 1. Staff 1 changed 7 children’s diapers. Staff #1 did not wash her hands or wash the hands of the children before they left out the bathroom.”

8VAC20-780-410-1

“Based on staff interviews, observation of video camera footage, and documentation reviewed a staff member used forbidden actions on a child. Evidence: 1. On March 15, 2024, Staff 1 snatched a puzzle out of Child #1?s (two-year-old) hand and grabbed child by the hand. 2. Staff 1 grabbed Child #1 by the left arm to move closer toward them. Staff 1 dumbs Child 1 out of a chair, picks up the chair and held Child #1 by the arm to walk to the diaper changing table area. Staff 1 forcefully sat Child #1 in the chair in front of the diaper changing table. 3. Staff 1 squatted down to Child #1?s level and turns Child #1 face toward them. Child #1 tried to stand up from the chair. Staff 1 grabbed Child #1 by the hand to forcefully sit Child #1 back in the chair. Staff 2 and 3 interacted in a verbal conversation with Staff 1 after this incident. 4. Staff 1 forcefully moved Child # 3?s chair away from table two times while Child #3 was sitting in the chair. Child #3 scooted away from the table while sitting in a chair at least four times before Staff 1 pointed to floor for Child#3 to pick up puzzles from the floor. Staff 1 grabbed Child #3 by the arm forcefully to pick up puzzles from the floor.”

8VAC20-780-40-E

“Based on review of records and video camera footage, the center did not ensure the center’s own policies and procedures of discipline were maintained in compliance with required standards. Evidence: 1. Staff Handbook states ?Staff are expected to follow all policies and procedures to maintain the reputation of Tierra Encantada and to ensure the safety and well-being of the children in our care.? ?We take a proactive approach that solely seeks to apply guidance to unwanted behaviors.? Staff Handbook states ?A child will be separated if the wellbeing of the child or another child is threatened.? ?Child will return to the group as soon as the behavior is corrected. Anytime a child is removed from the group a separation report will be completed and signed by the teacher and parent/guardian. All separation from groups must be noted on a daily log that must include the following: the child’s name, staff person’s name, date, time, information indicating what less-intrusive methods were used to guide the child’s behavior, how the child’s behavior continued to threaten the well-being of the child or other children.? 2. Staff Handbooks states ?Children will only be separated from the group if other less instructive methods of guiding the child’s behavior have been tried and were ineffective?. 3. Staff 1 did not follow the center’s policies and procedures as determined by video. On March 15, 2024, Staff 1 was observed rough handling Child #1(two-year-old) by the left arm after Child #1 took a puzzle from another child. Staff 1 grabbed Child #1 the arm and placed their chair in front of the diaper changing area. Staff 1 forcefully sat Child 1 in the chair. 4. The video camera footage showed Staff 1 kept Child #1 in timeout by Child #1 sitting in a chair for approximately 15 minutes.”

63.2-1509-A

“Based on staff interview and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services ( CPS ) immediately as required. Evidence: 1. On March 15, 2024, at approximately 11:10 am, Staff 2 and Staff 3 were in the Preschool A classroom when Child #1(two-year-old) was rough handled by a Staff 1, and neither staff reported the incident to management. Staff 3 and 4 were in the Preschool A classroom with Staff 1 who rough handled Child #1 and they did not report the incidents to Administration. 2. The video camera footage for Preschool A classroom was reviewed by the center Administration on March 18, 2024, and staff administration stated they saw Staff 1?s rough handling with Child #1. Administration staff stated, after viewing footage, Staff #1 was moved out of the Preschool A classroom, and an internal investigation was conducted. 3. Based on staff interviews, the center staff did not immediately report the incident to Child Protective Services. The center reported the incident to CPS on April 5, 2024. 4. Staff Handbook states ?All stated at Tierra Encantada are mandated reporters and all are trained on the prevention, recognition, and reporting of child abuse situations.? ?If any staff, volunteers, or representative of Tierra Encantada have reason to believe or suspect maltreatment has occurred, a report will be made, as soon as possible.?”

8VAC20-780-400-C

“Based on video camera footage, the center did not ensure that when time out is used as a behavior guidance it should be used sparingly not exceed one minute for each year of the child’s age. Evidence: 1.On March 15, 2024, Staff 1 separated Child #1 (two-year-old) from the group of children at a table. Child #1 sat in chair for approximately 15 minutes in front of the diaper changing table; isolated from other children.”

8VAC20-780-70

“Based on staff records review, 1 out of 2 records, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. Staff 1 (date of employment 4/04/2024) did not have two or more references as to character and reputation as well as competency were checked before employment at the time of inspection.”

8VAC20-780-410-1

“Based on staff interviews, observation of video camera footage, and documentation reviewed a staff member used forbidden actions on a child. Evidence: 1. On March 15, 2024, Staff 1 snatched a puzzle out of Child #1?s (two-year-old) hand and grabbed child by the hand. 2. Staff 1 grabbed Child #1 by the left arm to move closer toward them. Staff 1 dumbs Child 1 out of a chair, picks up the chair and held Child #1 by the arm to walk to the diaper changing table area. Staff 1 forcefully sat Child #1 in the chair in front of the diaper changing table. 3. Staff 1 squatted down to Child #1?s level and turns Child #1 face toward them. Child #1 tried to stand up from the chair. Staff 1 grabbed Child #1 by the hand to forcefully sit Child #1 back in the chair. Staff 2 and 3 interacted in a verbal conversation with Staff 1 after this incident. 4. Staff 1 forcefully moved Child # 3?s chair away from table two times while Child #3 was sitting in the chair. Child #3 scooted away from the table while sitting in a chair at least four times before Staff 1 pointed to floor for Child#3 to pick up puzzles from the floor. Staff 1 grabbed Child #3 by the arm forcefully to pick up puzzles from the floor.”

8VAC20-780-40-E

“Based on review of records and video camera footage, the center did not ensure the center’s own policies and procedures of discipline were maintained in compliance with required standards. Evidence: 1. Staff Handbook states ?Staff are expected to follow all policies and procedures to maintain the reputation of Tierra Encantada and to ensure the safety and well-being of the children in our care.? ?We take a proactive approach that solely seeks to apply guidance to unwanted behaviors.? Staff Handbook states ?A child will be separated if the wellbeing of the child or another child is threatened.? ?Child will return to the group as soon as the behavior is corrected. Anytime a child is removed from the group a separation report will be completed and signed by the teacher and parent/guardian. All separation from groups must be noted on a daily log that must include the following: the child’s name, staff person’s name, date, time, information indicating what less-intrusive methods were used to guide the child’s behavior, how the child’s behavior continued to threaten the well-being of the child or other children.? 2. Staff Handbooks states ?Children will only be separated from the group if other less instructive methods of guiding the child’s behavior have been tried and were ineffective?. 3. Staff 1 did not follow the center’s policies and procedures as determined by video. On March 15, 2024, Staff 1 was observed rough handling Child #1(two-year-old) by the left arm after Child #1 took a puzzle from another child. Staff 1 grabbed Child #1 the arm and placed their chair in front of the diaper changing area. Staff 1 forcefully sat Child 1 in the chair. 4. The video camera footage showed Staff 1 kept Child #1 in timeout by Child #1 sitting in a chair for approximately 15 minutes.”

63.2-1509-A

“Based on staff interview and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services ( CPS ) immediately as required. Evidence: 1. On March 15, 2024, at approximately 11:10 am, Staff 2 and Staff 3 were in the Preschool A classroom when Child #1(two-year-old) was rough handled by a Staff 1, and neither staff reported the incident to management. Staff 3 and 4 were in the Preschool A classroom with Staff 1 who rough handled Child #1 and they did not report the incidents to Administration. 2. The video camera footage for Preschool A classroom was reviewed by the center Administration on March 18, 2024, and staff administration stated they saw Staff 1?s rough handling with Child #1. Administration staff stated, after viewing footage, Staff #1 was moved out of the Preschool A classroom, and an internal investigation was conducted. 3. Based on staff interviews, the center staff did not immediately report the incident to Child Protective Services. The center reported the incident to CPS on April 5, 2024. 4. Staff Handbook states ?All stated at Tierra Encantada are mandated reporters and all are trained on the prevention, recognition, and reporting of child abuse situations.? ?If any staff, volunteers, or representative of Tierra Encantada have reason to believe or suspect maltreatment has occurred, a report will be made, as soon as possible.?”

8VAC20-780-400-C

“Based on video camera footage, the center did not ensure that when time out is used as a behavior guidance it should be used sparingly not exceed one minute for each year of the child’s age. Evidence: 1.On March 15, 2024, Staff 1 separated Child #1 (two-year-old) from the group of children at a table. Child #1 sat in chair for approximately 15 minutes in front of the diaper changing table; isolated from other children.”

8VAC20-780-70

“Based on staff records review, 1 out of 2 records, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. Staff 1 (date of employment 4/04/2024) did not have two or more references as to character and reputation as well as competency were checked before employment at the time of inspection.”

8VAC20-780-410-1

“Based on staff interviews, observation of video camera footage, and documentation reviewed a staff member used forbidden actions on a child. Evidence: 1. On March 15, 2024, Staff 1 snatched a puzzle out of Child #1?s (two-year-old) hand and grabbed child by the hand. 2. Staff 1 grabbed Child #1 by the left arm to move closer toward them. Staff 1 dumbs Child 1 out of a chair, picks up the chair and held Child #1 by the arm to walk to the diaper changing table area. Staff 1 forcefully sat Child #1 in the chair in front of the diaper changing table. 3. Staff 1 squatted down to Child #1?s level and turns Child #1 face toward them. Child #1 tried to stand up from the chair. Staff 1 grabbed Child #1 by the hand to forcefully sit Child #1 back in the chair. Staff 2 and 3 interacted in a verbal conversation with Staff 1 after this incident. 4. Staff 1 forcefully moved Child # 3?s chair away from table two times while Child #3 was sitting in the chair. Child #3 scooted away from the table while sitting in a chair at least four times before Staff 1 pointed to floor for Child#3 to pick up puzzles from the floor. Staff 1 grabbed Child #3 by the arm forcefully to pick up puzzles from the floor.”

8VAC20-780-40-E

“Based on review of records and video camera footage, the center did not ensure the center’s own policies and procedures of discipline were maintained in compliance with required standards. Evidence: 1. Staff Handbook states ?Staff are expected to follow all policies and procedures to maintain the reputation of Tierra Encantada and to ensure the safety and well-being of the children in our care.? ?We take a proactive approach that solely seeks to apply guidance to unwanted behaviors.? Staff Handbook states ?A child will be separated if the wellbeing of the child or another child is threatened.? ?Child will return to the group as soon as the behavior is corrected. Anytime a child is removed from the group a separation report will be completed and signed by the teacher and parent/guardian. All separation from groups must be noted on a daily log that must include the following: the child’s name, staff person’s name, date, time, information indicating what less-intrusive methods were used to guide the child’s behavior, how the child’s behavior continued to threaten the well-being of the child or other children.? 2. Staff Handbooks states ?Children will only be separated from the group if other less instructive methods of guiding the child’s behavior have been tried and were ineffective?. 3. Staff 1 did not follow the center’s policies and procedures as determined by video. On March 15, 2024, Staff 1 was observed rough handling Child #1(two-year-old) by the left arm after Child #1 took a puzzle from another child. Staff 1 grabbed Child #1 the arm and placed their chair in front of the diaper changing area. Staff 1 forcefully sat Child 1 in the chair. 4. The video camera footage showed Staff 1 kept Child #1 in timeout by Child #1 sitting in a chair for approximately 15 minutes.”

63.2-1509-A

“Based on staff interview and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services ( CPS ) immediately as required. Evidence: 1. On March 15, 2024, at approximately 11:10 am, Staff 2 and Staff 3 were in the Preschool A classroom when Child #1(two-year-old) was rough handled by a Staff 1, and neither staff reported the incident to management. Staff 3 and 4 were in the Preschool A classroom with Staff 1 who rough handled Child #1 and they did not report the incidents to Administration. 2. The video camera footage for Preschool A classroom was reviewed by the center Administration on March 18, 2024, and staff administration stated they saw Staff 1?s rough handling with Child #1. Administration staff stated, after viewing footage, Staff #1 was moved out of the Preschool A classroom, and an internal investigation was conducted. 3. Based on staff interviews, the center staff did not immediately report the incident to Child Protective Services. The center reported the incident to CPS on April 5, 2024. 4. Staff Handbook states ?All stated at Tierra Encantada are mandated reporters and all are trained on the prevention, recognition, and reporting of child abuse situations.? ?If any staff, volunteers, or representative of Tierra Encantada have reason to believe or suspect maltreatment has occurred, a report will be made, as soon as possible.?”

8VAC20-780-400-C

“Based on video camera footage, the center did not ensure that when time out is used as a behavior guidance it should be used sparingly not exceed one minute for each year of the child’s age. Evidence: 1.On March 15, 2024, Staff 1 separated Child #1 (two-year-old) from the group of children at a table. Child #1 sat in chair for approximately 15 minutes in front of the diaper changing table; isolated from other children.”

8VAC20-780-70

“Based on staff records review, 1 out of 2 records, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. Staff 1 (date of employment 4/04/2024) did not have two or more references as to character and reputation as well as competency were checked before employment at the time of inspection.”

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

“Based on interviews, documentation, and video recordings, staff supervising children did not always ensure their care, protection, and guidance. Evidence: 1.On January 5, 2023, there were four staff members in the indoor gym with approximately 14 three-year-old children. 2. A child walked up slide. Staff did not come over to the child and provide redirection. 3. Another child was observed sliding down the slide, hit another child in the back who was sitting at the end of the slide. Staff did not come over to the children and provide redirection. 4. The four staff did not intervene or redirect to ensure children safety using the indoor play equipment.”

8VAC20-780-40-N Complaint related: No

“Based on review of records and video camera footage, the center did not develop written playground safety procedures. Evidence: 1. The center did not have a written playground safety procedures to follow to ensure the safety and supervision of children when using playground equipment.”

8VAC20-780-70

“Based on staff records review, the center did not obtain required documents for staff records. Evidence: 1. Staff #1 (date of employment 11/27/2022) did not have employment application and two references. 2. Staff #2 (date of employment 11/21/2022) did not have two reference checks. 3 Staff #3 (date of employment 11/28/2022) did not have two reference checks.”

8VAC20-780-510-L

“Based on medication records review, the center did not ensure medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the classroom of three and four year old children, prescribed medication for children was located in a black bookbag on top of the bookshelf. The bookbag did not have a safe locking method that prevents access by children.”

8VAC20-780-410-1 Complaint related: No

“Based on interviews and video camera footage, the center did not ensure staff interact with child to provided needed health, comfort and support. Evidence: 1. On July 19, 2022, a child in the toddler classroom was grabbed by the arm by Staff #1. Staff #1 held the child's arm and moved the child toward the bookshelf away from the table. Staff #2 in the same classroom spoke with the child after the incident and addressed the concern with the Staff #1. Staff #2 spoke with Staff #1 about appropriate ways to address the child's behavior and allow the child to hold the staff hand instead of staff holding the arm. 2. Staff #2 informed Administration about the incident. 3. Administration addressed the incident and disciplinary actions were taken for Staff #1. 4. Center notified Licensing about the incident on July 20, 2022. Licensing advised center to notify the parent of the child of the incident. Parent was notified on July 21, 2022 and center completed an incident report on this day. 5. Staff #1 did not comply policy which states to record the behavior of the child and staff's response to the behavior using the Behavior Incident Report. 6. Staff #1 did not comply with behavioral guidance policy which states redirect children away from problems toward constructive activity in order to reduce conflict and teach children how to use problem solving strategies.”

22VAC40-185-240-B

“Based on staff records review, the center did not ensure staff completed orientation no later than seven days of the date of assuming job responsibilities. Evidence: 9 out of 9 staff records reviewed, staff orientation was not completed within the seven days of the date of assuming job responsibilities.”

22VAC40-185-540-C

“Based on first aid and emergency supplies reviewed, the center did not have with the supplies two triangle bandages. Evidence: Two triangles were not included in the first aid kit supplies.”