Victory Baptist Church

8VAC20-790-530-B

“For each group of children, the center shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Classroom #1 and Classroom #7 did not have a record of the daily attendance documenting the arrival of the children in care.”

22.1-289.049-A

“A list of previous child day care and schools attended shall be in the child’s record upon enrollment and the center must obtain the child’s proof of identity within 7 days of the child’s enrollment. Child #3 (enrolled for 1 day) did not have previous child care and schools attended documented in the record. Child #5?s (enrolled for 3 months) proof of identity was not viewed or in the child’s record.”

22.1-289.031-B-4

“The center shall be in compliance regarding the immunization of children against certain diseases. Child #2?s (enrolled for 6 months) immunizations was obtained 3 days after enrollment. Child #3?s (enrolled for 1 day) immunizations was not obtained.”

8VAC20-790-800-A-3

“The center shall practice lockdown procedures at least annually. In the past year, an annual lockdown drill has not been practiced.”

8VAC20-790-800-A-2

“The center shall conduct a shelter-in-place twice a year. In the past year, a shelter-in-place procedure was not practiced twice during the year.”

8VAC20-790-800-A-1

“The center shall practice monthly evacuation drills. In the past year, monthly evacuation drills have not been documented.”

8VAC20-790-810-C-1

“When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. There was 1 bottle in Classroom #2 that was not labeled with the child’s name.”

8VAC20-790-780-C-2

“The following nonmedical emergency supply shall be required: a working, battery operated radio. The center did not have a working, battery operated radio.”

8VAC20-790-670-E

“The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. The center did not have a written policy and procedure for consistent staff.”

8VAC20-790-810-C-1

“REPEAT VIOLATION When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. There were numerous lunchboxes that were not labeled in a way that identified the owner.”

8VAC20-790-800-A-1

“REPEAT VIOLATION Evacuation procedures shall be practiced, at least monthly. Evacuation procedures were not practiced in February 2025 or March 2025.”

8VAC20-790-760-C-2

“REPEAT VIOLATION Toilet chairs shall be emptied promptly and cleaned and sanitized after each use. The toilet chairs in the women’s restroom of Building 1 that contained urine; the toilet chairs were not promptly cleaned and sanitized after each use.”

8VAC20-790-670-H

“Children less than 10 years of age shall always be within actual sight and sound supervision of staff. Child 1, age 7 years, was observed receiving services from an outside organization out of sight and sound supervision of center staff.”

8VAC20-790-640-C

“REPEAT VIOLATION Cleaning and sanitizing materials shall not be located above food, food equipment, utensils, or single-use articles. There were various cleaning supplies stored above food equipment and utensils in the unlocked storage closet in Building 1.”

8VAC20-790-640-A

“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. There was a cleaning closet in Building 1, which contained various cleaning materials and pesticides, that was unlocked and open; the supplies inside were accessible to the children. The cleaning supply cabinet in Classroom 1 was broken and unlocked; the supplies inside were accessible to the children. There were cleaning materials sitting on a stack of chairs in Classroom 8 that were accessible to the children.”

8VAC20-790-530-B

“REPEAT VIOLATION For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance in Classroom 2 did not document the departure of each child as it occurred on 07/24/2025. The attendance in Classroom 2 was not taken on 07/25/2025.”

8VAC20-770-40-D-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee within 30 days of employment. The central registry for Staff 1 was obtained 21 days after the 30th day of employment.”

8VAC20-790-810-C-1

“REPEAT VIOLATION When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. There were numerous lunchboxes that were not labeled in a way that identified the owner.”

8VAC20-790-800-A-1

“REPEAT VIOLATION Evacuation procedures shall be practiced, at least monthly. Evacuation procedures were not practiced in February 2025 or March 2025.”

8VAC20-790-760-C-2

“REPEAT VIOLATION Toilet chairs shall be emptied promptly and cleaned and sanitized after each use. The toilet chairs in the women’s restroom of Building 1 that contained urine; the toilet chairs were not promptly cleaned and sanitized after each use.”

8VAC20-790-670-H

“Children less than 10 years of age shall always be within actual sight and sound supervision of staff. Child 1, age 7 years, was observed receiving services from an outside organization out of sight and sound supervision of center staff.”

8VAC20-790-640-C

“REPEAT VIOLATION Cleaning and sanitizing materials shall not be located above food, food equipment, utensils, or single-use articles. There were various cleaning supplies stored above food equipment and utensils in the unlocked storage closet in Building 1.”

8VAC20-790-640-A

“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. There was a cleaning closet in Building 1, which contained various cleaning materials and pesticides, that was unlocked and open; the supplies inside were accessible to the children. The cleaning supply cabinet in Classroom 1 was broken and unlocked; the supplies inside were accessible to the children. There were cleaning materials sitting on a stack of chairs in Classroom 8 that were accessible to the children.”

8VAC20-790-530-B

“REPEAT VIOLATION For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance in Classroom 2 did not document the departure of each child as it occurred on 07/24/2025. The attendance in Classroom 2 was not taken on 07/25/2025.”

8VAC20-770-40-D-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee within 30 days of employment. The central registry for Staff 1 was obtained 21 days after the 30th day of employment.”

8VAC20-790-810-C-1

“REPEAT VIOLATION When food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. There were numerous lunchboxes that were not labeled in a way that identified the owner.”

8VAC20-790-800-A-1

“REPEAT VIOLATION Evacuation procedures shall be practiced, at least monthly. Evacuation procedures were not practiced in February 2025 or March 2025.”

8VAC20-790-760-C-2

“REPEAT VIOLATION Toilet chairs shall be emptied promptly and cleaned and sanitized after each use. The toilet chairs in the women’s restroom of Building 1 that contained urine; the toilet chairs were not promptly cleaned and sanitized after each use.”

8VAC20-790-670-H

“Children less than 10 years of age shall always be within actual sight and sound supervision of staff. Child 1, age 7 years, was observed receiving services from an outside organization out of sight and sound supervision of center staff.”

8VAC20-790-640-C

“REPEAT VIOLATION Cleaning and sanitizing materials shall not be located above food, food equipment, utensils, or single-use articles. There were various cleaning supplies stored above food equipment and utensils in the unlocked storage closet in Building 1.”

8VAC20-790-640-A

“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. There was a cleaning closet in Building 1, which contained various cleaning materials and pesticides, that was unlocked and open; the supplies inside were accessible to the children. The cleaning supply cabinet in Classroom 1 was broken and unlocked; the supplies inside were accessible to the children. There were cleaning materials sitting on a stack of chairs in Classroom 8 that were accessible to the children.”

8VAC20-790-530-B

“REPEAT VIOLATION For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance in Classroom 2 did not document the departure of each child as it occurred on 07/24/2025. The attendance in Classroom 2 was not taken on 07/25/2025.”

8VAC20-770-40-D-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee within 30 days of employment. The central registry for Staff 1 was obtained 21 days after the 30th day of employment.”

8VAC20-790-530-B

“Based on document review and staff interviews, the vendor failed to maintain, for each group of children, a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance for Classroom 5 had not been taken for 05/07/2024; there were 9 children observed in the group. The attendance record did not document the arrival of each child in care as it occurred. 2. The attendance record for Classroom 6 documented 10 children in care. There were 11 children observed in the group. The attendance record did not document the arrival of each child as is occurred. 3. The attendance record for Classroom 7 documented 8 children in care. There were 11 children observed in the group. The attendance record did not document the arrival of each child as is occurred. 4. The attendance record for each group of children did not document the departure of each child in care as it occurs.”

8VAC20-790-540-B

“Based on record review, the vendor failed to ensure that each child’s record contains all of the elements as required by the subsidy program vendor requirements. Evidence: 1. The record for Child 1 did not contain the following information: the address for each custodial parent’s place of employment (an employer was listed); and the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided). 2. The record for Child 2 did not contain the following information: the address and telephone number for each custodial parent’s place of employment (an employer was listed); and the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided). 3. The record for Child 4 did not contain the following information: the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided). 4. The record for Child 5 did not contain the following information: the telephone number for each custodial parent’s place of employment (an employer was listed). 5. The record for Child 6 did not contain the following information: the home address for each parent who has custody; the telephone number for each custodial parent’s place of employment (an employer was listed); the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided); and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor. 6. The record for Child 7 did not contain the following information: the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided); and information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation. 7. The record for Child 8 did not contain the following information: the telephone number for each custodial parent’s place of employment (an employer was listed).”

8VAC20-790-560-A

“Based on record review, the vendor failed to ensure that staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis. The documentation shall be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record for Staff 1 contained a documented hire date of 02/12/2024. There was not documentation of Staff 1 being determined to be free of communicable tuberculosis in the record for Staff 1. 2. The record for Staff 3 contained a documented hire date of 03/22/2024. There was not documentation of Staff 3 being determined to be free of communicable tuberculosis in the record for Staff 3.”

8VAC20-790-600-C

“Based on record review, the vendor failed to ensure that orientation training for staff shall be completed prior to the staff member working alone with children and within 7 days of the date of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 02/12/2024; there was no documentation that Staff 1 completed staff orientation training. Staff 1 was observed working during the 05/07/2024 inspection. 2. The record for Staff 2 contained a documented hire date of 05/26/2023; there was no documentation that Staff 2 completed staff orientation training. Staff 2 was observed working during the 05/07/2024 inspection. 3. The record for Staff 3 contained a documented hire date of 03/22/2024; there was no documentation that Staff 3 completed staff orientation training. Staff 3 was observed working during the 05/07/2024 inspection. 4. The record for Staff 4 contained a documented hire date of 01/06/2023; there was no documentation that Staff 4 completed staff orientation training. Staff 4 was observed working during the 05/07/2024 inspection. 5. The record for Staff 5 contained a documented hire date of 01/09/2023; there was no documentation that Staff 5 completed staff orientation training. Staff 5 was observed working during the 05/07/2024 inspection. 6. The record for Staff 6 contained a documented hire date of 10/30/2018; there was no documentation that Staff 6 completed staff orientation training. Staff 6 was observed working during the 05/07/2024 inspection. 7. The record for Staff 7 contained a documented hire date of 01/15/2023; there was no documentation that Staff 7 completed staff orientation training. Staff 7 was observed working during the 05/07/2024 inspection. 8. The record for Staff 8 contained a documented hire date of 10/26/2021; there was no documentation that Staff 8 completed staff orientation training. Staff 8 was observed working during the 05/07/2024 inspection.”

8VAC20-790-600-D-1

“Based on document review, the vendor failed to ensure that all staff who work directly with children shall have a current certification in CPR appropriate to the ages of children in care and the training shall include an in-person competency demonstration. Evidence: 1. The record for Staff 2 contained a documented hire date of 05/26/2023. The current CPR certification obtained by Staff 2 did not require an in-person competency demonstration. 2. The record for Staff 4 contained a documented hire date of 01/06/2023. The current CPR certification obtained by Staff 4 did not require an in-person competency demonstration. 3. The record for Staff 5 contained a documented hire date of 01/09/2023. The current CPR certification obtained by Staff 5 did not require an in-person competency demonstration. 4. The record for Staff 6 contained a documented hire date of 10/30/2018. The current CPR certification obtained by Staff 6 did not require an in-person competency demonstration. 5. The record for Staff 7 contained a documented hire date of 01/15/2023. The current CPR certification obtained by Staff 7 did not require an in-person competency demonstration. 6. The record for Staff 8 contained a documented hire date of 10/26/2023. The current CPR certification obtained by Staff 8 did not require an in-person competency demonstration.”

8VAC20-790-600-I

“Based on record review and staff interview, the vendor failed to ensure that there shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: Staff 9 verified that there was not a staff member on duty that has obtained instruction in performing a daily health observation of children within the last three years.”

8VAC20-790-630-C-2

“Based on observation, the vendor failed to ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers. Evidence: 1. There were multiple uncovered electrical outlets in Classroom 1. 2. There were multiple uncovered electrical outlets in Classroom 4. 3. There were 4 uncovered electrical outlets in Classroom 6. 4. There were 3 uncovered electrical outlets in Classroom 7. 5. There were 4 uncovered electrical outlets in Classroom 8.”

8VAC20-790-640-A

“Based on observations, the vendor 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 were various unlocked cleaning materials such as Lysol Wipes and sanitizing sprays on a shelf in Classroom 1. 2. There were various unlocked cleaning materials on a shelf in Classroom 3. 3. There were unlocked cleaning materials on a shelf in Classroom 7. 4. There was an unlocked and open storage closet containing paint and various cleaning materials that was accessible to children. 5. There was an unlocked container of antifreeze on one of the Dodge vans used for daily transportation.”

8VAC20-790-640-C

“Based on observations, the vendor failed to ensure that cleaning and sanitizing materials shall be stored separate from food. Evidence: There was a container of Lysol and a box of cereal stored beside of each other on a shelf in Classroom 7.”

8VAC20-790-670-H

“Based on observation and record review, the vendor failed to ensure that children less than 10 years of age shall always be within actual sight and sound supervision of staff. Evidence: 1. There were 11 children, ages 3 years-4 years, observed in a room without a staff member. Staff 3 was in an adjoining room preparing the children’s food for lunch. The children were not in the actual sight and sound supervision of Staff 3. 2. Child 6 (3 years old) was observed leaving Classroom 7 and going down the hallway to the restroom alone. Child 6 was not in sight and sound supervision of staff from the time that they left the classroom to when they were returned to the classroom by Staff 8.”

8VAC20-790-760-A-1

“Based on observations, the vendor failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. Evidence: 1. The children in Classroom 7 did not wash their hands before eating lunch. 2. The children in Classroom 9 were observed using hand sanitizer before eating lunch; the children did not wash their hands with soap and running water or a disposable wipe before eating.”

8VAC20-790-760-B-3-a

“Based on observations, the vendor failed to ensure that the diapering area shall have access to a sink with running warm water. Evidence: A diaper changing station was observed in Classroom 5; there was not access to a sink in the class. The closest sink was located in the men’s restroom down the hallway from the class.”

8VAC20-790-760-C-2

“Based on observations, the vendor failed to ensure that toilet chairs shall be emptied promptly and cleaned and sanitized after each use. Evidence: There were 2 toilet chairs that contained urine in the men’s restroom and 1 toilet chair that contained urine in the women’s restroom. The toilet chairs were not promptly emptied or cleaned and sanitized after each use.”

8VAC20-790-770-D

“Based on observations, the vendor failed to ensure that medications shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were 11 individual packets of non-aspirin medication in the unlocked first-aid kit in Classroom 9.”

8VAC20-790-800-A-1

“Based on staff interviews, the vendor failed to ensure that the emergency evacuation procedures shall be practiced at least monthly. Evidence: There was no documentation that emergency evacuation procedures had been practiced; the staff confirmed that the emergency evacuation procedures were not practiced.”

8VAC20-790-800-A-2

“Based on staff interviews, the vendor failed to ensure that the shelter-in-place procedures shall be practiced at least twice a year. Evidence: There was no documentation that shelter-in-place procedures had been practiced; the staff confirmed that the shelter-in-place procedures were not practiced.”

8VAC20-790-800-A-3

“Based on staff interviews, the vendor failed to ensure that the lockdown procedures shall be practiced at least annually. Evidence: There was no documentation that lockdown procedures had been practiced; the staff confirmed that the lockdown procedures were not practiced.”

8VAC20-790-810-C-1

“Based on observations, the vendor failed to ensure that when food is brought from home the food container shall be clearly labeled in a way that identifies the owner. Evidence: There were numerous food items, Velveeta Shells and Cheese, Ramen Noodles, and Chef Boyardee pasta, observed on a shelf in Classroom 1 that were not labeled to identify the owner.”

8VAC20-790-820-B

“Based on observations, the vendor failed to ensure that when a child is placed in a highchair the protective belt shall be fastened securely. Evidence: There was a child in Classroom 4 observed eating a snack in a highchair; the protective belt was not fastened securely.”

8VAC20-790-600-F

“Based on record review, the vendor failed to ensure that staff who work directly with children shall annually attend at least 16 hours of training and staff development. Evidence: 1. The record for Staff 4 contained a documented hire date of 01/06/2023; there was no record of annual training hours in the record for Staff 4. 2. The record for Staff 5 contained a documented hire date of 01/19/2023; there was no record of annual training hours in the record for Staff 4. 3. The record for Staff 6 contained a documented hire date of 10/30/2018; there was no record of annual training hours in the record for Staff 6. 4. The record for Staff 7 contained a documented hire date of 01/015/2023; there was no record of annual training hours in the record for Staff 7. 5. The record for Staff 8 contained a documented hire date of 10/26/2021; there was no record of annual training hours in the record for Staff 8.”

22.1-289.031-A-5-d

“Based on observation and staff interviews, the center failed to ensure that any child, up to age eight, whom is being transported in provided with and properly secured in a child restraint device of a type which meets the standards adopted by the US Department of Transportation. Evidence: Review of the vehicles used to transport children daily to and from school determined that there were no child restraint devices available for use by children under the age of 8 years as required by the Code of Virginia. Staff 8 verified that there were no child restraints available. The staff verified that there were a total of 16 children under the age of 8 years that are transported daily.”

22.1-289.031-A-4

“Based on record review, the provider failed to obtain documentation that each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision. Evidence: The record for Staff 3 did not contain documentation that Staff 3 has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision.”

22.1-289.031-A-9

“Based on observations, the center failed to be in compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: Child 8 (2 months old) was observed sleeping in a crib that contained a blanket and a Boppy Pillow. The American Academy of Pediatrics recommends keeping loose blankets, pillows, stuffed toys, bumpers and other soft items out of the sleep space.”

22.1-289.036-B-2

“Based on record review and observations, the vendor 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: The record for Staff 1 contained a documented hire date of 02/12/2024; there was not an employment eligibility letter available for Staff 1. Staff 9 verified there was not an employment eligibility letter for Staff 1.”

22.1-289.049-A

“Based on record review, the center failed to ensure that upon enrollment of a child in a regulated child day program, the center shall require that the person enrolling the child presents the program with the proof of the child’s identity and age. Evidence: 1. The record for Child 6 did not contain documentation of identity or age. 2. The record for Child 8 did not contain documentation of identity or age.”

8VAC20-790-530-B

“Based on document review and staff interviews, the vendor failed to maintain, for each group of children, a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance for Classroom 5 had not been taken for 05/07/2024; there were 9 children observed in the group. The attendance record did not document the arrival of each child in care as it occurred. 2. The attendance record for Classroom 6 documented 10 children in care. There were 11 children observed in the group. The attendance record did not document the arrival of each child as is occurred. 3. The attendance record for Classroom 7 documented 8 children in care. There were 11 children observed in the group. The attendance record did not document the arrival of each child as is occurred. 4. The attendance record for each group of children did not document the departure of each child in care as it occurs.”

8VAC20-790-540-B

“Based on record review, the vendor failed to ensure that each child’s record contains all of the elements as required by the subsidy program vendor requirements. Evidence: 1. The record for Child 1 did not contain the following information: the address for each custodial parent’s place of employment (an employer was listed); and the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided). 2. The record for Child 2 did not contain the following information: the address and telephone number for each custodial parent’s place of employment (an employer was listed); and the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided). 3. The record for Child 4 did not contain the following information: the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided). 4. The record for Child 5 did not contain the following information: the telephone number for each custodial parent’s place of employment (an employer was listed). 5. The record for Child 6 did not contain the following information: the home address for each parent who has custody; the telephone number for each custodial parent’s place of employment (an employer was listed); the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided); and a written statement that the vendor will notify the parent when the child become ill and that the parent will arrange to have the child picked up a soon as possible if so requested by the vendor. 6. The record for Child 7 did not contain the following information: the name, address and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached (an address was not provided); and information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation. 7. The record for Child 8 did not contain the following information: the telephone number for each custodial parent’s place of employment (an employer was listed).”

8VAC20-790-560-A

“Based on record review, the vendor failed to ensure that staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis. The documentation shall be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record for Staff 1 contained a documented hire date of 02/12/2024. There was not documentation of Staff 1 being determined to be free of communicable tuberculosis in the record for Staff 1. 2. The record for Staff 3 contained a documented hire date of 03/22/2024. There was not documentation of Staff 3 being determined to be free of communicable tuberculosis in the record for Staff 3.”

8VAC20-790-600-C

“Based on record review, the vendor failed to ensure that orientation training for staff shall be completed prior to the staff member working alone with children and within 7 days of the date of employment. Evidence: 1. The record for Staff 1 contained a documented hire date of 02/12/2024; there was no documentation that Staff 1 completed staff orientation training. Staff 1 was observed working during the 05/07/2024 inspection. 2. The record for Staff 2 contained a documented hire date of 05/26/2023; there was no documentation that Staff 2 completed staff orientation training. Staff 2 was observed working during the 05/07/2024 inspection. 3. The record for Staff 3 contained a documented hire date of 03/22/2024; there was no documentation that Staff 3 completed staff orientation training. Staff 3 was observed working during the 05/07/2024 inspection. 4. The record for Staff 4 contained a documented hire date of 01/06/2023; there was no documentation that Staff 4 completed staff orientation training. Staff 4 was observed working during the 05/07/2024 inspection. 5. The record for Staff 5 contained a documented hire date of 01/09/2023; there was no documentation that Staff 5 completed staff orientation training. Staff 5 was observed working during the 05/07/2024 inspection. 6. The record for Staff 6 contained a documented hire date of 10/30/2018; there was no documentation that Staff 6 completed staff orientation training. Staff 6 was observed working during the 05/07/2024 inspection. 7. The record for Staff 7 contained a documented hire date of 01/15/2023; there was no documentation that Staff 7 completed staff orientation training. Staff 7 was observed working during the 05/07/2024 inspection. 8. The record for Staff 8 contained a documented hire date of 10/26/2021; there was no documentation that Staff 8 completed staff orientation training. Staff 8 was observed working during the 05/07/2024 inspection.”

8VAC20-790-600-D-1

“Based on document review, the vendor failed to ensure that all staff who work directly with children shall have a current certification in CPR appropriate to the ages of children in care and the training shall include an in-person competency demonstration. Evidence: 1. The record for Staff 2 contained a documented hire date of 05/26/2023. The current CPR certification obtained by Staff 2 did not require an in-person competency demonstration. 2. The record for Staff 4 contained a documented hire date of 01/06/2023. The current CPR certification obtained by Staff 4 did not require an in-person competency demonstration. 3. The record for Staff 5 contained a documented hire date of 01/09/2023. The current CPR certification obtained by Staff 5 did not require an in-person competency demonstration. 4. The record for Staff 6 contained a documented hire date of 10/30/2018. The current CPR certification obtained by Staff 6 did not require an in-person competency demonstration. 5. The record for Staff 7 contained a documented hire date of 01/15/2023. The current CPR certification obtained by Staff 7 did not require an in-person competency demonstration. 6. The record for Staff 8 contained a documented hire date of 10/26/2023. The current CPR certification obtained by Staff 8 did not require an in-person competency demonstration.”

8VAC20-790-600-I

“Based on record review and staff interview, the vendor failed to ensure that there shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. Evidence: Staff 9 verified that there was not a staff member on duty that has obtained instruction in performing a daily health observation of children within the last three years.”

8VAC20-790-630-C-2

“Based on observation, the vendor failed to ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers. Evidence: 1. There were multiple uncovered electrical outlets in Classroom 1. 2. There were multiple uncovered electrical outlets in Classroom 4. 3. There were 4 uncovered electrical outlets in Classroom 6. 4. There were 3 uncovered electrical outlets in Classroom 7. 5. There were 4 uncovered electrical outlets in Classroom 8.”

8VAC20-790-640-A

“Based on observations, the vendor 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 were various unlocked cleaning materials such as Lysol Wipes and sanitizing sprays on a shelf in Classroom 1. 2. There were various unlocked cleaning materials on a shelf in Classroom 3. 3. There were unlocked cleaning materials on a shelf in Classroom 7. 4. There was an unlocked and open storage closet containing paint and various cleaning materials that was accessible to children. 5. There was an unlocked container of antifreeze on one of the Dodge vans used for daily transportation.”

8VAC20-790-640-C

“Based on observations, the vendor failed to ensure that cleaning and sanitizing materials shall be stored separate from food. Evidence: There was a container of Lysol and a box of cereal stored beside of each other on a shelf in Classroom 7.”

8VAC20-790-670-H

“Based on observation and record review, the vendor failed to ensure that children less than 10 years of age shall always be within actual sight and sound supervision of staff. Evidence: 1. There were 11 children, ages 3 years-4 years, observed in a room without a staff member. Staff 3 was in an adjoining room preparing the children’s food for lunch. The children were not in the actual sight and sound supervision of Staff 3. 2. Child 6 (3 years old) was observed leaving Classroom 7 and going down the hallway to the restroom alone. Child 6 was not in sight and sound supervision of staff from the time that they left the classroom to when they were returned to the classroom by Staff 8.”

8VAC20-790-760-A-1

“Based on observations, the vendor failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. Evidence: 1. The children in Classroom 7 did not wash their hands before eating lunch. 2. The children in Classroom 9 were observed using hand sanitizer before eating lunch; the children did not wash their hands with soap and running water or a disposable wipe before eating.”

8VAC20-790-760-B-3-a

“Based on observations, the vendor failed to ensure that the diapering area shall have access to a sink with running warm water. Evidence: A diaper changing station was observed in Classroom 5; there was not access to a sink in the class. The closest sink was located in the men’s restroom down the hallway from the class.”

8VAC20-790-760-C-2

“Based on observations, the vendor failed to ensure that toilet chairs shall be emptied promptly and cleaned and sanitized after each use. Evidence: There were 2 toilet chairs that contained urine in the men’s restroom and 1 toilet chair that contained urine in the women’s restroom. The toilet chairs were not promptly emptied or cleaned and sanitized after each use.”

8VAC20-790-770-D

“Based on observations, the vendor failed to ensure that medications shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were 11 individual packets of non-aspirin medication in the unlocked first-aid kit in Classroom 9.”

8VAC20-790-800-A-1

“Based on staff interviews, the vendor failed to ensure that the emergency evacuation procedures shall be practiced at least monthly. Evidence: There was no documentation that emergency evacuation procedures had been practiced; the staff confirmed that the emergency evacuation procedures were not practiced.”

8VAC20-790-800-A-2

“Based on staff interviews, the vendor failed to ensure that the shelter-in-place procedures shall be practiced at least twice a year. Evidence: There was no documentation that shelter-in-place procedures had been practiced; the staff confirmed that the shelter-in-place procedures were not practiced.”

8VAC20-790-800-A-3

“Based on staff interviews, the vendor failed to ensure that the lockdown procedures shall be practiced at least annually. Evidence: There was no documentation that lockdown procedures had been practiced; the staff confirmed that the lockdown procedures were not practiced.”

8VAC20-790-810-C-1

“Based on observations, the vendor failed to ensure that when food is brought from home the food container shall be clearly labeled in a way that identifies the owner. Evidence: There were numerous food items, Velveeta Shells and Cheese, Ramen Noodles, and Chef Boyardee pasta, observed on a shelf in Classroom 1 that were not labeled to identify the owner.”

8VAC20-790-820-B

“Based on observations, the vendor failed to ensure that when a child is placed in a highchair the protective belt shall be fastened securely. Evidence: There was a child in Classroom 4 observed eating a snack in a highchair; the protective belt was not fastened securely.”

8VAC20-790-600-F

“Based on record review, the vendor failed to ensure that staff who work directly with children shall annually attend at least 16 hours of training and staff development. Evidence: 1. The record for Staff 4 contained a documented hire date of 01/06/2023; there was no record of annual training hours in the record for Staff 4. 2. The record for Staff 5 contained a documented hire date of 01/19/2023; there was no record of annual training hours in the record for Staff 4. 3. The record for Staff 6 contained a documented hire date of 10/30/2018; there was no record of annual training hours in the record for Staff 6. 4. The record for Staff 7 contained a documented hire date of 01/015/2023; there was no record of annual training hours in the record for Staff 7. 5. The record for Staff 8 contained a documented hire date of 10/26/2021; there was no record of annual training hours in the record for Staff 8.”

22.1-289.031-A-5-d

“Based on observation and staff interviews, the center failed to ensure that any child, up to age eight, whom is being transported in provided with and properly secured in a child restraint device of a type which meets the standards adopted by the US Department of Transportation. Evidence: Review of the vehicles used to transport children daily to and from school determined that there were no child restraint devices available for use by children under the age of 8 years as required by the Code of Virginia. Staff 8 verified that there were no child restraints available. The staff verified that there were a total of 16 children under the age of 8 years that are transported daily.”

22.1-289.031-A-4

“Based on record review, the provider failed to obtain documentation that each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision. Evidence: The record for Staff 3 did not contain documentation that Staff 3 has been certified by a practicing physician or physician assistant to be free from disability which would prevent him from caring for children under his supervision.”

22.1-289.031-A-9

“Based on observations, the center failed to be in compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: Child 8 (2 months old) was observed sleeping in a crib that contained a blanket and a Boppy Pillow. The American Academy of Pediatrics recommends keeping loose blankets, pillows, stuffed toys, bumpers and other soft items out of the sleep space.”

22.1-289.036-B-2

“Based on record review and observations, the vendor 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: The record for Staff 1 contained a documented hire date of 02/12/2024; there was not an employment eligibility letter available for Staff 1. Staff 9 verified there was not an employment eligibility letter for Staff 1.”

22.1-289.049-A

“Based on record review, the center failed to ensure that upon enrollment of a child in a regulated child day program, the center shall require that the person enrolling the child presents the program with the proof of the child’s identity and age. Evidence: 1. The record for Child 6 did not contain documentation of identity or age. 2. The record for Child 8 did not contain documentation of identity or age.”

8VAC20-790-530-B Complaint related: No

“Based on inspection, the Vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. EVIDENCE: Written documentation of daily attendance for the school age children was unavailable.”

8VAC20-790-760-B-8 Complaint related: No

“Based on observations, the Vendor failed to ensure diapering surface is sanitized after each use. EVIDENCE: Licensing Inspector observed Staff Member #1 during diapering; the diapering surface was not sanitized after each use.”

8VAC20-790-760-A-3 Complaint related: No

“Based on observations, the Vendor failed to ensure staff members wash their hands with soap and running water before and after changing a diaper. EVIDENCE: Licensing Inspector observed Staff Member #1`wash their hands with soap and warm running water before and after changing a 2 year old's diaper.”

8VAC20-790-800-A-3

“Based on inspection, the Vendor failed to ensure lockdown emergency procedures are practiced at least annually. EVIDENCE: Annual lockdown practice drills were not practiced within the past year.”

8VAC20-790-670-E

“Based on inspection, the Vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. EVIDENCE: Center has not developed continuity of care procedures.”

8VAC20-790-800-A-2

“Based on inspection, the Vendor failed to ensure shelter in place procedures are practiced twice a year. EVIDENCE: Shelter-in-place procedures have not been practiced over the past year.”

8VAC20-790-760-B-3-a

“Based on inspection, the Vendor failed to ensure each diapering area is equipped with a sink with running warm water. EVIDENCE: Diapering areas in all classrooms were not equipped with sinks with warm running water.”

8VAC20-790-630-C-2

“Based on observations, the Vendor failed to keep electrical outlets protected with covers that are of a size that cannot be swallowed by children. EVIDENCE: In the upstairs 3/4 year old classroom, the Licensing Inspector observed electrical outlets that were uncovered and accessible to the children in care. Electrical outlets were not protected with protective covers.”

8VAC20-790-790-C

“Based on inspection, the Vendor failed to ensure emergency evacuation and shelter-in-place procedures or maps posted in a location conspicuous to staff and children on each floor of each building. EVIDENCE: Emergency evacuation maps and/or procedures were not posted in each building on each floor.”

8VAC20-790-640-A

“Based on observations, the Vendor failed to keep hazardous substances in a locked place using a sage locking method that prevents access by children. EVIDENCE: In the toddler classroom, the Licensing Inspector observed cleaning agents that were accessible to the children in care. Hazardous substances were not stored in a locked location preventing access to the children.”