Virginia Beach Field House

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4 and staff #5, who had been employed for approximately a month, did not have a completed national criminal background check.”

8VAC20-780-210-A

“Program leaders shall have fulfilled a high school program completion or the equivalent. The record for staff #7 did not have documentation of a high school completion program or the equivalent.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record for staff #3 and staff #9 did not have documentation of a completed staff orientation and has been working at the center for at least two months.”

8VAC20-780-70

“The following staff records shall be kept for each staff person, which shall contain all required information. Staff #2 who have been working at the center for approximately two years, did not have documentation of references and staff #10 only had one reference verification documented, where two are required. The record for staff #6 and staff #7 did not have an emergency contact listed.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. The records for all the staff #1, staff #5, staff #6, staff #7 and staff #8 who are currently employed at the center did not have a central registry request completed.”

8VAC20-780-350-B-4

“The staff-to-child ratio for children ages 3 years to school age eligible whenever children are in care is one staff for every ten children. On April 7, 2026, the pre-k to kindergarten room ratio was 2 staff for 24 children.”

8VAC20-780-70

“REPEAT VIOLATION The following staff records shall be kept for each staff person, which shall contain all required information. Staff #1, who have been working at the center for approximately six months, only had one reference verification documented, where two are required.”

22.1-289.035-B-3

“REPEAT VIOLATION The center must request a search of the central registry prior to the employee's first day of employment. The records for all the staff who are currently employed at the center did not have a central registry request completed.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The center did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing staff members shall obtain and submit the results of a follow-up tuberculosis screening. The last tuberculosis screening documented for staff #12 and staff #13 was completed in 2023 and the last tuberculosis screening was completed for staff #11 in 2022.”

8VAC20-780-60-A

“REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: When applicable, work phone number and place of employment of each parent who has custody. The record for child #1 did not have the place of employment and work phone number for both parents.”

8VAC20-780-70

“REPEAT VIOLATION The following staff records shall be kept for each staff person: Two or more references as to character and reputation as well as competency were checked before employment. The record for staff #2 did not have any references. The record for staff #7 only had one reference. The record for staff #3 and staff #8 had references that were obtained after employment.”

8VAC20-780-210-A

“Program leaders shall have fulfilled a high school program completion or the equivalent. The record for staff #1 and staff #3, who are listed as a program lead did not have documentation of a high school completion program or the equivalent.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record for staff #9 and staff #10 did not have documentation of a completed staff orientation and has been working at the center for at least a month.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include, for long-term medication, a written authorization from the child's physician. The medication authorization form for child #4 did not have a signature by a physician.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #1 and #9, who had been employed for approximately a month, did not have a completed national criminal background check.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The record for staff #3 did not have documentation of a completed tuberculosis screening. Staff #3 has been working with children for approximately three months.”

8VAC20-780-60-A

“REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: When applicable, work phone number and place of employment of each parent who has custody. The record for child #1 did not have the work phone number for both parents.”

22.1-289.035-B-3

“REPEAT VIOLATION The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, staff #2 and staff #5 who have been employed for at least, and Staff #3 and #4, who had been employed for at least a month, did not have a central registry search requested. Staff #1, #2 and #3 were working alone with children.”

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots, beds, and rest mats. Multiple occupied rest mats in the center had less than 12 inches of spacing in between them.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. The record for staff #3 did not have documentation of a completed staff orientation and has been working at the center for at least three months.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. The record for staff #2 who has been working at the center for over a year, did not have documentation of the completed orientation course.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The center did not have the most recent inspection violation notice posted.”

8VAC20-780-70

“REPEAT VIOLATION The following staff records shall be kept for each staff person: Two or more references as to character and reputation as well as competency were checked before employment. The record for staff #1, staff #2, staff #3 and staff #4 had references that were obtained after employment.”

22.1-289.035-B-3

“REPEAT VIOLATION Based on record review and interview, the center did not ensure that staff have a central registry request prior to employment. Evidence: 1. The record for staff #2, staff #3, staff #4 and staff #5 (all hired prior to July 1, 2024) did not contain documentation of a central registry request. a. The director confirmed that the records for the staff listed above did not contain documentation of a central registry request.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review and interview, it was determined that the center did not ensure that all required documentation was maintained in the children’s records. Evidence: 1. The following information was not maintained in the children’s records. a. The record for child #2 did not contain the work phone number and place of employment for the father. b. The record for child #3 did not contain the work number for the father. c. The record for child #5 did not contain the address of one of the emergency contacts and a work number for the mother and father. d. The director confirmed that the records for the children listed above were not maintained.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and interview, it was determined that the center did not ensure that all required documentation was maintained in the staff record. Evidence: 1. The record for staff #1, staff #3 and staff #4 who are listed at program lead and currently working with children did not have documentation of a high school diploma or college transcripts. a. The director confirmed that the records for the staff listed above did not include documentation of education. 2. The record for staff #2 and staff #4 did not contain documentation of an emergency contact. a. The director confirmed that the records for the staff listed above did not include documentation of an emergency contact.”

8VAC20-780-90-A

“Based on record review and interview, the center did not ensure that all the required elements be included in the parental agreement. Evidence: 1. The written parental agreement did not contain a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. a. The director confirmed that the agreement listed above was not included in the parental agreement.”

22.1-289.035-B-1

“Based on record review and interview, the center did not ensure that the staff complete a sworn statement prior to employment. Evidence: 1. The record for staff #2, staff #4 and staff #5, (all hired prior to July 1, 2024) and have been working regularly with children did not contain documentation of a completed sworn statement. a. The director confirmed that the records for the staff listed above did not have documentation of a completed sworn statement.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that all staff have a national fingerprint check prior to employment. Evidence: 1. The record for staff #2, staff #3 and staff #5 (all hired prior to July 1, 2024) and currently working regularly with children did not contain documentation of a national fingerprint check. a. The director confirmed that the records for the staff listed above did not have documentation of a national fingerprint check.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on record review and interview, the center did not ensure 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. Evidence: 1. A bottle of air freshener spray with the label ?keep out of reach from children? was stored in an unlocked cabinet accessible to children. 2. The director Staff #1 confirmed that the air freshener bottle was unlocked and accessible.”

8VAC20-780-245-A

“Based on record review and interview, the center did not ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record for #2 (hired in 2022) and #3 (hired in 2022) did not have any documented annual training hours for the year 2023 in their record. 2. The director, Staff #1 confirmed that the documentation for the annual minimum of 16 hours of training in 2023 was not in the record for staff #2 and #3.”

8VAC20-780-240-A

“Based on record review and interview, the center did not ensure that the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. The record for staff #2 (hired in 2022) and #3 (hired in 2022) did not contain documentation of completion of the Virginia Preservice 10-hour training. 2. The director, staff #1 confirmed that there was no documentation of completion of the 10 hour training in the record for staff #2 and staff #3.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #2 (hired in 2022) did not contain documentation of a negative tuberculosis screening and was in contact with children in the center. 2. The director, Staff #1 confirmed that the record for staff #2 did not contain documentation of a negative tuberculosis screening and was in contact with children in the center.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure that all staff have a central registry by the end of 30 days of employment. Evidence: 1. The record for staff #4 (hired in 2023) and staff #5 (hired in 2023), currently working at the center did not contain documentation of central registry results. 2. The director, staff #1 confirmed that the records did not contain a central registry results for staff #4 and staff #5.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that all staff have a criminal history records search prior to first day of employment. Evidence: 1. The record for staff #4 (hired in 2022) and staff #6 (hired in 2023) currently working at the center did not contain documentation of a criminal history search. 2. The director, staff #1 confirmed that documentation of a criminal history search was not in the record for staff # 4 and staff #6”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and interview, the center did not ensure that all required documentation was maintained in the staff records. Evidence: 1. The records for staff #2, staff #3, staff #4, staff #5 and staff #6 who were currently working at the center did not contain two or more references. 2. The record for staff #2, staff #3, staff #4, staff #5 and staff #6 who are listed as program lead qualified did not have documentation of education. 3. The director, Staff #1 confirmed that the records were not maintained with all the required documentation for staff #2, staff #3, staff #4, staff #5 and staff #6.”

8VAC20-780-550-P

“Based on observation and interviews, it was determined the center did not ensure that the written record of children’s serious and minor injuries contained all of the required information. Evidence: 1. 17 injury reports for the month of August did not contain either the staff and parent signatures or two staff signatures. 2. Staff #5 (Program Director) confirmed the injury reports did not contain two signatures.”

8VAC20-780-550-G

“Based on the record review of the evacuation drill log and interview, it was determined the center did not ensure that all of the required documentation shall be maintained of emergency evacuation, shelter in place, and lockdown drills. Evidence: 1. The evacuation drill log did not contain documentation of the number of staff participating. 2. The evacuation drill log did not contain documentation of the number of children participating. 3. The evacuation drill log did not contain documentation of any special conditions simulated. 4. The evacuation drill log did not contain documentation of weather conditions. 5. Staff #5 (Program Director) confirmed that the form the center used to document evacuation drills did not include all of the required information.”

8VAC20-780-550-D

“Based on a review of the evacuation drill log and interview, it was determined the center did not ensure that a monthly practice evacuation drill is completed. (Repeat Violation) Evidence: 1. The evacuation drill log did not have written documentation that an evacuation drill was completed for June. 2. Staff #5 (Program Director) confirmed an emergency evacuation drill was not conducted in June.”

8VAC20-780-280-B

“Based on observation and interviews, it was determined the center did not 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.In classroom #158 a bottle of bleach water was on a shelf, unlocked and accessible to children”

8VAC20-780-270-A

“Based on observation and interviews it was determined the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1.Two of the vinyl stairs on the indoor play structure had rips approximately 4?-6? long where children climb, posing a tripping hazard.”

8VAC20-780-240-A

“Based on observation and interviews, it was determined the center did not ensure that the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: 1. The record for Staff #1 (date of hire 11/16/2022) did not contain documentation of completion of the Virginia Department of Education sponsored orientation course. 2. The record for Staff #2 (date of hire 11/16/2022) did not contain documentation of completion of the Virginia Department of Education sponsored orientation course. 3. The record for Staff #4 (date of hire 4/6/2023) did not contain documentation of completion of the Virginia Department of Education sponsored orientation course.”

8VAC20-780-70

“Based on a review of 5 staff records and interviews, it was determined that the center did not ensure that a record was kept for each staff member with all the required information. (Repeat Violation) Evidence: 1.The record for Staff #1 did not include two reference checks, and qualifications. 2.The record for Staff #2 did not include two reference checks and documentation of orientation. 3.The record for Staff #3 did not include two reference checks. 4.The record for Staff #4 did not include two reference checks.”

8VAC20-770-60-C-2

“Based on a review of 5 staff records and a review of the staff information sheet submitted with renewal documents, it was determined the center did not deny continued employment of a staff member who did not have a central registry finding within 30 days of employment. (Repeat Violation) Evidence: 1.The record for Staff #1, date of hire (DOH) 11/16/2022, did not contain a completed search of the central registry finding. 2.The record for Staff #2, DOH 11/16/2022, did not contain a completed search of the central registry finding. 3.The record for Staff #3, DOH 7/21/2023 did not contain a completed search of the central registry finding. 4.The record for Staff #5, DOH 6/30/2022, did not contain a completed search of the central registry finding. 5. Staff #5 (Program Director) confirmed the search of the central registry finding had not been completed. 6. Staff #7 (DOH 6/14/2022), #Staff 9 (DOH 6/12/2022), Staff #10 (DOH 8/5/2022), Staff #11 (DOH 3/7/2023), Staff #12 (DOH 1/17/2022), Staff #13 (DOH 3/15/2023) as reported on the supplemental staff information sheet, did not contain a completed search of the central registry finding. 7. Staff # 5 confirmed that the records for Staff #1, #2, #3, #5, #7, #9, #10, #11, #12, #13 did not contain a completed search of the central registry.”

22.1-289.035-B-2

“Based on a review of 5 staff records and a review of the staff information sheet submitted with the renewal documents, it was determined the center did not ensure that an employee is not allowed to begin employment without a completed national criminal history record check (Repeat Violation). Evidence: 1.The record for Staff #1 (DOH 11/16/2022) did not contain documentation of a completed national criminal history record check.”

22.1-289.011-F

“Based on observation and interviews it was determined the center did not ensure that the required documents related to the terms of the license are posted on the premises of each facility. Evidence: 1. The most recently issued license and inspection findings were not posted in the facility. 3. Staff #5 (Program Director) confirmed the license and inspection findings were not posted.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the center did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. (Repeat Violation) Evidence: 1.There were 3 lunch boxes with no date on them in classroom #158 2.There were 3 lunchboxes with no date on them in classroom #157”

22.1-289.035-B-2

“Based on a review of 19 staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for staff #5, working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 2. The record for staff #10, working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 3. The record for staff #12, working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 4. The record for staff #17, working during the inspection, did not contain documentation of a completed national criminal history record check (finger printing). 5. The record for staff #18 did not contain documentation of a completed national criminal history record check (finger printing). 6. The record for staff #19 did not contain documentation of a completed national criminal history record check (finger printing). 7. Staff #3 (Program Director) reviewed the records for the staff listed above, and confirmed that she had not received the results of the finger print background check (finger printing).”

8VAC20-770-60-B

“Based on a review of 19 staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed. Evidence: 1. The record for staff #5, working during the inspection, did not contain a sworn statement or affirmation. 2 .The record for staff #6, working during the inspection, did not contain a sworn statement or affirmation. 3. The record for staff #12 working during the inspection, did not contain a sworn statement or affirmation. 4. The record for staff #17, working during the inspection, did not contain a sworn statement or affirmation. 5. The record for staff #18 did not contain a sworn statement or affirmation. 6. Staff #3 (Program Director) confirmed the sworn statement or affirmation was not completed prior to employment for any of the staff listed above.”

8VAC20-770-60-C-2

“Based on a review of 19 staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: 1. The record for staff #2 did not contain a completed search of the central registry finding. 2. The record for staff #3 did not contain a completed search of the central registry finding. 3. The record for staff #4 did not contain a completed search of the central registry finding. 4. The record for staff #5 did not contain a completed search of the central registry finding. 5. The record for staff #6 did not contain a completed search of the central registry finding. 6. The record for staff #7 did not contain a completed search of the central registry finding. 7. The record for staff #8 did not contain a completed search of the central registry finding. 8. The record for staff #9 did not contain a completed search of the central registry finding. 9. The record for staff #10 did not contain a completed search of the central registry finding. 10. The record for staff #11 did not contain a completed search of the central registry finding. 11. The record for staff #12 did not contain a completed search of the central registry finding. 12. The record for staff #15 did not contain a completed search of the central registry finding. 13. The record for staff #16 did not contain a completed search of the central registry finding. 14. The record for staff #17 did not contain a completed search of the central registry finding. 15.The record for staff #18 did not contain a completed search of the central registry finding. 16. The record for staff #19 did not contain a completed search of the central registry finding. 17. Staff #6 (Program Director) reviewed the records for the staff listed above, and confirmed that the search of the central registry finding has not been received.”

8VAC20-780-140-A

“Based on a review of ten children's records, it was determined that the facility did not ensure that each child in attendance had a completed physical within one month of attendance. Evidence: 1. The record for child #5 did not contain a physical examination. 2. Staff #3 (Program Director) confirmed that the record for child #5 did not contain a physical examination, and had been enrolled for more than 30 days”

8VAC20-780-160-A

“Based on a review of 19 staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment beginning Evidence: 1. The record for staff #2 did not contain documentation of a negative tuberculosis screening. 2.The record for staff #3, present during the inspection, did not contain documentation of a negative tuberculosis screening. 3. The record for staff #4 did not contain documentation of a negative tuberculosis screening. 4. The record for staff #5 did not contain documentation of a negative tuberculosis screening. 5. The record for staff #8 did not contain documentation of a negative tuberculosis screening. 6. The record for staff #10 did not contain documentation of a negative tuberculosis screening. 7. The record for staff #12 did not contain documentation of a negative tuberculosis screening. 8. The record for staff #16 did not contain documentation of a negative tuberculosis screening. 9. The record for staff #18 did not contain documentation of a negative tuberculosis screening. 10. Staff #6 (Program Director) confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment for any of the staff listed above.”

8VAC20-780-60-A

“Based on a review of ten children's records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information. Evidence 1. The record for child #5 did not contain the second emergency contact. 2. Staff #3 (Program Director) confirmed that the record for child #5 did not contain all of the required information.”

8VAC20-780-70

“Based on a review of 19 staff records, it was determined that the Licensee did not ensure that is record is kept for each staff member with all of the required information. Evidence: 1. The record for staff #2 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 2. The record for staff #3 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 3. The record for staff #4 did not include date of hire, two references, an emergency contact, and job title and qualifications. 4. The record for staff #5 did not include date of hire, two references, an emergency contact, job title and qualifications and orientation. 5. The record for staff #6 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 6. The record for staff #7 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 7. The record for staff #8 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 8. The record for staff #9 did not include date of hire, an emergency contact, job title and qualifications, and orientation. 9. The record for staff #10 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 10. The record for staff #11 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 11. The record for staff #12 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 12. The record for staff #13 did not include date of hire, two references, an emergency contact, and job title and qualifications. 13. The record for staff #14 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 14. The record for staff #15 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 15. The record for staff #16 did not include date of hire, two references, an emergency contact, job title and qualifications, and orientation. 16. The record for staff #17 did not include date of hire, two references, an emergency contact, and job title and qualifications. 17. The record for staff #18 did not include date of hire, second reference, an emergency contact, job title and qualifications, and orientation. 18. The record for staff #19 did not include date of hire, two references, an emergency contact, and job title and qualifications. 19. Staff #6 (Program Director) confirmed that there records for the staff listed above were not complete.”

8VAC20-780-260-A

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual inspection report from the appropriate fire official having jurisdiction was completed. Evidence: 1. The most recent annual fire inspection report inspection available for viewing during the inspection was dated 5/5/21. 2. Staff #3 (Program Director) confirmed that the annual fire inspection report had not been completed.”

8VAC20-780-340-D

“Based on observation, a review of 19 staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. There were four classrooms of children with a total of 15 staff present during the inspection. None of the records for the staff contained documentation to demonstrate that any of the staff were Program Leader qualified. 2. Staff #3 (Program Director) confirmed that none of the records contained documentation to demonstrate that any of the staff were Program Leader qualified.”

8VAC20-780-530-A

“Based on a review of 19 staff records and interviews, it was determined that the licensee did not ensure that there shall be at least one staff member trained in first aid, cardiopulmonary resuscitation, and rescue breathing as appropriate to the age of the children in care who is on the premises during the center's hours of operation and also one person on field trips and wherever children are in care. Evidence: 1. Bead on a review of 19 staff records, two of the four classrooms with children did not have a staff with a current certification in CPR and First Aid during the inspection. 2. Staff #3 (Program Director) confirmed that two of the four classrooms with children did not have a staff with a current certification in CPR and First Aid during the inspection.”

8VAC20-780-560-G

“Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The lunch boxes for the children in care were not labeled with the child's name or date. 2. Staff #3 (Program Director) confirmed that the lunch boxes for the children in care were not labeled with the child's name or date.”

8VAC20-820-120-E-1

“Based on observation and interview, it was determined that the licensee did not ensure the most recently issued license posted at each public entrance of the facility and a notice shall be prominently displayed next to the license that states that a description of specific violations of licensing standards to be corrected and the deadline for completion of such corrections is available for inspection at the facility. Evidence: 1. The most recently issued license and inspection findings were not posted anywhere in the facility. 2. Staff #3 (Program director) confirmed that the most recently issued license and inspection findings were not posted anywhere in the facility.”

8VAC20-780-550-D

“Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a monthly practice evacuation drill is completed. Evidence: 1. The emergency drill log did not have written documentation to demonstrate that an emergency evacuation drill was completed during the months of July 2022 and August 2022. 2. Staff #3 (Program Director) confirmed that there was no written documentation to demonstrate that an emergency evacuation drill was completed during the months of July 2022 and August 2022.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child's name and date. Evidence: 1. The Licensing Inspector observed that all of the lunch boxes that the children had brought from home were not labeled with their name and the date. 2. Staff #4 (Program Director) confirmed that all of the lunch boxes used by the children at the facility were not labeled with their name or the date.”

8VAC20-780-530-C

“Based on a review of three staff records and interviews, it was determined that the facility did not ensure that there shall be at least two staff members who meet the requirements of subsection A of this section present on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care. Evidence: 1. The Licensing Inspector reviewed the records for all staff present and only staff #4 had a current CPR/First aid certification. 2. Staff #4 confirmed that were not two staff present a current CPR/First aid certification.”

8VAC20-780-530-A

“Based on a review of nine staff records and interviews, it was determined that the facility did not ensure that there shall be at least one staff in each classroom or area where children are present that has a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care. Evidence: 1. The Licensing Inspector observed a total of eight staff working in four classrooms with children ages three years old to twelve years old. None of the records for the eight staff working during the inspection contained documentation to demonstrate that the staff had a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care 2. Staff #4 (Program Director) confirmed that none of the staff working during the inspection had a current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care.”

8VAC20-780-340-D

“Based on observation, a review of five staff records and interviews, it was determined that the licensee did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. The Licensing Inspector observed a total of 8 staff working in four classrooms. A review of the eight staff records did not provide documentation to demonstrate that any of staff present was Program Leader qualified. 2. Staff #4 (Program Director) confirmed that there was no documentation available for viewing during the inspection to demonstrate any of the staff present was Program Leader qualified.”

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that the annual approval from the health department was received. Evidence: 1. There was no documentation to demonstrate the annual approval from the health department had been received. 2. Staff #4 (Program Director) confirmed that there was no documentation available for viewing during the inspection that the annual approval from the health department had been received.”

8VAC20-780-70

“Based on a review of nine staff records and interviews, it was determined that the facility did not ensure that a staff record is kept for each person with all of the required information. Evidence: 1. Staff #1, working during the inspection, did not have a record available for viewing during the inspection. 2. Staff #2, working during the inspection, did not have a record available for viewing during the inspection. 3. Staff #3, working during the inspection, did not have a record available for viewing during the inspection. 4. Staff #5, working during the inspection, did not have a record available for viewing during the inspection. 5. Staff #6, working during the inspection, did not have a record available for viewing during the inspection. 6. Staff #7, working during the inspection, did not have a record available for viewing during the inspection. 7. Staff #8, working during the inspection, did not have a record available for viewing during the inspection. 8. Staff #9, working during the inspection, did not have a record available for viewing during the inspection. 9. Staff #4 (Program Director) confirmed that the staff listed above were allowed to begin employment without having a record with all of the required information..”

8VAC20-780-160-A

“Based on a review of nine staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment beginning Evidence: 1. The record for staff #1, present during the inspection, did not contain documentation of a negative tuberculosis screening. 2.The record for staff #2, present during the inspection, did not contain documentation of a negative tuberculosis screening. 3. The record for staff #3, present during the inspection, did not contain documentation of a negative tuberculosis screening. 4. The record for staff #5, present during the inspection, did not contain documentation of a negative tuberculosis screening. 5. The record for staff #6, present during the inspection, did not contain documentation of a negative tuberculosis screening. 6. The record for staff #7, present during the inspection, did not contain documentation of a negative tuberculosis screening. 7. The record for staff #8, present during the inspection, did not contain documentation of a negative tuberculosis screening. 8. The record for staff #9, present during the inspection, did not contain documentation of a negative tuberculosis screening. 8. Staff #4 (Program Director) confirmed that the documentation of a negative tuberculosis screening had not been received prior to employment for any of the staff working during the inspection.”

8VAC20-770-60-B

“Based on a review of nine staff records, it was determined that the facility did not ensure that the facility did not ensure that an employee must not be employed until a sworn statement or affirmation has been completed. Evidence: 1. The record for staff #1, working during the inspection, did not contain a sworn statement or affirmation. 2 .The record for staff #2, working during the inspection, did not contain a sworn statement or affirmation. 3. The record for staff #3 working during the inspection, did not contain a sworn statement or affirmation. 4. The record for staff #5, working during the inspection, did not contain a sworn statement or affirmation. 5. The record for staff #6, working during the inspection, did not contain a sworn statement or affirmation. 6. The record for staff #7, working during the inspection, did not contain a sworn statement or affirmation. 7. The record for staff #8, working during the inspection, did not contain a sworn statement or affirmation. 8. The record for staff #9, working during the inspection, did not contain a sworn statement or affirmation. 9. Staff #4 (Program Director) confirmed the sworn statement or affirmation was not completed prior to employment for any of the staff listed above.”

22.1-289.035-B-4

“Based on a review of nine staff records, it was determined that the facility did not ensure that they obtain a copy of the results of a sex offender registry check from any state in which the individual has resided in the preceding five years prior to employment. Evidence: 1. The record for staff #5, working during the inspection, did not contain documentation of a completed sex offender registry check from Hawaii. The sworn statement indicated staff #5 had previously lived in Hawaii within the last 5 years. 2. Staff #4 (Program Director) confirmed the sex offender registry check from the State of Hawaii was received prior to start of employment for staff #5.”

22.1-289.035-B-2

“Based on a review of nine staff records, it was determined that the facility did not ensure that an employee is allowed to begin employment without a completed national criminal history record check (finger printing). Evidence: 1. The record for staff #1, working during the inspection, did not contain a completed national criminal history record check (finger printing). 2. The record for staff #3 working during the inspection, did not contain a completed national criminal history record check (finger printing). 3. The record for staff #5, working during the inspection, did not contain a completed national criminal history record check (finger printing). 4. The record for staff #6, working during the inspection, did not contain a completed national criminal history record check (finger printing). 5. The record for staff #7, working during the inspection, did not contain a completed national criminal history record check (finger printing). 6. The record for staff #8, working during the inspection, did not contain a completed national criminal history record check (finger printing). 7. The record for staff #9, working during the inspection, did not contain a completed national criminal history record check (finger printing). 8. Staff #4 (Program Director) confirmed the completed national criminal history record check (finger printing) was not completed prior to employment for any of the staff listed above.”

8VAC20-780-350-B-5

“Based on observation and interviews, it was determined that the facility did not ensure that for children, from nine years of age through twelve years, one staff member for every 20 children is maintained at all times children are in care. Evidence: 1. During the inspection the Licensing Inspector observed staff #7 working with alone with 24 children in a classroom. The children in the classroom were 9-12 years old. 2. Staff #4 (Program director) confirmed that the facility did not maintain the required staff-to-child ratio for this grouping of children.”