Virginia Commonwealth University Child Development Center

8VAC20-780-290-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Seven uncovered outlets were observed in two classrooms. The outlets were out of the reach of children.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities and services are maintained in compliance with the standards and the center's own policies and procedures that are required by these standards. The center's policy to prevent use of outdated medication states that expired medication must be returned to the parent. Child #8 had a current long term medication authorization for an emergency as needed medication that expired two months ago.”

8VAC20-780-160-C

“REPEAT VIOLATION A tuberculosis (TB) screening is required every two years from the last screening. The repeat TB screening for Staff #6 was completed over 1 month late and was not completed and 7 months overdue for Staff #7.”

8VAC20-780-240-A

“REPEAT VIOLATION The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #5 did not complete the Virginia Department of Education-sponsored orientation course which was approximately 4 months overdue.”

8VAC20-780-70

“REPEAT VIOLATION Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. The references for Staff #1 were completed approximately 3 weeks after the start of employment. The record of Staff #5 contained 1 of the 2 required references.”

8VAC20-780-40-J

“Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. The center did not annually update their injury procedures in 2025.”

8VAC20-780-270-A Complaint related: No

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The exterior door trim of the center's front entrance that is utilized by children was tested and identified as a lead based paint hazard due to the area containing a minor level of surface deterioration to include cracks in the paint.”

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances must be in a locked place that prevents access by children. In a two year old classroom, a gallon of bleach was in an unlocked cabinet, out of reach of children.”

8VAC20-780-70

“REPEAT VIOLATION A record shall be kept for each staff record that contains the required information. The record of staff #2, a program leader employed for one month, was missing documentation to demonstrate that the individual possessed the education required by the position.”

8VAC20-780-520-A

“All nonprescription drugs shall be used in accordance with the manufacturer's recommendations. Child #6, age 23 months, had an authorization for an over the counter medication that was signed by the parent. The medication contained instructions to consult a doctor for use by children under the age of two years. The center did not have record of an authorization by the physician and had administered the medication.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #6, employed for over 1 month, did not have documentation of requesting a central registry check from one state. Administration stated that staff #6 does work alone with children at times.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #3 completed the department sponsored orientation over 3 months late.”

8VAC20-780-550-D

“REPEAT VIOLATION The center shall implement a monthly practice evacuation drill. A drill was not implemented in March of 2025.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In a toddler classroom, a bottle of bleach sanitizing solution was on an unlocked shelf, out of reach of children.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Phone references must contain dates of contact, names of persons contacted, results, and the signature of the person making the call. Staff #1's two references did not contain dates and the signature of the person making the call. Staff #2's two references did not contain dates and the signature of the person making the call. Staff #5's two references were received after the start of employment.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record of Child #2, enrolled for two months, was missing the following required component: the address of one of the two designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1's updated screening was completed over 2 months late.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. An evacuation drill was not completed in September of 2024.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. A total of 10 protruding nails were observed on the wooden shed structures on the preschool playground. On the toddler playground, a protruding nail was observed on the wooden fence. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. A total of 10 protruding nails were observed on the wooden shed structures on the preschool playground. On the toddler playground, a protruding nail was observed on the wooden fence. 2. Administration acknowledged that the areas required maintenance.”

8VAC20-780-160-A

“REPEAT VIOLATION Based on record review and interview, the center did not ensure that obtain documentation of a negative tuberculosis screening for one staff member at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #1 (date of employment: 2/15/2024) contained a TB screening dated 2/16/2024. 2. Administration acknowledged that the TB screening was obtained after the start of employment.”

8VAC20-780-70

“Based on a review of 12 staff records and interview, the center did not ensure that a record was kept for 11 staff that contained the required information. Evidence: 1. The record of staff #2 (date of employment: 8/25/23) did not contain documentation of the required orientation training. The record of staff #3 (date of employment: 8/25/23) did not contain documentation of the required orientation training. The record of staff #4 (date of employment: 6/8/23) did not contain documentation of the required orientation training and documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #5 (date of employment: 8/29/23) did not contain documentation of the required orientation training. The record of staff #6 (date of employment: 6/21/23) did not contain documentation of the required orientation training and documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #7 (date of employment: 8/28/23) did not contain documentation of the required orientation training and was missing one of the two required character references. The record of staff #8 (date of employment: 9/5/23) did not contain documentation of the required orientation training. The record of staff #9 (date of employment: 9/25/23) did not contain documentation of the required orientation training. The record of staff #10 (date of employment: 9/13/23) did not contain documentation of the required orientation training and was missing one of the two required character references. The record of staff #11 (date of employment: 10/3/23) did not contain documentation of the required orientation training and was missing one of the two required character references. The record of staff #12 (date of employment: 8/25/23) did not contain documentation of the required orientation training. 2. Administration stated that the orientation training was completed but not documented.”

22.1-289.035-B-2

“Based on a review of 12 staff records and interview, the center did not ensure that two staff completed a fingerprint background check prior to the first date of employment as required. Evidence: 1. The record of staff #8 (date of employment: 9/5/23) contained a fingerprint background check dated 9/6/23. The record of staff #12 (date of employment: 8/25/23) did not contain a fingerprint background check. 2. Administration acknowledged that the fingerprint checks were not completed prior to employment for the two staff.”

22.1-289.036-A

“Based on a review of records, the center did not ensure to obtain the required repeat background checks every five years for one officer of the public agency. Evidence: 1. The record of officer #1 contained a fingerprint background check dated 3/29/18 and a central registry background check dated 6/8/17. 2. Administration acknowledged that the repeat background checks had not been completed.”

8VAC20-780-550-O

“Based on a review of documentation and interview, the center did not ensure to notify the parents by the end of the day of any known minor injuries. Evidence: 1. Injury reports were reviewed on 12/7/23. One injury report indicated that on 12/5/2023, a child sustained a minor injury. The date of parent notification was listed as 12/6/23. 2. Administration acknowledged that the parent was not notified the same day as the minor injury.”

8VAC20-780-240-A

“Based on a review of 12 staff records and interview, the center did not ensure that 1 staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment as required. Evidence: 1. The record of staff #7 (date of employment: 8/28/23) did not contain documentation of completion of the dept. sponsored orientation. 2. Administration acknowledged that the course had not been completed by staff #7.”

8VAC20-770-60-B

“Based on a review of 12 staff records and interview, the center did not ensure that one staff completed a sworn statement prior to their first date of employment as required. Evidence: 1. The record of staff #2 (date of employment: 8/25/23) contained a sworn statement dated 9/29/23. 2. Administration acknowledged that the sworn statement was completed after the start of employment.”

8VAC20-770-60-C-2

“Based on a review of 12 staff records and interview, the center did not ensure to obtain a central registry finding for 10 staff within 30 days of employment as required. Evidence: 1. The record of staff #2 (date of employment: 8/25/23) contained a central registry finding dated 10/1/23. The record of staff #3 (date of employment: 8/25/23) did not contain a central registry finding. The record of staff #4 (date of employment: 6/8/23) did not contain a central registry finding. The record of staff #5 (date of employment: 8/29/23) contained a central registry finding dated 11/16/23. The record of staff #6 (date of employment: 6/21/23) contained a central registry finding dated 10/1/23. The record of staff #7 (date of employment: 8/28/23) contained a central registry finding dated 10/1/23. The record of staff #9 (date of employment: 9/25/23) did not contain a central registry finding. The record of staff #10 (date of employment: 9/13/23) did not contain a central registry finding. The record of staff #11 (date of employment: 10/3/23) did not contain a central registry finding. The record of staff #12 (date of employment: 8/25/23) did not contain a central registry finding. 2. Administration acknowledged that the central registry findings listed were not received within the required time frame.”

8VAC20-780-160-A

“Based on a review of 12 staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for 6 staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #5 (date of employment: 8/29/23) contained a TB screening dated 9/2/23. The record of staff #6 (date of employment: 6/21/23) contained a TB screening dated 6/24/23. The record of staff #7 (date of employment: 8/28/23) contained a TB screening dated 9/3/23. The record of staff #8 (date of employment: 9/5/23) contained a TB screening dated 9/7/23. The record of staff #9 (date of employment: 9/25/23) did not contain a TB screening. The record of staff #10 (date of employment: 9/13/23) contained a TB screening dated 9/15/23. 2. Administration acknowledged that the TB screenings were submitted after the start of employment.”

8VAC20-790-600-D-2

“Based on a review of 12 staff records and interview, the vendor did not ensure that two staff had current certification in first aid appropriate to the ages of children in care within 90 days of employment as required. Evidence: 1. The record of staff #5 (date of employment 8/29/2023) did not contain documentation of a first aid certification. The record of staff #7 (date of employment 8/28/2023) did not contain documentation of a first aid certification. 2. The vendor acknowledged that the two staff were not first aid certified.”

8VAC20-790-600-D-1

“Based on a review of 12 staff records and interview, the vendor did not ensure that two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment as required. Evidence: 1. The record of staff #5 (date of employment 8/29/2023) did not contain documentation of a CPR certification. The record of staff #7 (date of employment 8/28/2023) did not contain documentation of a CPR certification. 2. The vendor acknowledged that the two staff were not CPR certified.”

8VAC20-780-70

“Based on a review of 12 staff records and interview, the center did not ensure that a record was kept for 11 staff that contained the required information. Evidence: 1. The record of staff #2 (date of employment: 8/25/23) did not contain documentation of the required orientation training. The record of staff #3 (date of employment: 8/25/23) did not contain documentation of the required orientation training. The record of staff #4 (date of employment: 6/8/23) did not contain documentation of the required orientation training and documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #5 (date of employment: 8/29/23) did not contain documentation of the required orientation training. The record of staff #6 (date of employment: 6/21/23) did not contain documentation of the required orientation training and documentation that two or more references as to character and reputation as well as competency were checked before employment. The record of staff #7 (date of employment: 8/28/23) did not contain documentation of the required orientation training and was missing one of the two required character references. The record of staff #8 (date of employment: 9/5/23) did not contain documentation of the required orientation training. The record of staff #9 (date of employment: 9/25/23) did not contain documentation of the required orientation training. The record of staff #10 (date of employment: 9/13/23) did not contain documentation of the required orientation training and was missing one of the two required character references. The record of staff #11 (date of employment: 10/3/23) did not contain documentation of the required orientation training and was missing one of the two required character references. The record of staff #12 (date of employment: 8/25/23) did not contain documentation of the required orientation training. 2. Administration stated that the orientation training was completed but not documented.”

22.1-289.035-B-2

“Based on a review of 12 staff records and interview, the center did not ensure that two staff completed a fingerprint background check prior to the first date of employment as required. Evidence: 1. The record of staff #8 (date of employment: 9/5/23) contained a fingerprint background check dated 9/6/23. The record of staff #12 (date of employment: 8/25/23) did not contain a fingerprint background check. 2. Administration acknowledged that the fingerprint checks were not completed prior to employment for the two staff.”

22.1-289.036-A

“Based on a review of records, the center did not ensure to obtain the required repeat background checks every five years for one officer of the public agency. Evidence: 1. The record of officer #1 contained a fingerprint background check dated 3/29/18 and a central registry background check dated 6/8/17. 2. Administration acknowledged that the repeat background checks had not been completed.”

8VAC20-780-550-O

“Based on a review of documentation and interview, the center did not ensure to notify the parents by the end of the day of any known minor injuries. Evidence: 1. Injury reports were reviewed on 12/7/23. One injury report indicated that on 12/5/2023, a child sustained a minor injury. The date of parent notification was listed as 12/6/23. 2. Administration acknowledged that the parent was not notified the same day as the minor injury.”

8VAC20-780-240-A

“Based on a review of 12 staff records and interview, the center did not ensure that 1 staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment as required. Evidence: 1. The record of staff #7 (date of employment: 8/28/23) did not contain documentation of completion of the dept. sponsored orientation. 2. Administration acknowledged that the course had not been completed by staff #7.”

8VAC20-770-60-B

“Based on a review of 12 staff records and interview, the center did not ensure that one staff completed a sworn statement prior to their first date of employment as required. Evidence: 1. The record of staff #2 (date of employment: 8/25/23) contained a sworn statement dated 9/29/23. 2. Administration acknowledged that the sworn statement was completed after the start of employment.”

8VAC20-770-60-C-2

“Based on a review of 12 staff records and interview, the center did not ensure to obtain a central registry finding for 10 staff within 30 days of employment as required. Evidence: 1. The record of staff #2 (date of employment: 8/25/23) contained a central registry finding dated 10/1/23. The record of staff #3 (date of employment: 8/25/23) did not contain a central registry finding. The record of staff #4 (date of employment: 6/8/23) did not contain a central registry finding. The record of staff #5 (date of employment: 8/29/23) contained a central registry finding dated 11/16/23. The record of staff #6 (date of employment: 6/21/23) contained a central registry finding dated 10/1/23. The record of staff #7 (date of employment: 8/28/23) contained a central registry finding dated 10/1/23. The record of staff #9 (date of employment: 9/25/23) did not contain a central registry finding. The record of staff #10 (date of employment: 9/13/23) did not contain a central registry finding. The record of staff #11 (date of employment: 10/3/23) did not contain a central registry finding. The record of staff #12 (date of employment: 8/25/23) did not contain a central registry finding. 2. Administration acknowledged that the central registry findings listed were not received within the required time frame.”

8VAC20-780-160-A

“Based on a review of 12 staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for 6 staff at the time of employment and prior to coming into contact with children. Evidence: 1. The record of staff #5 (date of employment: 8/29/23) contained a TB screening dated 9/2/23. The record of staff #6 (date of employment: 6/21/23) contained a TB screening dated 6/24/23. The record of staff #7 (date of employment: 8/28/23) contained a TB screening dated 9/3/23. The record of staff #8 (date of employment: 9/5/23) contained a TB screening dated 9/7/23. The record of staff #9 (date of employment: 9/25/23) did not contain a TB screening. The record of staff #10 (date of employment: 9/13/23) contained a TB screening dated 9/15/23. 2. Administration acknowledged that the TB screenings were submitted after the start of employment.”

8VAC20-790-600-D-2

“Based on a review of 12 staff records and interview, the vendor did not ensure that two staff had current certification in first aid appropriate to the ages of children in care within 90 days of employment as required. Evidence: 1. The record of staff #5 (date of employment 8/29/2023) did not contain documentation of a first aid certification. The record of staff #7 (date of employment 8/28/2023) did not contain documentation of a first aid certification. 2. The vendor acknowledged that the two staff were not first aid certified.”

8VAC20-790-600-D-1

“Based on a review of 12 staff records and interview, the vendor did not ensure that two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment as required. Evidence: 1. The record of staff #5 (date of employment 8/29/2023) did not contain documentation of a CPR certification. The record of staff #7 (date of employment 8/28/2023) did not contain documentation of a CPR certification. 2. The vendor acknowledged that the two staff were not CPR certified.”