Visions Child Development Center

8VAC20-790-600-D-1

“***Repeat Violation*** All staff are required to have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 1. Staff #2, employed for over five years, did not have documentation of current CPR certification. 2. Staff 5, employed for over two years, 6 months, did not have documentation of current CPR certification.”

8VAC20-790-600-D-2

“All staff are required to have current certification in first aid appropriate to the ages of children in care. 1.Staff #2, employed for over five years did not have documentation of current first aid certification. 2. Staff #5, employed for over two years, 6 months did not have documentation of current first aid certification.”

8VAC20-790-600-F

“***Repeat Violation*** Staff shall complete the department’s health and safety update course annually. Staff #3 and staff # 5 did not have documentation of completing the annual health and safety update course for 2024.”

22.1-289.057-A

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

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #3 was overdue by 24 days.”

8VAC20-780-130-A

“***Repeat Violation*** The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. Child #2 had documentation of an immunization record which was overdue by two years. 2. Child #5 had documentation of a religious exemption which was overdue by one day.”

8VAC20-780-570-A

“***Repeat Violation*** When a child is placed in a high chair, the protective belt shall be fastened securely. In the toddler classroom four children were seated in the feeding table, two children did not have a protective belt.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The last documented health department inspection were conducted on 3/20/2024.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The last documented fire inspection was conducted 4/15/2024.”

8VAC20-780-70

“Staff records shall be kept for each staff person that contains all of the required information. Staff #3 did not have documentation of two or more references as to character and reputation as well as competency prior to employment.”

8VAC20-780-160-A

“***Repeat Violation*** Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for Staff #2 was completed one month after hire and the screening for Staff #3 was completed four months after hire.”

8VAC20-780-150-B

“Immunization records and physical examinations are required to be signed by a physician, his designee, or an official of the local health department. The immunization record and physical examination for child # 4 was not signed.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1 who has attended the center for over 2 years, seven months did not have documentation of additional immunizations once every six months for children under two years of age.”

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. Staff #2, who has been employed for over seven months, did not have a central registry search requested. Staff #1 was working alone with children.”

22.1-289.035-B-2

“***Repeat Violation*** Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2, who had been employed for seven days, did not have a completed national criminal background check prior to their first day of employment.”

8VAC20-790-600-D-1

“***Repeat Violation*** All staff are required to have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. 1. Staff #2, employed for over five years, did not have documentation of current CPR certification. 2. Staff 5, employed for over two years, 6 months, did not have documentation of current CPR certification.”

8VAC20-790-600-D-2

“All staff are required to have current certification in first aid appropriate to the ages of children in care. 1.Staff #2, employed for over five years did not have documentation of current first aid certification. 2. Staff #5, employed for over two years, 6 months did not have documentation of current first aid certification.”

8VAC20-790-600-F

“***Repeat Violation*** Staff shall complete the department’s health and safety update course annually. Staff #3 and staff # 5 did not have documentation of completing the annual health and safety update course for 2024.”

22.1-289.057-A

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

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #3 was overdue by 24 days.”

8VAC20-780-130-A

“***Repeat Violation*** The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. Child #2 had documentation of an immunization record which was overdue by two years. 2. Child #5 had documentation of a religious exemption which was overdue by one day.”

8VAC20-780-570-A

“***Repeat Violation*** When a child is placed in a high chair, the protective belt shall be fastened securely. In the toddler classroom four children were seated in the feeding table, two children did not have a protective belt.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The last documented health department inspection were conducted on 3/20/2024.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The last documented fire inspection was conducted 4/15/2024.”

8VAC20-780-70

“Staff records shall be kept for each staff person that contains all of the required information. Staff #3 did not have documentation of two or more references as to character and reputation as well as competency prior to employment.”

8VAC20-780-160-A

“***Repeat Violation*** Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for Staff #2 was completed one month after hire and the screening for Staff #3 was completed four months after hire.”

8VAC20-780-150-B

“Immunization records and physical examinations are required to be signed by a physician, his designee, or an official of the local health department. The immunization record and physical examination for child # 4 was not signed.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1 who has attended the center for over 2 years, seven months did not have documentation of additional immunizations once every six months for children under two years of age.”

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. Staff #2, who has been employed for over seven months, did not have a central registry search requested. Staff #1 was working alone with children.”

22.1-289.035-B-2

“***Repeat Violation*** Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #2, who had been employed for seven days, did not have a completed national criminal background check prior to their first day of employment.”

8VAC20-780-270-A Complaint related: Yes

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. The pavement behind the building that is used for children to take walks and play has two large potholes creating an uneven surface and poses a tripping hazard. A utility box with exposed wires is in reach of children. 2. The gate enclosing the playground is unable to close.”

8VAC20-790-600-D-1

“Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #3 and staff #4 did not have documentation of CPR training that required in-person competency demonstration.”

8VAC20-790-600-F

“Staff shall complete the department’s health and safety update course annually. Staff #5 did not have documentation of completing the annual 2024 health and safety update course.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. A foot operated storage system used for disposing diapers was inoperable in the infant and two’s rooms.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. An outlet on the wall leading to the school age room was coming away from the wall, leaving a gap posing a risk. 2. Chipped, peeling paint , and dry wall was observed in the school age room and the pre-k room.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting. Staff shall wash their hands with soap and running water after helping a child use the toilet. In the toddler room, staff completed a diaper change, and the staff member did not wash their hands. The child did not wash their hands.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. 1. In the two’s classroom, one bottle of bleach and water was sitting out on the counter. 2. The center’s hallway cabinet was unlocked and contained a container of bleach and water sitting on top of the cabinet and one container of bleach and water and Lysol was inside the cabinet unlocked.”

8VAC20-780-450-A

“Cribs, cots, mats and beds used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. In the two’s room, eight children were resting without a bottom cover.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. Child #1 had documentation of immunizations which were over 1 year and 2 months past the due date. 2. Child #3, who had been attending the center for over 2 years, 7 months did not have documentation of immunizations. 3. Child #4, had documentation of immunizations which were over 2 months past the due date.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for staff #3, who is currently working, was dated two days after their first day of employment.”

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 #3 did not have a completed national criminal background check prior to hire, the criminal background check was overdue by 6 days.”

8VAC20-780-570-A

“When a child is placed in a high chair, the protective belt shall be fastened securely. In the toddler classroom four children were seated in the feeding table, two children did not have a protective belt.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. 1. Child #1 had documentation of a physical examination which was over 1 year and 1 month past the due date. 2. Child #4 had documentation of a physical examination which was over 1 month past the due date.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #4 had a TB screening dated four days after the start of employment.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The allergy list was not current in the toddler room, two’s room, and school-age room were dated 6/20/2024. A student who is no longer enrolled was listed on the allergy list in all rooms.”

8VAC20-780-550-P

“The center is required to maintain a written record of children's serious and minor injuries with all required components documented on the day of occurrence. Ten injury reports were reviewed. Three reports did not contain the type and circumstance of the injury, five did not contain the date and time parents were notified, and three did not contain documentation of how parent was notified.”

8VAC20-790-600-D-1

“Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #3 and staff #4 did not have documentation of CPR training that required in-person competency demonstration.”

8VAC20-790-600-F

“Staff shall complete the department’s health and safety update course annually. Staff #5 did not have documentation of completing the annual 2024 health and safety update course.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. A foot operated storage system used for disposing diapers was inoperable in the infant and two’s rooms.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. 1. An outlet on the wall leading to the school age room was coming away from the wall, leaving a gap posing a risk. 2. Chipped, peeling paint , and dry wall was observed in the school age room and the pre-k room.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting. Staff shall wash their hands with soap and running water after helping a child use the toilet. In the toddler room, staff completed a diaper change, and the staff member did not wash their hands. The child did not wash their hands.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. 1. In the two’s classroom, one bottle of bleach and water was sitting out on the counter. 2. The center’s hallway cabinet was unlocked and contained a container of bleach and water sitting on top of the cabinet and one container of bleach and water and Lysol was inside the cabinet unlocked.”

8VAC20-780-450-A

“Cribs, cots, mats and beds used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. In the two’s room, eight children were resting without a bottom cover.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. Child #1 had documentation of immunizations which were over 1 year and 2 months past the due date. 2. Child #3, who had been attending the center for over 2 years, 7 months did not have documentation of immunizations. 3. Child #4, had documentation of immunizations which were over 2 months past the due date.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for staff #3, who is currently working, was dated two days after their first day of employment.”

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 #3 did not have a completed national criminal background check prior to hire, the criminal background check was overdue by 6 days.”

8VAC20-780-570-A

“When a child is placed in a high chair, the protective belt shall be fastened securely. In the toddler classroom four children were seated in the feeding table, two children did not have a protective belt.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. 1. Child #1 had documentation of a physical examination which was over 1 year and 1 month past the due date. 2. Child #4 had documentation of a physical examination which was over 1 month past the due date.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #4 had a TB screening dated four days after the start of employment.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The allergy list was not current in the toddler room, two’s room, and school-age room were dated 6/20/2024. A student who is no longer enrolled was listed on the allergy list in all rooms.”

8VAC20-780-550-P

“The center is required to maintain a written record of children's serious and minor injuries with all required components documented on the day of occurrence. Ten injury reports were reviewed. Three reports did not contain the type and circumstance of the injury, five did not contain the date and time parents were notified, and three did not contain documentation of how parent was notified.”

8VAC20-780-580-K Complaint related: No

“Staff shall verify that all children have been removed from the vehicle at the conclusion of any trip. Staff #1 did not verify that all children had been removed from the vehicle. Child #1 was left unsupervised on the vehicle for less than five minutes.”

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

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Child #1 was being transported from school to the childcare center. Staff #1 stated she did not see child #1 get up during transportation and move to a seat in the back of the vehicle. Staff #1 stated she asked another child if all the children were off the vehicle. Child #1 was left unsupervised in the back of the vehicle for less than 5 minutes.”

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

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Child #1 fell asleep in the back of the center vehicle and was unsupervised for less than five minutes.”

8VAC20-780-350-B-3 Complaint related: No

“Based on observation and documentation review, the center did not maintain required staff-to-children ratio. Evidence: On September 12, 2024, the following was observed in room #1. Times are approximate. 1. At 6:50 AM, a grouping of nine children were being supervised by one staff. The youngest in the group was two years old requiring a ratio of one staff to eight children. 2. At 6:55 AM a grouping of 10 children were being supervised by one staff. The youngest in the group was two years old requiring a ratio of one staff to eight children. 3. At 7:00 AM a grouping of 15 children were being supervised by one staff. The youngest in the group was two years old requiring a ratio of one staff to eight children. 4. At 7:05 AM a grouping of 16 children were being supervised by one staff. The youngest in the group was two years old requiring a ratio of one staff to eight children.”

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

“Based on review of the center's policies and procedures, the center did not ensure activities and services were maintained in compliance with the center's own policies and procedures required by the standards. Evidence: 1. The centers policies and procedures state that ?State ratios are important indicators of quality. Ratio adherence is a dual responsibility between teachers and management.? ?Call the front desk for assistance? when ?the total number of children in attendance exceeds the state ratio?. 2. On September 12, 2024, in room #1, staff did not maintain staff to children ratios from 6:50 AM to 7:09 AM.”

8VAC20-780-470-E Complaint related: Yes

“Based on observation the center did not ensure that portable wading pools were not used for children that are not toilet trained. Evidence: Administration stated that children who are not potty trained used the portable wading pool at the center.”

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

“Based on observation, review of the license and interview, the licensee failed to ensure that the center’s activities are maintained in compliance with the terms of the current license issued by the department. Evidence: 1. The center license is issued to 4501 Williamsburg Road, [name], Henrico, Virginia 23231. Children and staff were using another suite location in the same strip mall that was not licensed with the Virginia Department of Education. 2. Staff #1 and staff #2 stated that the staff and children use the suite located a few doors down from the licensed location for projects and activities.”

8VAC20-790-600-F

“Based on review of records, the vendor did not ensure that staff who work directly with children completed the department's health and safety update course annually. Evidence: The record for staff #3 (employed:01/02/23) did not contain documentation of the most recent annual health and safety update training.”

8VAC20-790-600-F

“Based on review of records, the vendor did not ensure that staff who work directly with children completed the department's health and safety update course annually. Evidence: The record for staff #3 (employed:01/02/23) did not contain documentation of the most recent annual health and safety update training.”

8VAC20-780-160-A

“Based on record review, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: The record for staff #1 (employed: 01/02/23) had documentation of a TB screening dated 2/21/23. The record for staff #8 (employed: 9/01/22) had documentation of a TB screening dated 2/23/23. The records for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff 7 (employed: 8/21/23), and staff #9 (employed: 9/13/23) did not have documentation of the TB screening or test.”

8VAC20-780-550-F

“Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly. Evidence: The center did not have documentation of one lockdown drill practiced in 2022.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly. Evidence: The center did not have documentation of two shelter-in-place practice drills in 2022”

8VAC20-780-580-C

“Based on a record review, the center did not ensure emergency numbers as specified in 8VAC20-780-550 I and K where maintained during transportation. Evidence: The center did not have the following required information kept on the 2 vehicles used to transport children: local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc.”

8VAC20-780-140-A

“Based on record review, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #6 (enrolled: 4/12/23) did not contain documentation of a physical examination.”

22.1-289.035-B-2

“Based on review of staff records and interview, the center did not ensure staff had the satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: The records for staff #5 (employed: 9/13/23), staff #8 (employed: 9/01/22), staff #9 (employed: 9/13/23) did not have the results of the fingerprint -based national criminal background check prior to employment. Management acknowledged that the background checks were not completed prior to employment.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: 1. The record for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff #7 (employed: 8/21/23), staff #8 (employed: 9/01/22), and staff #9 (employed: 9/13/23) did not contain the central registry findings. 2. A member of management stated staff #4, staff #5, staff #7, staff #8, and staff #9 are still working at the center.”

8VAC20-780-245-A

“Based on record review, the center did not ensure that all staff members complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for staff # 2 (employed: 2/15/21) had documentation of 2.5 hours of the 16 hours of training required.”

8VAC20-780-40-M

“Based on observation and documentation review, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present. Evidence: During the inspection on December 5, 2023, classrooms contained an allergy report dated 9/19/23.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure that staff had the required repeat background checks every 5 years. Evidence: The record of staff #6 did not contain an updated central registry finding or an updated satisfactory result of the fingerprint-based national criminal background check. A member of management could not locate the central registry or fingerprint-based national criminal background check.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure there were a minimum of two shelter-in-place practice drills, yearly. Evidence: The center did not have documentation of one of the two required shelter-in-place practice drills in 2023.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: In classroom #2, six children were on cots that did not have a bottom cover. In room #4, four children were on cots that did not have a bottom cover.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In room #1 and room #2 a container labeled bleach and water was sitting on top of the children’s cubbies. In room #4, Glass Plus was sitting on the countertop.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition. Evidence: ? In room #5, an infant was observed sitting in a bouncer seat which had been placed in a crib. The U.S. Consumer Product Safety Commission recommends bouncer seats to always be used on the floor, never on a countertop, table, or other elevated surface. Warning labels indicate use bouncer only on the floor.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The records for staff #3 (employed: 1/02/23) and staff #5 (employed: 08/22/22) did not contain documentation of the completed Virginia Department of Education sponsored 10-hour orientation course which must be completed within 90 calendar days of employment. 2. A member of management confirmed that the two staff members had not completed the course and/or the documentation could not be located.”

8VAC20-780-130-E

“Based on record review, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: The record for child #2 (birth date: 5/13/23) had documentation of immunization at time of enrollment on 06/22/23. No other immunization records were in the record for child #2.”

8VAC20-770-60-C-2

“Based on record review, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: The record for staff #6 (employed: 8/21/23) did not have documentation of central registry findings. On 12/21/23, the licensing inspector observed documentation that staff #6 had submitted the required central registry to the department of social services.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure all staff records had documentation of a completed sworn statement or affirmation prior to the first day of employment. Evidence: 1. The record of staff #9 (employed: 02/02/24) did not have documentation of a complete sworn statement prior to hire. 2. A member of management stated that staff #4 and staff #5 did not complete a sworn statement prior to hire.”

8VAC20-770-40-D-6

“Based on a review of staff records, the center failed to ensure that a criminal history background check and a central registry check was not more than 90 days prior to employment. Evidence: The record for staff #7 (employed: 4/29/24) had documentation of the criminal history background check dated 12/15/23. Staff #7 had documentation of central registry findings dated 01/11/24. A member of management verified staff #7?s first day of employment.”

8VAC20-780-340-D

“Based on observation, staff interview, and staff files, the facility failed to have at least one staff member who meets the qualifications of a program leader regularly present. Evidence: In room #1, staff #5 stated she was the lead teacher, staff #5 does not have program leader qualifications documented in the record. In room #2, staff #9 stated she was the lead teacher, staff #9 does not have program leader qualifications documented in the record. In room #3, staff #2 stated she was the lead teacher, staff #2 does not have program leader qualifications documented in the record. In room #4, staff #3 stated she was the lead teacher, staff #3 does not have program leader qualifications documented in the record.”

8VAC20-790-600-F

“Based on a review of staff records and interviews, the vendor did not ensure that staff who work directly with children completed the department's health and safety update course annually. Evidence: The records for staff #1 (employed: 01/02/23), and staff #2 (employed: 2/15/21) did not contain documentation of the most recent annual health and safety update training. During interview, a member of management acknowledged staff #1 and staff #2 did not have documentation of required annual training.”

8VAC20-790-600-D-2

“Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current first aid certification appropriate to the ages of children in care within 90 days of employment. Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23)) did not have current certification in first aid appropriate to the ages of children in care. During interview, management acknowledged staff #5, staff #7, and staff #9 did not have current first aid certification.”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current cardiopulmonary resuscitation (CPR) certification within 90 days of employment. Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23) did not have current certification in CPR. During interview, management acknowledged that staff #5, staff #7, and staff #9 did not have current CPR certification.”

8VAC20-780-160-A

“Based on record review, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: The record for staff #1 (employed: 01/02/23) had documentation of a TB screening dated 2/21/23. The record for staff #8 (employed: 9/01/22) had documentation of a TB screening dated 2/23/23. The records for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff 7 (employed: 8/21/23), and staff #9 (employed: 9/13/23) did not have documentation of the TB screening or test.”

8VAC20-780-550-F

“Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly. Evidence: The center did not have documentation of one lockdown drill practiced in 2022.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly. Evidence: The center did not have documentation of two shelter-in-place practice drills in 2022”

8VAC20-780-580-C

“Based on a record review, the center did not ensure emergency numbers as specified in 8VAC20-780-550 I and K where maintained during transportation. Evidence: The center did not have the following required information kept on the 2 vehicles used to transport children: local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc.”

8VAC20-780-140-A

“Based on record review, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #6 (enrolled: 4/12/23) did not contain documentation of a physical examination.”

22.1-289.035-B-2

“Based on review of staff records and interview, the center did not ensure staff had the satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: The records for staff #5 (employed: 9/13/23), staff #8 (employed: 9/01/22), staff #9 (employed: 9/13/23) did not have the results of the fingerprint -based national criminal background check prior to employment. Management acknowledged that the background checks were not completed prior to employment.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: 1. The record for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff #7 (employed: 8/21/23), staff #8 (employed: 9/01/22), and staff #9 (employed: 9/13/23) did not contain the central registry findings. 2. A member of management stated staff #4, staff #5, staff #7, staff #8, and staff #9 are still working at the center.”

8VAC20-780-245-A

“Based on record review, the center did not ensure that all staff members complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for staff # 2 (employed: 2/15/21) had documentation of 2.5 hours of the 16 hours of training required.”

8VAC20-780-40-M

“Based on observation and documentation review, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present. Evidence: During the inspection on December 5, 2023, classrooms contained an allergy report dated 9/19/23.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure that staff had the required repeat background checks every 5 years. Evidence: The record of staff #6 did not contain an updated central registry finding or an updated satisfactory result of the fingerprint-based national criminal background check. A member of management could not locate the central registry or fingerprint-based national criminal background check.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure there were a minimum of two shelter-in-place practice drills, yearly. Evidence: The center did not have documentation of one of the two required shelter-in-place practice drills in 2023.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: In classroom #2, six children were on cots that did not have a bottom cover. In room #4, four children were on cots that did not have a bottom cover.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In room #1 and room #2 a container labeled bleach and water was sitting on top of the children’s cubbies. In room #4, Glass Plus was sitting on the countertop.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition. Evidence: ? In room #5, an infant was observed sitting in a bouncer seat which had been placed in a crib. The U.S. Consumer Product Safety Commission recommends bouncer seats to always be used on the floor, never on a countertop, table, or other elevated surface. Warning labels indicate use bouncer only on the floor.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The records for staff #3 (employed: 1/02/23) and staff #5 (employed: 08/22/22) did not contain documentation of the completed Virginia Department of Education sponsored 10-hour orientation course which must be completed within 90 calendar days of employment. 2. A member of management confirmed that the two staff members had not completed the course and/or the documentation could not be located.”

8VAC20-780-130-E

“Based on record review, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: The record for child #2 (birth date: 5/13/23) had documentation of immunization at time of enrollment on 06/22/23. No other immunization records were in the record for child #2.”

8VAC20-770-60-C-2

“Based on record review, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: The record for staff #6 (employed: 8/21/23) did not have documentation of central registry findings. On 12/21/23, the licensing inspector observed documentation that staff #6 had submitted the required central registry to the department of social services.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure all staff records had documentation of a completed sworn statement or affirmation prior to the first day of employment. Evidence: 1. The record of staff #9 (employed: 02/02/24) did not have documentation of a complete sworn statement prior to hire. 2. A member of management stated that staff #4 and staff #5 did not complete a sworn statement prior to hire.”

8VAC20-770-40-D-6

“Based on a review of staff records, the center failed to ensure that a criminal history background check and a central registry check was not more than 90 days prior to employment. Evidence: The record for staff #7 (employed: 4/29/24) had documentation of the criminal history background check dated 12/15/23. Staff #7 had documentation of central registry findings dated 01/11/24. A member of management verified staff #7?s first day of employment.”

8VAC20-780-340-D

“Based on observation, staff interview, and staff files, the facility failed to have at least one staff member who meets the qualifications of a program leader regularly present. Evidence: In room #1, staff #5 stated she was the lead teacher, staff #5 does not have program leader qualifications documented in the record. In room #2, staff #9 stated she was the lead teacher, staff #9 does not have program leader qualifications documented in the record. In room #3, staff #2 stated she was the lead teacher, staff #2 does not have program leader qualifications documented in the record. In room #4, staff #3 stated she was the lead teacher, staff #3 does not have program leader qualifications documented in the record.”

8VAC20-790-600-F

“Based on a review of staff records and interviews, the vendor did not ensure that staff who work directly with children completed the department's health and safety update course annually. Evidence: The records for staff #1 (employed: 01/02/23), and staff #2 (employed: 2/15/21) did not contain documentation of the most recent annual health and safety update training. During interview, a member of management acknowledged staff #1 and staff #2 did not have documentation of required annual training.”

8VAC20-790-600-D-2

“Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current first aid certification appropriate to the ages of children in care within 90 days of employment. Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23)) did not have current certification in first aid appropriate to the ages of children in care. During interview, management acknowledged staff #5, staff #7, and staff #9 did not have current first aid certification.”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current cardiopulmonary resuscitation (CPR) certification within 90 days of employment. Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23) did not have current certification in CPR. During interview, management acknowledged that staff #5, staff #7, and staff #9 did not have current CPR certification.”

8VAC20-780-160-A

“Based on record review, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: The record for staff #1 (employed: 01/02/23) had documentation of a TB screening dated 2/21/23. The record for staff #8 (employed: 9/01/22) had documentation of a TB screening dated 2/23/23. The records for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff 7 (employed: 8/21/23), and staff #9 (employed: 9/13/23) did not have documentation of the TB screening or test.”

8VAC20-780-550-F

“Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly. Evidence: The center did not have documentation of one lockdown drill practiced in 2022.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly. Evidence: The center did not have documentation of two shelter-in-place practice drills in 2022”

8VAC20-780-580-C

“Based on a record review, the center did not ensure emergency numbers as specified in 8VAC20-780-550 I and K where maintained during transportation. Evidence: The center did not have the following required information kept on the 2 vehicles used to transport children: local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc.”

8VAC20-780-140-A

“Based on record review, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #6 (enrolled: 4/12/23) did not contain documentation of a physical examination.”

22.1-289.035-B-2

“Based on review of staff records and interview, the center did not ensure staff had the satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: The records for staff #5 (employed: 9/13/23), staff #8 (employed: 9/01/22), staff #9 (employed: 9/13/23) did not have the results of the fingerprint -based national criminal background check prior to employment. Management acknowledged that the background checks were not completed prior to employment.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: 1. The record for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff #7 (employed: 8/21/23), staff #8 (employed: 9/01/22), and staff #9 (employed: 9/13/23) did not contain the central registry findings. 2. A member of management stated staff #4, staff #5, staff #7, staff #8, and staff #9 are still working at the center.”

8VAC20-780-245-A

“Based on record review, the center did not ensure that all staff members complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for staff # 2 (employed: 2/15/21) had documentation of 2.5 hours of the 16 hours of training required.”

8VAC20-780-40-M

“Based on observation and documentation review, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present. Evidence: During the inspection on December 5, 2023, classrooms contained an allergy report dated 9/19/23.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure that staff had the required repeat background checks every 5 years. Evidence: The record of staff #6 did not contain an updated central registry finding or an updated satisfactory result of the fingerprint-based national criminal background check. A member of management could not locate the central registry or fingerprint-based national criminal background check.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure there were a minimum of two shelter-in-place practice drills, yearly. Evidence: The center did not have documentation of one of the two required shelter-in-place practice drills in 2023.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: In classroom #2, six children were on cots that did not have a bottom cover. In room #4, four children were on cots that did not have a bottom cover.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In room #1 and room #2 a container labeled bleach and water was sitting on top of the children’s cubbies. In room #4, Glass Plus was sitting on the countertop.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition. Evidence: ? In room #5, an infant was observed sitting in a bouncer seat which had been placed in a crib. The U.S. Consumer Product Safety Commission recommends bouncer seats to always be used on the floor, never on a countertop, table, or other elevated surface. Warning labels indicate use bouncer only on the floor.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The records for staff #3 (employed: 1/02/23) and staff #5 (employed: 08/22/22) did not contain documentation of the completed Virginia Department of Education sponsored 10-hour orientation course which must be completed within 90 calendar days of employment. 2. A member of management confirmed that the two staff members had not completed the course and/or the documentation could not be located.”

8VAC20-780-130-E

“Based on record review, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: The record for child #2 (birth date: 5/13/23) had documentation of immunization at time of enrollment on 06/22/23. No other immunization records were in the record for child #2.”

8VAC20-770-60-C-2

“Based on record review, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: The record for staff #6 (employed: 8/21/23) did not have documentation of central registry findings. On 12/21/23, the licensing inspector observed documentation that staff #6 had submitted the required central registry to the department of social services.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure all staff records had documentation of a completed sworn statement or affirmation prior to the first day of employment. Evidence: 1. The record of staff #9 (employed: 02/02/24) did not have documentation of a complete sworn statement prior to hire. 2. A member of management stated that staff #4 and staff #5 did not complete a sworn statement prior to hire.”

8VAC20-770-40-D-6

“Based on a review of staff records, the center failed to ensure that a criminal history background check and a central registry check was not more than 90 days prior to employment. Evidence: The record for staff #7 (employed: 4/29/24) had documentation of the criminal history background check dated 12/15/23. Staff #7 had documentation of central registry findings dated 01/11/24. A member of management verified staff #7?s first day of employment.”

8VAC20-780-340-D

“Based on observation, staff interview, and staff files, the facility failed to have at least one staff member who meets the qualifications of a program leader regularly present. Evidence: In room #1, staff #5 stated she was the lead teacher, staff #5 does not have program leader qualifications documented in the record. In room #2, staff #9 stated she was the lead teacher, staff #9 does not have program leader qualifications documented in the record. In room #3, staff #2 stated she was the lead teacher, staff #2 does not have program leader qualifications documented in the record. In room #4, staff #3 stated she was the lead teacher, staff #3 does not have program leader qualifications documented in the record.”

8VAC20-790-600-F

“Based on a review of staff records and interviews, the vendor did not ensure that staff who work directly with children completed the department's health and safety update course annually. Evidence: The records for staff #1 (employed: 01/02/23), and staff #2 (employed: 2/15/21) did not contain documentation of the most recent annual health and safety update training. During interview, a member of management acknowledged staff #1 and staff #2 did not have documentation of required annual training.”

8VAC20-790-600-D-2

“Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current first aid certification appropriate to the ages of children in care within 90 days of employment. Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23)) did not have current certification in first aid appropriate to the ages of children in care. During interview, management acknowledged staff #5, staff #7, and staff #9 did not have current first aid certification.”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current cardiopulmonary resuscitation (CPR) certification within 90 days of employment. Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23) did not have current certification in CPR. During interview, management acknowledged that staff #5, staff #7, and staff #9 did not have current CPR certification.”

8VAC20-780-160-A

“Based on record review, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: The record for staff #1 (employed: 01/02/23) had documentation of a TB screening dated 2/21/23. The record for staff #8 (employed: 9/01/22) had documentation of a TB screening dated 2/23/23. The records for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff 7 (employed: 8/21/23), and staff #9 (employed: 9/13/23) did not have documentation of the TB screening or test.”

8VAC20-780-550-F

“Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly. Evidence: The center did not have documentation of one lockdown drill practiced in 2022.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly. Evidence: The center did not have documentation of two shelter-in-place practice drills in 2022”

8VAC20-780-580-C

“Based on a record review, the center did not ensure emergency numbers as specified in 8VAC20-780-550 I and K where maintained during transportation. Evidence: The center did not have the following required information kept on the 2 vehicles used to transport children: local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc.”

8VAC20-780-140-A

“Based on record review, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #6 (enrolled: 4/12/23) did not contain documentation of a physical examination.”

22.1-289.035-B-2

“Based on review of staff records and interview, the center did not ensure staff had the satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: The records for staff #5 (employed: 9/13/23), staff #8 (employed: 9/01/22), staff #9 (employed: 9/13/23) did not have the results of the fingerprint -based national criminal background check prior to employment. Management acknowledged that the background checks were not completed prior to employment.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: 1. The record for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff #7 (employed: 8/21/23), staff #8 (employed: 9/01/22), and staff #9 (employed: 9/13/23) did not contain the central registry findings. 2. A member of management stated staff #4, staff #5, staff #7, staff #8, and staff #9 are still working at the center.”

8VAC20-780-245-A

“Based on record review, the center did not ensure that all staff members complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: The record for staff # 2 (employed: 2/15/21) had documentation of 2.5 hours of the 16 hours of training required.”

8VAC20-780-40-M

“Based on observation and documentation review, the center did not ensure to maintain a current written list of all children's allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present. Evidence: During the inspection on December 5, 2023, classrooms contained an allergy report dated 9/19/23.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure that staff had the required repeat background checks every 5 years. Evidence: The record of staff #6 did not contain an updated central registry finding or an updated satisfactory result of the fingerprint-based national criminal background check. A member of management could not locate the central registry or fingerprint-based national criminal background check.”

8VAC20-780-550-E

“Based on record review, the licensee did not ensure there were a minimum of two shelter-in-place practice drills, yearly. Evidence: The center did not have documentation of one of the two required shelter-in-place practice drills in 2023.”

8VAC20-780-450-A

“Based on observation, the center did not ensure that cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: In classroom #2, six children were on cots that did not have a bottom cover. In room #4, four children were on cots that did not have a bottom cover.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children. Evidence: In room #1 and room #2 a container labeled bleach and water was sitting on top of the children’s cubbies. In room #4, Glass Plus was sitting on the countertop.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition. Evidence: ? In room #5, an infant was observed sitting in a bouncer seat which had been placed in a crib. The U.S. Consumer Product Safety Commission recommends bouncer seats to always be used on the floor, never on a countertop, table, or other elevated surface. Warning labels indicate use bouncer only on the floor.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The records for staff #3 (employed: 1/02/23) and staff #5 (employed: 08/22/22) did not contain documentation of the completed Virginia Department of Education sponsored 10-hour orientation course which must be completed within 90 calendar days of employment. 2. A member of management confirmed that the two staff members had not completed the course and/or the documentation could not be located.”

8VAC20-780-130-E

“Based on record review, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: The record for child #2 (birth date: 5/13/23) had documentation of immunization at time of enrollment on 06/22/23. No other immunization records were in the record for child #2.”

8VAC20-770-60-C-2

“Based on record review, the center did not have documentation of central registry findings by the end of the 30th day of employment. Evidence: The record for staff #6 (employed: 8/21/23) did not have documentation of central registry findings. On 12/21/23, the licensing inspector observed documentation that staff #6 had submitted the required central registry to the department of social services.”

8VAC20-770-60-B

“Based on record review and interview, the center did not ensure all staff records had documentation of a completed sworn statement or affirmation prior to the first day of employment. Evidence: 1. The record of staff #9 (employed: 02/02/24) did not have documentation of a complete sworn statement prior to hire. 2. A member of management stated that staff #4 and staff #5 did not complete a sworn statement prior to hire.”

8VAC20-770-40-D-6

“Based on a review of staff records, the center failed to ensure that a criminal history background check and a central registry check was not more than 90 days prior to employment. Evidence: The record for staff #7 (employed: 4/29/24) had documentation of the criminal history background check dated 12/15/23. Staff #7 had documentation of central registry findings dated 01/11/24. A member of management verified staff #7?s first day of employment.”

8VAC20-780-340-D

“Based on observation, staff interview, and staff files, the facility failed to have at least one staff member who meets the qualifications of a program leader regularly present. Evidence: In room #1, staff #5 stated she was the lead teacher, staff #5 does not have program leader qualifications documented in the record. In room #2, staff #9 stated she was the lead teacher, staff #9 does not have program leader qualifications documented in the record. In room #3, staff #2 stated she was the lead teacher, staff #2 does not have program leader qualifications documented in the record. In room #4, staff #3 stated she was the lead teacher, staff #3 does not have program leader qualifications documented in the record.”

8VAC20-790-600-F

“Based on a review of staff records and interviews, the vendor did not ensure that staff who work directly with children completed the department's health and safety update course annually. Evidence: The records for staff #1 (employed: 01/02/23), and staff #2 (employed: 2/15/21) did not contain documentation of the most recent annual health and safety update training. During interview, a member of management acknowledged staff #1 and staff #2 did not have documentation of required annual training.”

8VAC20-790-600-D-2

“Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current first aid certification appropriate to the ages of children in care within 90 days of employment. Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23)) did not have current certification in first aid appropriate to the ages of children in care. During interview, management acknowledged staff #5, staff #7, and staff #9 did not have current first aid certification.”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current cardiopulmonary resuscitation (CPR) certification within 90 days of employment. Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23) did not have current certification in CPR. During interview, management acknowledged that staff #5, staff #7, and staff #9 did not have current CPR certification.”

8VAC20-780-550-H

“Based on review of the evacuation log, the center failed to ensure that drills were practiced monthly. Evidence An evacuation drill log was not provided because the assistant could not locate the documented drills.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff washed their hands with soap and running water after a diaper change. Evidence: In Room 1, after changing a child's diaper staff A returned to the group with infant A without washing the staff member’s hands or the child's hands.”

8VAC20-780-340-F

“Based on observations, the facility failed to ensure that all children under 10 years of age are within actual sight and sound supervision. Evidence: Two children age 3 and 5 were seen unsupervised in the hall.”

8VAC20-780-320-B

“Based observations, the facility failed to ensure that sinks are supplied with running warm water that does not exceed 120 degrees Fahrenheit (F). Evidence: The hot water taps in the following rooms exceeded a temperature of 120 F: Bathroom 1 registered at 139 F; bathroom 2 registered at 131 F; Classroom 3 sink registered at 136 F; and Bathroom # 3 registered at 138 F.”

8VAC20-780-70

“Based on a review of documentation and interviews, the provider did not ensure that three of five staff completed the required orientation training OR that three of five staff records contained documentation of completed orientation training Evidence: 1. Three staff files did not contain documentation that orientation was completed.”

8VAC20-770-60-C-2

“Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment. Evidence: 1. The records for staff #4 (start date: 4/22/22), staff #5 (start date: 2/14/22), staff #6 (start date: 4/13/22) did not contain central registry findings. 2. A member a management stated that the documents were not in the staff records.”

8VAC20-770-60-B

“Based on review of staff records and interview, documentation of the sworn statement was not completed prior to the first day of employment. Evidence: 1. The record for staff #5 (start date: 2/14/22) did not contain documentation of the sworn statement . 2. A member management stated that the sworn statement was not in the record for staff #5.”

8VAC20-780-550-H

“Based on review of the evacuation log, the center failed to ensure that drills were practiced monthly. Evidence An evacuation drill log was not provided because the assistant could not locate the documented drills.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff washed their hands with soap and running water after a diaper change. Evidence: In Room 1, after changing a child's diaper staff A returned to the group with infant A without washing the staff member’s hands or the child's hands.”

8VAC20-780-340-F

“Based on observations, the facility failed to ensure that all children under 10 years of age are within actual sight and sound supervision. Evidence: Two children age 3 and 5 were seen unsupervised in the hall.”

8VAC20-780-320-B

“Based observations, the facility failed to ensure that sinks are supplied with running warm water that does not exceed 120 degrees Fahrenheit (F). Evidence: The hot water taps in the following rooms exceeded a temperature of 120 F: Bathroom 1 registered at 139 F; bathroom 2 registered at 131 F; Classroom 3 sink registered at 136 F; and Bathroom # 3 registered at 138 F.”

8VAC20-780-70

“Based on a review of documentation and interviews, the provider did not ensure that three of five staff completed the required orientation training OR that three of five staff records contained documentation of completed orientation training Evidence: 1. Three staff files did not contain documentation that orientation was completed.”

8VAC20-770-60-C-2

“Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment. Evidence: 1. The records for staff #4 (start date: 4/22/22), staff #5 (start date: 2/14/22), staff #6 (start date: 4/13/22) did not contain central registry findings. 2. A member a management stated that the documents were not in the staff records.”

8VAC20-770-60-B

“Based on review of staff records and interview, documentation of the sworn statement was not completed prior to the first day of employment. Evidence: 1. The record for staff #5 (start date: 2/14/22) did not contain documentation of the sworn statement . 2. A member management stated that the sworn statement was not in the record for staff #5.”

8VAC20-790-600-F

“Based on record review, the center did not obtain the department's health and safety update course for each staff member. Evidence: 1. The record for staff #1 (hire date 04/04/16) did not have annual health and safety update training.”

8VAC20-770-60-B

“Based on review of staff records and discussion with staff, the center failed to obtain a sworn statement prior to employment. Evidence: 1. The record for staff #3 (start date: 3/23/21) had a Sworn Statement dated 03/24/2021.”

8VAC20-770-60-C-2

“Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment. Evidence: 1. The record for staff # 2 (start date: 11/15/21), did not contain the results of a central registry finding. 2. During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #2. The records did not contain documentation of any further contact, and the staff members had been continuously employed.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff #3 (hire date 3/23/21) had documentation of a reference checks dated 3/30/21.”

8VAC20-790-600-F

“Based on record review, the center did not obtain the department's health and safety update course for each staff member. Evidence: 1. The record for staff #1 (hire date 04/04/16) did not have annual health and safety update training.”

8VAC20-770-60-B

“Based on review of staff records and discussion with staff, the center failed to obtain a sworn statement prior to employment. Evidence: 1. The record for staff #3 (start date: 3/23/21) had a Sworn Statement dated 03/24/2021.”

8VAC20-770-60-C-2

“Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment. Evidence: 1. The record for staff # 2 (start date: 11/15/21), did not contain the results of a central registry finding. 2. During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #2. The records did not contain documentation of any further contact, and the staff members had been continuously employed.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff #3 (hire date 3/23/21) had documentation of a reference checks dated 3/30/21.”