Wanda's Wonderland Educational Center

8VAC20-780-130-E

“Based on document review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child 4 was confirmed to be 2 years old. The most recent documentation of immunizations in the record for Child 4 was dated 08/16/2023. The documented first date of attendance for Child 4 was 08/21/2023. Documentation of additional immunizations were not obtained every six months for a child under two years.”

8VAC20-780-420-E-3

“Based on documents review, the center failed to ensure at least annually that parents confirm the required information in the child’s record is up to date. Evidence: The record for Child 2 documented the first date of attendance was 9/19/2022. These was no annual update of required information.”

8VAC20-780-540-A

“REPEAT VIOLATION Based on observation and interviews with staff, the center failed to ensure that a first aid kit shall be wherever children are in care. Evidence: No first aid kit was located in the black rental vehicle. Staff 8 confirmed that the black rental vehicle was used to transport three children from school on 05/30/2024.”

8VAC20-780-80-A

“THIRD REPEAT VIOLATION Based on observation and interviews with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: On 03/20/2024 at approximately 3:30 pm, there were 36 children on the outside play area. No children’s attendance was available for review when requested. Children were observed leaving the center with parents and staff were not documenting departures as they occurred.”

8VAC20-780-350-C

“Based on observation and interviews with staff, the center failed to ensure that when children are in ongoing mixed age groups, the staff to child ratio and the group size applicable to the youngest child in the group shall apply to the entire group. Evidence: On 03/20/2024 at approximately 3:30 pm, there were 36 children observed on the outside play area with 6 staff members. The children were all playing together, and no staff could identify a group of children they were supervising. The youngest child in care was 18 months old. The required ratio for this mixed age group of children was 1 staff to 5 children. Eight staff would be required.”

8VAC20-780-40-E

“REPEAT VIOLATION Based on observation the center failed to maintain the operational responsibility of the licensee to ensure that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards and the terms of the current license issued by the department. Evidence: The terms of current license issued by the department shows a capacity of 32 children. The stipulations shown on the face of the license states the maximum occupancy of the building is 37, including staff and no more than 24 children on the outside play area at one time. On 03/20/2024 at approximately 3:30 pm, there were a total of 40 children, ages 18 months to 8 years, in care and 36 children were on the outside play area. The provider was previously found exceeding licensed capacity on 03/06/2024.”

8VAC20-780-340-A

“REPEAT VIOLATION Based on observation and interviews with staff, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: On 03/20/2024 at approximately 3:30 pm, there were 40 children in care and the licensed capacity for the center is 32. The stipulation shown on the face of the license states no more than 24 children on the outside play area at one time and 36 children, ages 18 months to 8 years, were on the play area. When inspectors arrived, staff could not identify the number of children on the play area or the group they were supervising. There were multiple failed attempts of staff to gain control of the children to count the children. The staff were unable to provide a number of children they were supervising on the playground and the inspectors had to assist with counting children.”

8VAC20-780-580-L

“Based on interviews with staff, the center failed to obtain parental permission for transportation and field trips before the scheduled activity. Evidence: Staff 2 and Staff 3 confirmed there was no parental permission to transport for Child 1 available for review during the inspection. Staff 1 confirmed that Child 1 was transported from school to the center on 03/01/2024.”

8VAC20-780-580-C

“Based on staff interviews, the center failed to ensure that during transportation of children the Virginia state statutes about safety belts and child restraints are followed as required by the Code of Virginia and that the information required by the standard is in the transportation vehicle. Evidence: 1. The Code of Virginia requires that any child, up to age eight, shall be properly secured in a child restraint device of a type which meets the standards adopted by the United States Department of Transportation. Staff 1 confirmed that on 03/01/2024, Child 1 (age 7 years) was not secured in a child restraint device. Child 1 was transported on the center’s red transit van from approximately 3:05 pm to approximately 4:50 pm without being properly restrained. 2. Staff 1 and Staff 3 both verified that the vehicle used for transportation did not contain the following required information: a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center; the center’s name, address and phone number; a list of the names of the children being transported.”

22.1-289.035-B-4

“Based on record review and interviews with staff, the center failed to obtain a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: Staff 6 had a hire date of 01/15/2024. The record contained documentation that Staff 6 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection. Staff 2 confirmed the out of state child abuse and neglect registry has not been requested.”

8VAC20-780-130-A

“SYSTEMIC VIOLATION REPEAT VIOLATION Based on record review and interviews with staff, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Staff 3 confirmed the first date of attendance for Child 1 was 08/25/2022. Staff 2 and Staff 3 confirmed that no documentation of immunizations for Child 1 was available for review during the inspection.”

8VAC20-780-550-K

“SYSTEMIC VIOLATION Based on interviews with staff, the center failed to prepare a document containing 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. This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: Staff 3 confirmed there was no document. Staff 1 confirmed they did not have access to any document that contained all the required components of the standards, which would include information pertaining to each route frequently driven. The driver, Staff 1, reported getting lost while driving the route to a school on 03/01/2024.”

8VAC20-780-540-C

“SYSTEMIC VIOLATION Based on observation, the center failed to ensure that the required first aid kits shall include all required items. Evidence: 1. The first aid kit in the center’s gold transit van was missing the following required items: scissors, tweezers, adhesive tape, thermometer, triangular bandages, gloves and first aid instruction manual. 2. The first aid kit in the center’s tan transit van was missing the following required items: scissors, tweezers, gauze, adhesive tape, thermometer, triangular bandages, gloves and first aid instruction manual.”

8VAC20-780-540-A

“SYSTEMIC VIOLATION Based on observation and interviews with staff, the center failed to ensure that a first aid kit shall be wherever children are in care. Evidence: There was no first aid kit on the center’s red transit van. Staff 1 and Staff 3 confirmed that the van was used to transport Child 1 from school on 03/01/2024.”

8VAC20-780-140-A

“SYSTEMIC VIOLATION SECOND REPEAT VIOLATION Based on record review and interviews with staff, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: Staff 3 confirmed the first date of attendance for Child 1 was 08/25/2022. Staff 2 and Staff 3 confirmed that documentation of a physical examination for Child 1 was not available for review during the inspection.”

8VAC20-780-160-A

“SYSTEMIC VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: Staff 6 had a hire date of 01/15/2024. The date on the tuberculosis screening in the record was 01/23/2024.”

8VAC20-780-40-E

“SYSTEMIC VIOLATION Based on observation, review of required policies and procedures, and interviews with staff, the center failed to maintain the operational responsibility of the licensee to ensure that the center’s activities, services and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards and the terms of the current license issued by the department. Evidence: 1. The center’s transportation policy states each child will be placed in a proper car seat and properly restrained with a safety belt. Staff 1 confirmed that on 03/01/2023, Child 1 (age 7 years) was not placed in the proper car seat during transit in the red transit van from school to the center. 2. The center’s transportation policy states the attendance sheet will always be checked when arriving and departing a destination. Staff 2 and Staff 3 confirmed that on 03/01/2023, no attendance sheet was used while children were picked up and transported from schools to the center. 3. The term of current license issued by the department shows a capacity of 32 children. The stipulation that is shown on the face of the license that the maximum occupancy of the building is 37, including staff. On 03/06/2024 at approximately 3:35 pm, there were a total of 57 children, 8 staff, and 1 outside provider present, for a total of 66 building occupants.”

8VAC20-780-60-A

“SYSTEMIC VIOLATION REPEAT VIOLATION Based on record review and interviews with staff, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: Staff 3 confirmed the first date of attendance for Child 1 was 08/25/2022. Staff 2 and Staff 3 confirmed that no record for Child 1 was available for review during the inspection.”

8VAC20-780-70

“THIRD REPEAT VIOLATION SYSTEMIC VIOLATION Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 6 did not contain the following: job title, name, address, and telephone number of person to be notified in an emergency, information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available.”

8VAC20-780-80-A

“SYSTEMIC VIOLATION SECOND REPEAT VIOLATION Based on observation, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: On 3/06/2024 at approximately 3:35 pm, there were 14 children in care in the large room on the first floor. Staff 2 confirmed there was no attendance record for this group of children.”

8VAC20-780-240-B

“Based on record review and staff interviews, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 1 had a hire date of 1/15/2024. There was no documentation to verify that Staff 1 had completed orientation training in the required timeframe. Staff 2 verified no documentation was available. Staff 1 was observed working on 03/04/2024. Staff 1 confirmed they had not been provided with orientation training.”

8VAC20-780-340-A

“Based on observation and document review, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: 1. On 03/01/2024, Child 1 (age 7 years) was not properly secured in a child restraint device and was transported on the center’s red transit van from approximately 3:05 pm to approximately 4:50 pm. The driver, Staff 1, confirmed they were unfamiliar with the location of the schools and the routes to the schools and did not have a document on the center van containing information on each route or local emergency contacts. Staff 1 had not been provided orientation training prior to being assigned to drive alone to transport children. Staff 1 stated they did not have cellular service on 03/01/2024 and was unable to communicate with the center or use a navigational application which resulted in the driver being lost, entering another state, and unable to find the way back to center for approximately 105 minutes. Child 1 did not have a record at the center and Staff 1 only had the first name of the child. Due to lack of communication with Staff 1 and not knowing their whereabouts, Staff 3 contacted local police to report a possible lost/missing child. 2. On 03/06/2024 at approximately 3:35 pm, there was a total of 66 persons in the facility; 57 children, ages 21 months- 7 years, and 9 adults. The center has a licensing capacity of 32 children. The maximum occupancy, as declared by the is certificate of occupancy, is 37 persons. .”

8VAC20-780-350-B-4

“Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 3-year-olds up to school age eligible. Evidence: On 03/06/2024 at approximately 3:35 pm, there were 16 children observed in the room to the left at the top of the stairs with 1 staff member. The youngest child was 3 years old. The required staff ratio for this group of children was 1:10. Two staff would be required.”

8VAC20-770-60-B

“Based on record review and interviews with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: Staff 5 had a hire date of 07/25/2023. No sworn statement was available for review. Staff 2 confirmed that no sworn statement was available for review.”

8VAC20-780-160-C

“SYSTEMIC VIOLATION Based on record review and interviews with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 4 was dated 10/20/2021: there was not a follow-up test/screening for 2023 available for review. Staff 2 confirmed there was no 2023 test/ screening available for review.”

8VAC20-780-70

“SYSTEMIC VIOLATION SECOND REPEAT VIOLATION Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1, date of hire of 06/03/2023, did not contain the following: name, address, and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available. 2. The record for Staff 2, date of hire of 06/08/2022, did not contain the following: name, address, and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available. 3. The record for Staff 3, date of hire of 11/16/2023, did not contain the following: job title, date of employment, name, address, and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available. 4. The record for Staff 4, date of hire unknown, did not contain the following: name, address, and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available. 5. The record for Staff 5, date of hire of 07/25/2023, did not contain the following: name, address, and telephone number of person to be notified in an emergency, information about any health problems that may interfere with fulfilling the job responsibilities, and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. The record for Staff 5 indicated a position of program lead. Staff 2 confirmed this information was not available.”

8VAC20-780-80-A

“SYSTEMIC VIOLATION REPEAT VIOLATION Based on observation, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. There were 12 children in care in the large room on the first floor. The attendance record for that group indicated 2 children present. 2. There were 9 children in care in the small room on the first floor. The attendance record for that group indicated 7 children present.”

8VAC20-780-240-A

“Based on record review and interviews with staff, the center failed to ensure that all staff complete the Virginia Department of Education-sponsored orientation within 90 calendar days of hire. Evidence: 1. Staff 1 had a hire date of 06/03/2023; no documentation of Virginia Department of Education-sponsored orientation was available for review. 2. Staff 5 had hire date of 07/25/2023; no documentation of Virginia Department of Education-sponsored orientation was available for review.”

8VAC20-780-240-B

“Based on record review and staff interviews, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff 1 had a hire date of 06/03/2023. There was no documentation to verify that Staff 1 had completed orientation training in the required timeframe. Staff 2 verified no documentation was available. Staff 1 was observed working on 03/04/2024. 2. Staff 3 had a hire date of 11/16/2023. There was no documentation to verify that Staff 3 had completed orientation training in the required timeframe. Staff 2 verified no documentation was available. Staff 3 was observed working on 03/04/2024. 3. Staff 5 had a hire date of 07/25/2023. There was no documentation to verify that Staff 5 had completed orientation training in the required timeframe. Staff 2 verified no documentation was available. Staff 5 was observed working on 03/04/2024.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. At the bottom of the steps to the front porch was a wooden board covering a muddy spot. This board contained 2 nails sticking out of the side of the board and 1 nail head sticking up out of the top of the board and is a puncture hazard. These steps are at the entrance used by children to enter the facility and children had to step on the board to access the steps to enter the building. 2. One rail baluster on the front porch was loose and exposing a nail. This is the entrance children use to enter the facility. 3. The cabinet under the sink in the first-floor restroom was broken: knobs were missing exposing wooden dowels. Children were observed using this restroom.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The cabinet under the sink in first floor restroom was unlocked. Half gallons of bleach, bleach spray bottles, disinfecting spray and glass cleaner were in the unlocked cabinet. Children were observed using this restroom.”

8VAC20-780-440-E

“Based on observations, the center failed to ensure that there shall be at least 12 inches of space between occupied cots, beds or rest mats. Evidence: 1. In the large room on the first floor, there were 8 occupied rest mats that were spaced less than 12 inches apart: the space between mats varied from approximately less than 1 inch to approximately 3 inches. 2. In the small room on the first floor, there were 7 occupied rest mats that were spaced less than 12 inches apart: the space between mats varied from approximately less than 1 inch to approximately 6 inches.”

8VAC20-780-580-L

“Based on interviews with staff, the center failed to obtain parental permission for transportation and field trips before the scheduled activity. Evidence: Staff 2 and Staff 3 confirmed there was no parental permission to transport for Child 1 available for review during the inspection. Staff 1 confirmed that Child 1 was transported from school to the center on 03/01/2024.”

8VAC20-780-580-C

“Based on staff interviews, the center failed to ensure that during transportation of children the Virginia state statutes about safety belts and child restraints are followed as required by the Code of Virginia and that the information required by the standard is in the transportation vehicle. Evidence: 1. The Code of Virginia requires that any child, up to age eight, shall be properly secured in a child restraint device of a type which meets the standards adopted by the United States Department of Transportation. Staff 1 confirmed that on 03/01/2024, Child 1 (age 7 years) was not secured in a child restraint device. Child 1 was transported on the center’s red transit van from approximately 3:05 pm to approximately 4:50 pm without being properly restrained. 2. Staff 1 and Staff 3 both verified that the vehicle used for transportation did not contain the following required information: a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center; the center’s name, address and phone number; a list of the names of the children being transported.”

22.1-289.035-B-4

“Based on record review and interviews with staff, the center failed to obtain a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: Staff 6 had a hire date of 01/15/2024. The record contained documentation that Staff 6 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection. Staff 2 confirmed the out of state child abuse and neglect registry has not been requested.”

8VAC20-780-130-A

“SYSTEMIC VIOLATION REPEAT VIOLATION Based on record review and interviews with staff, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Staff 3 confirmed the first date of attendance for Child 1 was 08/25/2022. Staff 2 and Staff 3 confirmed that no documentation of immunizations for Child 1 was available for review during the inspection.”

8VAC20-780-550-K

“SYSTEMIC VIOLATION Based on interviews with staff, the center failed to prepare a document containing 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. This document must be kept in vehicles that centers use to transport children to and from the center. Evidence: Staff 3 confirmed there was no document. Staff 1 confirmed they did not have access to any document that contained all the required components of the standards, which would include information pertaining to each route frequently driven. The driver, Staff 1, reported getting lost while driving the route to a school on 03/01/2024.”

8VAC20-780-540-C

“SYSTEMIC VIOLATION Based on observation, the center failed to ensure that the required first aid kits shall include all required items. Evidence: 1. The first aid kit in the center’s gold transit van was missing the following required items: scissors, tweezers, adhesive tape, thermometer, triangular bandages, gloves and first aid instruction manual. 2. The first aid kit in the center’s tan transit van was missing the following required items: scissors, tweezers, gauze, adhesive tape, thermometer, triangular bandages, gloves and first aid instruction manual.”

8VAC20-780-540-A

“SYSTEMIC VIOLATION Based on observation and interviews with staff, the center failed to ensure that a first aid kit shall be wherever children are in care. Evidence: There was no first aid kit on the center’s red transit van. Staff 1 and Staff 3 confirmed that the van was used to transport Child 1 from school on 03/01/2024.”

8VAC20-780-140-A

“SYSTEMIC VIOLATION SECOND REPEAT VIOLATION Based on record review and interviews with staff, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: Staff 3 confirmed the first date of attendance for Child 1 was 08/25/2022. Staff 2 and Staff 3 confirmed that documentation of a physical examination for Child 1 was not available for review during the inspection.”

8VAC20-780-160-A

“SYSTEMIC VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: Staff 6 had a hire date of 01/15/2024. The date on the tuberculosis screening in the record was 01/23/2024.”

8VAC20-780-40-E

“SYSTEMIC VIOLATION Based on observation, review of required policies and procedures, and interviews with staff, the center failed to maintain the operational responsibility of the licensee to ensure that the center’s activities, services and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards and the terms of the current license issued by the department. Evidence: 1. The center’s transportation policy states each child will be placed in a proper car seat and properly restrained with a safety belt. Staff 1 confirmed that on 03/01/2023, Child 1 (age 7 years) was not placed in the proper car seat during transit in the red transit van from school to the center. 2. The center’s transportation policy states the attendance sheet will always be checked when arriving and departing a destination. Staff 2 and Staff 3 confirmed that on 03/01/2023, no attendance sheet was used while children were picked up and transported from schools to the center. 3. The term of current license issued by the department shows a capacity of 32 children. The stipulation that is shown on the face of the license that the maximum occupancy of the building is 37, including staff. On 03/06/2024 at approximately 3:35 pm, there were a total of 57 children, 8 staff, and 1 outside provider present, for a total of 66 building occupants.”

8VAC20-780-60-A

“SYSTEMIC VIOLATION REPEAT VIOLATION Based on record review and interviews with staff, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: Staff 3 confirmed the first date of attendance for Child 1 was 08/25/2022. Staff 2 and Staff 3 confirmed that no record for Child 1 was available for review during the inspection.”

8VAC20-780-70

“THIRD REPEAT VIOLATION SYSTEMIC VIOLATION Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 6 did not contain the following: job title, name, address, and telephone number of person to be notified in an emergency, information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available.”

8VAC20-780-80-A

“SYSTEMIC VIOLATION SECOND REPEAT VIOLATION Based on observation, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: On 3/06/2024 at approximately 3:35 pm, there were 14 children in care in the large room on the first floor. Staff 2 confirmed there was no attendance record for this group of children.”

8VAC20-780-240-B

“Based on record review and staff interviews, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff 1 had a hire date of 1/15/2024. There was no documentation to verify that Staff 1 had completed orientation training in the required timeframe. Staff 2 verified no documentation was available. Staff 1 was observed working on 03/04/2024. Staff 1 confirmed they had not been provided with orientation training.”

8VAC20-780-340-A

“Based on observation and document review, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: 1. On 03/01/2024, Child 1 (age 7 years) was not properly secured in a child restraint device and was transported on the center’s red transit van from approximately 3:05 pm to approximately 4:50 pm. The driver, Staff 1, confirmed they were unfamiliar with the location of the schools and the routes to the schools and did not have a document on the center van containing information on each route or local emergency contacts. Staff 1 had not been provided orientation training prior to being assigned to drive alone to transport children. Staff 1 stated they did not have cellular service on 03/01/2024 and was unable to communicate with the center or use a navigational application which resulted in the driver being lost, entering another state, and unable to find the way back to center for approximately 105 minutes. Child 1 did not have a record at the center and Staff 1 only had the first name of the child. Due to lack of communication with Staff 1 and not knowing their whereabouts, Staff 3 contacted local police to report a possible lost/missing child. 2. On 03/06/2024 at approximately 3:35 pm, there was a total of 66 persons in the facility; 57 children, ages 21 months- 7 years, and 9 adults. The center has a licensing capacity of 32 children. The maximum occupancy, as declared by the is certificate of occupancy, is 37 persons. .”

8VAC20-780-350-B-4

“Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 3-year-olds up to school age eligible. Evidence: On 03/06/2024 at approximately 3:35 pm, there were 16 children observed in the room to the left at the top of the stairs with 1 staff member. The youngest child was 3 years old. The required staff ratio for this group of children was 1:10. Two staff would be required.”

8VAC20-770-60-B

“Based on record review and interviews with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: Staff 5 had a hire date of 07/25/2023. No sworn statement was available for review. Staff 2 confirmed that no sworn statement was available for review.”

8VAC20-780-160-C

“SYSTEMIC VIOLATION Based on record review and interviews with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: The most recent tuberculosis screening for Staff 4 was dated 10/20/2021: there was not a follow-up test/screening for 2023 available for review. Staff 2 confirmed there was no 2023 test/ screening available for review.”

8VAC20-780-70

“SYSTEMIC VIOLATION SECOND REPEAT VIOLATION Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1, date of hire of 06/03/2023, did not contain the following: name, address, and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available. 2. The record for Staff 2, date of hire of 06/08/2022, did not contain the following: name, address, and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available. 3. The record for Staff 3, date of hire of 11/16/2023, did not contain the following: job title, date of employment, name, address, and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available. 4. The record for Staff 4, date of hire unknown, did not contain the following: name, address, and telephone number of person to be notified in an emergency and information about any health problems that may interfere with fulfilling the job responsibilities. Staff 2 confirmed this information was not available. 5. The record for Staff 5, date of hire of 07/25/2023, did not contain the following: name, address, and telephone number of person to be notified in an emergency, information about any health problems that may interfere with fulfilling the job responsibilities, and documentation to demonstrate that the individual possesses the education, certification and experience required by the job position. The record for Staff 5 indicated a position of program lead. Staff 2 confirmed this information was not available.”

8VAC20-780-80-A

“SYSTEMIC VIOLATION REPEAT VIOLATION Based on observation, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. There were 12 children in care in the large room on the first floor. The attendance record for that group indicated 2 children present. 2. There were 9 children in care in the small room on the first floor. The attendance record for that group indicated 7 children present.”

8VAC20-780-240-A

“Based on record review and interviews with staff, the center failed to ensure that all staff complete the Virginia Department of Education-sponsored orientation within 90 calendar days of hire. Evidence: 1. Staff 1 had a hire date of 06/03/2023; no documentation of Virginia Department of Education-sponsored orientation was available for review. 2. Staff 5 had hire date of 07/25/2023; no documentation of Virginia Department of Education-sponsored orientation was available for review.”

8VAC20-780-240-B

“Based on record review and staff interviews, the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff 1 had a hire date of 06/03/2023. There was no documentation to verify that Staff 1 had completed orientation training in the required timeframe. Staff 2 verified no documentation was available. Staff 1 was observed working on 03/04/2024. 2. Staff 3 had a hire date of 11/16/2023. There was no documentation to verify that Staff 3 had completed orientation training in the required timeframe. Staff 2 verified no documentation was available. Staff 3 was observed working on 03/04/2024. 3. Staff 5 had a hire date of 07/25/2023. There was no documentation to verify that Staff 5 had completed orientation training in the required timeframe. Staff 2 verified no documentation was available. Staff 5 was observed working on 03/04/2024.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. At the bottom of the steps to the front porch was a wooden board covering a muddy spot. This board contained 2 nails sticking out of the side of the board and 1 nail head sticking up out of the top of the board and is a puncture hazard. These steps are at the entrance used by children to enter the facility and children had to step on the board to access the steps to enter the building. 2. One rail baluster on the front porch was loose and exposing a nail. This is the entrance children use to enter the facility. 3. The cabinet under the sink in the first-floor restroom was broken: knobs were missing exposing wooden dowels. Children were observed using this restroom.”

8VAC20-780-280-B

“REPEAT VIOLATION Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The cabinet under the sink in first floor restroom was unlocked. Half gallons of bleach, bleach spray bottles, disinfecting spray and glass cleaner were in the unlocked cabinet. Children were observed using this restroom.”

8VAC20-780-440-E

“Based on observations, the center failed to ensure that there shall be at least 12 inches of space between occupied cots, beds or rest mats. Evidence: 1. In the large room on the first floor, there were 8 occupied rest mats that were spaced less than 12 inches apart: the space between mats varied from approximately less than 1 inch to approximately 3 inches. 2. In the small room on the first floor, there were 7 occupied rest mats that were spaced less than 12 inches apart: the space between mats varied from approximately less than 1 inch to approximately 6 inches.”

8VAC20-780-280-B

“Based on observations the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: A chemical dispensing system, containing 3 Cintas liquid cleaning materials (Hard Surface Sanitizer, Glass and Multi Surface Cleaner and Neutral Floor Cleaner), was attached to the wall in the downstairs children’s restroom. Chemicals dispensed from a hose when a button is pushed. Children were observed using this restroom during the inspection.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Children were observed returning to activities without washing their hands or using a disposable wipe after eating breakfast.”

8VAC20-780-560-F

“Based on observation, the center failed to ensure that when a center chooses to provide meals or snacks, the center shall follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United Stated Department of Agriculture. Evidence: The USDA requires that a serving from all three components (fluid milk, vegetables/fruits or portions of both and grains) must be served for breakfast. The children were served the following for breakfast: cereal and milk. The children were not served vegetables/fruits or portions of both with breakfast.”

8VAC20-780-140-A

“REPEAT VIOLATION Based on record review and interview with staff, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 3 contained a documented start date of 03/02/2022. There was not documentation of a physical examination in the record for Child 3. Staff 6 confirmed the documentation of a physical examination was not available for review.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 documented a hire date of 03/01/2023. The record for Staff 1 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available. 2. The record for Staff 2 documented a hire date of 02/28/2023. The record for Staff 2 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available. 3. The record for Staff 3 documented a hire date of 06/13/2023. The record for Staff 3 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available. 4. The record for Staff 4 documented a hire date of 07/25/2022. The record for Staff 4 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available.”

8VAC20-780-80-A

“Based on observation and interviews with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: As of approximately 8:05 am on 08/07/2023, the daily attendance for the group of children in care had not been taken. Staff 1 stated that they usually take attendance later in the morning after the majority of the children arrive. There was a total of 12 children in care. The daily attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-560-M

“Based on observation, the center failed to ensure that no child shall be allowed to drink and eat while walking around. Evidence: Two children were observed walking and drinking from cups.”

8VAC20-780-340-F

“Based on observation, the center failed to ensure that children shall always be within actual sight and sound supervision of staff. Evidence: Staff 2 was observed leaving the classroom to step into the restroom in the hall. The five children in the classroom, determined to be 2 years old, where not within sight and sound supervision during the time that the staff member was out of the classroom.”

8VAC20-780-340-D

“Based on observation, record review and staff interviews, the center failed to ensure that in each grouping of children at least one staff member who meets the qualification of a program leader or program director shall be regularly present. Evidence: Staff 1 stated that they were the Program Lead assigned to the 1-year-old classroom. The review of the record for Staff 1 did not contain documentation that Staff 1 qualifies as a Program Lead.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There were 5 uncovered electrical outlets on a power strip on a shelf in the 3-year-old room. 2. There was 1 uncovered electric outlet under the window in the 2-year-old room.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center, and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available. 2. The record for Staff 2 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available. 3. The record for Staff 3 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available. 4. The record for Staff 4 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center, and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available. 5. The record for Staff 5 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number for a parent. 2. The record for Child 2 did not contain the following information: phone number for a parent, name and phone number of the child’s physician, and chronic physical problems and pertinent developmental information. 3. The record for Child 3 did not contain the following information: phone number for a parent, work phone number for a parent and place of employment for a parent and chronic physical problems and pertinent developmental information.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 4 indicated the first date of attendance as 02/28/2022. The physical was not available. Staff 6 confirmed this information was not available.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: The record for Child 4 indicated the first date of attendance as 02/28/2022. The immunization record was obtained 03/31/2022.”

8VAC20-780-560-M

“Based on observation, the center failed to ensure that no child shall be allowed to drink and eat while walking around. Evidence: Two children were observed walking and drinking from cups.”

8VAC20-780-340-F

“Based on observation, the center failed to ensure that children shall always be within actual sight and sound supervision of staff. Evidence: Staff 2 was observed leaving the classroom to step into the restroom in the hall. The five children in the classroom, determined to be 2 years old, where not within sight and sound supervision during the time that the staff member was out of the classroom.”

8VAC20-780-340-D

“Based on observation, record review and staff interviews, the center failed to ensure that in each grouping of children at least one staff member who meets the qualification of a program leader or program director shall be regularly present. Evidence: Staff 1 stated that they were the Program Lead assigned to the 1-year-old classroom. The review of the record for Staff 1 did not contain documentation that Staff 1 qualifies as a Program Lead.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There were 5 uncovered electrical outlets on a power strip on a shelf in the 3-year-old room. 2. There was 1 uncovered electric outlet under the window in the 2-year-old room.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center, and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available. 2. The record for Staff 2 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available. 3. The record for Staff 3 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available. 4. The record for Staff 4 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center, and documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 6 confirmed this information was not available. 5. The record for Staff 5 did not contain the following information: name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Staff 6 confirmed this information was not available.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number for a parent. 2. The record for Child 2 did not contain the following information: phone number for a parent, name and phone number of the child’s physician, and chronic physical problems and pertinent developmental information. 3. The record for Child 3 did not contain the following information: phone number for a parent, work phone number for a parent and place of employment for a parent and chronic physical problems and pertinent developmental information.”

8VAC20-780-140-A

“Based on record review, the center failed to ensure each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 4 indicated the first date of attendance as 02/28/2022. The physical was not available. Staff 6 confirmed this information was not available.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: The record for Child 4 indicated the first date of attendance as 02/28/2022. The immunization record was obtained 03/31/2022.”

8VAC20-770-60-B

“Based on the record review and discussion with staff, the center failed to ensure an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 5 had a documented hire date of 3/21/2022. The sworn statement was dated 6/7/2022. Staff 1 confirmed the hire date of Staff 5.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1.The record for Child 1 indicated the child’s first date of attendance was 02/28/2022. No physical was available for review during the inspection. 2.The record for Child 2 indicated the child’s first date of attendance was 02/28/2022. No physical was available for review during the inspection. 3.The record for Child 3 indicated the child’s first date of attendance was 04/25/2022. No physical was available for review during the inspection. 4.The record for Child 4 indicated the child’s first date of attendance was 02/28/2022. No physical was available for review during the inspection. 5. The record for Child 5 indicated the child’s first date of attendance was 03/7/2022. No physical was available for review during the inspection.”

8VAC20-780-500-A

“Based on observation the center failed to ensure children’s hands shall be washed with soap and running water or disposable wipe before and after eating meals and snack. Evidence: Children were observed returning to activities without washing their hands after morning snack.”

22.1-289.035-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.The record for Staff 4 contained a documented hire date of 3/1/2022. The employment eligibility letter was dated 3/3/2022. Staff 1 confirmed the hire date of Staff 4. 2.The record for Staff 5 contained a documented hire date of 3/21/2022. The employment eligibility letter was dated 3/28/2022. Staff 1 confirmed the hire date of Staff 5.”

8VAC20-770-60-B

“Based on the record review and discussion with staff, the center failed to ensure an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 5 had a documented hire date of 3/21/2022. The sworn statement was dated 6/7/2022. Staff 1 confirmed the hire date of Staff 5.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: 1.The record for Child 1 indicated the child’s first date of attendance was 02/28/2022. No physical was available for review during the inspection. 2.The record for Child 2 indicated the child’s first date of attendance was 02/28/2022. No physical was available for review during the inspection. 3.The record for Child 3 indicated the child’s first date of attendance was 04/25/2022. No physical was available for review during the inspection. 4.The record for Child 4 indicated the child’s first date of attendance was 02/28/2022. No physical was available for review during the inspection. 5. The record for Child 5 indicated the child’s first date of attendance was 03/7/2022. No physical was available for review during the inspection.”

8VAC20-780-500-A

“Based on observation the center failed to ensure children’s hands shall be washed with soap and running water or disposable wipe before and after eating meals and snack. Evidence: Children were observed returning to activities without washing their hands after morning snack.”

22.1-289.035-B-2

“Based on record review and discussion with staff, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: 1.The record for Staff 4 contained a documented hire date of 3/1/2022. The employment eligibility letter was dated 3/3/2022. Staff 1 confirmed the hire date of Staff 4. 2.The record for Staff 5 contained a documented hire date of 3/21/2022. The employment eligibility letter was dated 3/28/2022. Staff 1 confirmed the hire date of Staff 5.”

8VAC20-780-500-B

“Based on observations, the Licensee failed to ensure diapering surface if cleaned with soap and at least room temperature water and sanitized after each use. EVIDENCE: Licensing Inspector observed Staff person while diapering multiple children. The diapering surface was not cleaning nor sanitized after each use.”

8VAC20-780-500-B

“Based on inspection, the Licensee failed to have a leakproof or plastic-line-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. EVIDENCE: The diapering area was not equipped with a foot operated trash can for diaper disposal.”

8VAC20-780-500-A

“Based on observations, the Licensee failed to ensure children's hands are washed with soap and running water or disposable wipes before and after eating meals or snacks. EVIDENCE: While observing children and staff in the 2-3 year old classroom, children's hands were not washed with soap and running water before nor after their meal. Each child was given hand sanitizer to clean their hands. Running water was available.”

8VAC20-780-500-A

“Based on observations, the Licensee failed to ensure Staff wash their hands with soap and running water before and after a diaper change. EVIDENCE: Licensing Inspector observed Staff person during diapering for multiple children. The Staff person did not wash their hands with soap and running water before and after each diaper change.”

8VAC20-780-350-B-3

“Based on observations, the Licensee failed to maintain required adult-child ratios in each group of children. EVIDENCE: Upon arrival, Licensing Inspector observed ten 2, 3 and 4 year old children under the direct care and supervision of 1 staff person. Adult-to-child ratio of 8 children per adult was not maintained at all times. An additional staff person arrived during the inspection to assist with care.”

8VAC20-780-280-B

“Based on observations & inspection, the Licensee failed to ensure hazardous substances are kept in a locked place using a safe locking method that prevents access by children. EVIDENCE: Licensing Inspector observed unlocked cleaning agents in the toddler and 3 year old classrooms. Hazardous substances were accessible to the children in care.”

8VAC20-780-245-L

“Based on record review and discussion with staff, the Licensee failed to have at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. EVIDENCE: Licensing Inspector reviewed 6 staff records. There was not at least one staff person present during today's inspection who has received daily observations of children training.”

8VAC20-780-80-A

“Based on inspection, the Licensee failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children. EVIDENCE: A written record of daily attendance was unavailable for each group/classroom of children.”

8VAC20-780-70

“Based on review of staff records, the Licensee failed to ensure all required information is documented in each staff record. EVIDENCE: Licensing Inspector reviewed 6 staff records. Record for Staff #1 did not include: Age verification, job title, emergency contact information, at least 2 references, education requirements, center orientation. Record for Staff #2 did not include: address, job title, verification of age, date of hire & center orientation. Record for Staff #3 did not include: age verification, job title, emergency contact, at least 2 references, educational requirements & center orientation. Record for Staff #4 did not include: age verification, job title, date of hire, emergency contact, at least 2 references & center orientation. Record for Staff #5 did not include: age verification, job title, date of hire, emergency contact, at least 2 references, educational requirements & center orientation.”

8VAC20-780-340-F

“Based on observations, the Licensee failed to always keep children under 10 years of age within actual sight and sound supervision of staff. EVIDENCE: Licensing Inspector observed multiple children observed in the hall bathroom without adult supervision. Staff person was located in the classroom located around the corner from the bathroom. Staff person did not have sight & sound supervision.”

8VAC20-780-190-A-2

“Based on record review, the Licensee failed to have documentation of the Center Director's qualifications. EVIDENCE: Licensing Inspector reviewed staff records. Documentation of qualifications for the Center Director were not received.”

8VAC20-770-40-C-1-b

“Based on record review, the Licensee failed to complete required Background Checks for any agent at the time of application who is or will be involved in the day-to-day operations or who is or will be alone with, in control of, or supervising one or more of the children. EVIDENCE: Licensing Inspector reviewed staff records. Record for Staff #2 did not have documentation of Fingerprint background check”

8VAC20-780-550-B

“Based on inspection, the Licensee failed to include the shelter-in-place procedures in the center's emergency preparedness plans. EVIDENCE: Licensing Inspector reviewed the center's emergency preparedness plan which did not include procedures for shelter-in-place emergencies.”