Winchester Day Nursery

8VAC20-780-350-B-4

“Based on observation and interview the center failed to maintain the required staff: children ratio of 1:10 for children ages three years old to school eligibility. Evidence: 1. In the PreK classroom, there were 12 children. Staff #6 confirmed the age of the youngest child was four years old. 2. Staff #7 was observed leaving the classroom twice to go to the kitchen, leaving Staff #6 alone with 12 children.”

8VAC20-780-350-B-4

“Based on observation and interview the center failed to maintain the required staff: children ratio of 1:10 for children ages three years old to school eligibility. Evidence: 1. In the PreK classroom, there were 12 children. Staff #6 confirmed the age of the youngest child was four years old. 2. Staff #7 was observed leaving the classroom twice to go to the kitchen, leaving Staff #6 alone with 12 children.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain a current written list of all children’s allergies, sensitivities and dietary restrictions. Evidence: 1. In the three-year-old classroom, four-year-old classroom and the Pre-classroom, there was no allergy list posted. 2. The list in the two-year-old classroom was dated June of 2022. Staff #2 and #7 confirmed that the list had not been updated to include Child #3. 3. Child #3?s file indicated that Child #3 had a peanut allergy. Staff #2, #6 and #7 confirmed that Child #3 had a peanut allergy.”

8VAC20-780-60-A

“Based on review of records and interview, the center failed to maintain a record for each child that contained the required information. Evidence: 1. Child #1?s record did not contain the place of employment or a phone number for the place of employment for either parent. 2. Child #3?s record did not contain a phone number for the parent’s place of employment. 3. Staff #6 and Staff #7 confirmed that information was missing from the files.”

8VAC20-780-500-A

“Based on observation and interview, the center failed to ensure that children’s hands are washed after toileting and staff’s hands are washed after a diaper change. Evidence: 1. In the two-year-old classroom, Staff #3 was observed changing two diapers and did not wash their hands or the children’s hands after the diaper change. 2. Staff #3 confirmed that they did not wash their hands or the children’s hands after the diaper change.”

8VAC20-780-500-B

“Based on observation and interview, the center failed to ensure that the diapering surface was cleaned with soap and water and sanitized after each use. Evidence: 1. In the two-year-old classroom, Staff #3 was observed changing two diapers and did not clean or sanitize the diapering surface after each diaper change. 2. Staff #3 confirmed that they had not cleaned or sanitized the diapering surface after each diaper change.”

8VAC20-780-200-A

“Based on review of records and interview, the center failed to have a qualified program director or qualified back-up program director on site at least 50% of the center’s hours of operations. Evidence: 1. Staff #6 and Staff #7 confirmed that the director (Staff #8) had not been present at the center since mid-April of 2023. Staff #6 and Staff #7 confirmed that Staff #6 was the appointed back up director in the absence of Staff #8. 2. Documentation provided by Staff #6 showed that Staff #6 does not qualify as a director or back up director.”

8VAC20-780-40-M

“Based on observation and interview, the center failed to maintain a current written list of all children’s allergies, sensitivities and dietary restrictions. Evidence: 1. In the three-year-old classroom, four-year-old classroom and the Pre-classroom, there was no allergy list posted. 2. The list in the two-year-old classroom was dated June of 2022. Staff #2 and #7 confirmed that the list had not been updated to include Child #3. 3. Child #3?s file indicated that Child #3 had a peanut allergy. Staff #2, #6 and #7 confirmed that Child #3 had a peanut allergy.”

8VAC20-780-60-A

“Based on review of records and interview, the center failed to maintain a record for each child that contained the required information. Evidence: 1. Child #1?s record did not contain the place of employment or a phone number for the place of employment for either parent. 2. Child #3?s record did not contain a phone number for the parent’s place of employment. 3. Staff #6 and Staff #7 confirmed that information was missing from the files.”

8VAC20-780-500-A

“Based on observation and interview, the center failed to ensure that children’s hands are washed after toileting and staff’s hands are washed after a diaper change. Evidence: 1. In the two-year-old classroom, Staff #3 was observed changing two diapers and did not wash their hands or the children’s hands after the diaper change. 2. Staff #3 confirmed that they did not wash their hands or the children’s hands after the diaper change.”

8VAC20-780-500-B

“Based on observation and interview, the center failed to ensure that the diapering surface was cleaned with soap and water and sanitized after each use. Evidence: 1. In the two-year-old classroom, Staff #3 was observed changing two diapers and did not clean or sanitize the diapering surface after each diaper change. 2. Staff #3 confirmed that they had not cleaned or sanitized the diapering surface after each diaper change.”

8VAC20-780-200-A

“Based on review of records and interview, the center failed to have a qualified program director or qualified back-up program director on site at least 50% of the center’s hours of operations. Evidence: 1. Staff #6 and Staff #7 confirmed that the director (Staff #8) had not been present at the center since mid-April of 2023. Staff #6 and Staff #7 confirmed that Staff #6 was the appointed back up director in the absence of Staff #8. 2. Documentation provided by Staff #6 showed that Staff #6 does not qualify as a director or back up director.”

8VAC20-780-140-A

“Based on review of records, the center failed to ensure that each child had a physical examination prior to or within 30 days of the first day of attendance, Evidence: 1. A physical examination was not in Child #2?s record. Child #2?s start date was 9/26/2022. 2. Staff #1 confirmed that there was not a physical examination in Child #2?s record.”

8VAC20-780-140-A

“Based on review of records, the center failed to ensure that each child had a physical examination prior to or within 30 days of the first day of attendance, Evidence: 1. A physical examination was not in Child #2?s record. Child #2?s start date was 9/26/2022. 2. Staff #1 confirmed that there was not a physical examination in Child #2?s record.”

8VAC20-780-560-F

“Based on review of the menu and verification by staff, the center failed to follow the nutritional requirements of a recognized authority such as the the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. The afternoon snack for three days did not contain two creditable components. One day contained Jello-O, goldfish and water. Jell-O is not a creditable component and the snack would require one more creditable component. 2. The afternoon snack for two days listed carrot sticks with ranch and juice. One more component was required from a different food group.”

22.1-289.035-B-4

“Based on review of staff files, the center failed to complete an out-of-state central registry background check in the required timeframe. Evidence: 1. Staff #1's date of hire was 03/07/2022. The ID in the file was an out of state drivers license issued in Maryland issued in 2021.. There was not an out-of-state central registry background check completed for Maryland. The background check was required by 04/21/2022. 2. Administration verified the date of employment, and that there was not an out-of-state central registry background check completed.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In Classroom #1 there was a container of Clorox wipes and Lysol Spray sitting on a table, and in Classroom #2 there was a container of Clorox wipes on a shelve in the filing cabinet used for supplies. The manufacturer's label reads "keep out of reach of children", and "caution-hazardous to humans and domestic pets." 2. In Classroom #3 there were four containers of shaving cream and one container of snow spray in the cabinet on the bottom shelf in the bathroom. The manufacturer's label stated to "keep out of reach of children."”

8VAC20-780-500-A

“Based on observation, the center failed to ensure children washed their hands before meals. Evidence: In Classroom #4 the children washed their hands when they returned from outside play. The children came into the classroom and then sat on the floor while staff prepared the lunch tables and lunch. The children were observed touching the floor, each other, and materials in the classroom. The children moved from the floor to the table to begin lunch. They did not rewash their hands with soap and water or a disposable wipe before eating lunch.”

8VAC20-780-560-F

“Based on review of the menu and verification by staff, the center failed to follow the nutritional requirements of a recognized authority such as the the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. The afternoon snack for three days did not contain two creditable components. One day contained Jello-O, goldfish and water. Jell-O is not a creditable component and the snack would require one more creditable component. 2. The afternoon snack for two days listed carrot sticks with ranch and juice. One more component was required from a different food group.”

22.1-289.035-B-4

“Based on review of staff files, the center failed to complete an out-of-state central registry background check in the required timeframe. Evidence: 1. Staff #1's date of hire was 03/07/2022. The ID in the file was an out of state drivers license issued in Maryland issued in 2021.. There was not an out-of-state central registry background check completed for Maryland. The background check was required by 04/21/2022. 2. Administration verified the date of employment, and that there was not an out-of-state central registry background check completed.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In Classroom #1 there was a container of Clorox wipes and Lysol Spray sitting on a table, and in Classroom #2 there was a container of Clorox wipes on a shelve in the filing cabinet used for supplies. The manufacturer's label reads "keep out of reach of children", and "caution-hazardous to humans and domestic pets." 2. In Classroom #3 there were four containers of shaving cream and one container of snow spray in the cabinet on the bottom shelf in the bathroom. The manufacturer's label stated to "keep out of reach of children."”

8VAC20-780-500-A

“Based on observation, the center failed to ensure children washed their hands before meals. Evidence: In Classroom #4 the children washed their hands when they returned from outside play. The children came into the classroom and then sat on the floor while staff prepared the lunch tables and lunch. The children were observed touching the floor, each other, and materials in the classroom. The children moved from the floor to the table to begin lunch. They did not rewash their hands with soap and water or a disposable wipe before eating lunch.”

22VAC40-185-270-A

“Based on observation and interview with the staff, the center failed to ensure that all areas were maintained in a clean and safe condition. Evidence: 1. In the restrooms next to the three year old classrooms, the floors in the bathroom staffs had dirt and debris along the baseboard behind the toilets, there were yellow stains and dark stains and rings around the toilet base, and behind the toilets. 2. Staff verified that there were yellow stains and dark rings around the toilet base and behind the toilets.”

22VAC40-185-130-A

“Based on review of children records, the center failed to obtain documentation of immunizations prior to or on the first day of attendance. Evidence: 1. Child #1's immunizations were dated 10/21/2021. Date of enrollment was 10/14/2021. 2. Child #2's immunizations were dated 10/21/2021. Date of enrollment was 10/18/2021. 3. Child #4's immunizations were dated 11/12/2021. Date of enrollment was 11/08/2021.”

22VAC40-185-270-A

“Based on observation and interview with the staff, the center failed to ensure that all areas were maintained in a clean and safe condition. Evidence: 1. In the restrooms next to the three year old classrooms, the floors in the bathroom staffs had dirt and debris along the baseboard behind the toilets, there were yellow stains and dark stains and rings around the toilet base, and behind the toilets. 2. Staff verified that there were yellow stains and dark rings around the toilet base and behind the toilets.”

22VAC40-185-130-A

“Based on review of children records, the center failed to obtain documentation of immunizations prior to or on the first day of attendance. Evidence: 1. Child #1's immunizations were dated 10/21/2021. Date of enrollment was 10/14/2021. 2. Child #2's immunizations were dated 10/21/2021. Date of enrollment was 10/18/2021. 3. Child #4's immunizations were dated 11/12/2021. Date of enrollment was 11/08/2021.”