Winwood Children's Center- 856

8VAC20-780-340-A

“REPEAT VIOLATIONAND SYSTEMIC DEFICIENCY Based on interviews, when staff are supervising children, they did not always ensure their care, protection and guidance. Evidence On June 27, 2024, at approximately 10:00am staff #1 and #2, staff in the Preschool 2 classroom, and staff #3, staff in the Toddler classroom, exited the classroom leaving child #1 (age 32 months) alone in the room. Staff #1 stated that 10 children were lined up at approximately 9:55am for her to conduct name to face before going out to the playground. The classroom became chaotic when staff #3 and the Toddler class with approximately 7-9 children entered the Preschool 2 classroom to exit to the playground. Both classes exited the backdoor of the classroom to the playground. Staff #1 lined the children up on the white fence to conduct name to face and realized child #1 was not present. Staff #2 ran back into the building to retrieve child #1. Staff #1 and staff #2 were not aware a child was left in the classroom. Child #1 was left alone in the classroom for approximately 60-90 seconds. Staff #2 confirmed staff #1 recall of events. Staff #3 conducted name to face for the Toddler classroom.”

8VAC20-780-340-F

“REPEAT VIOLATION Based on interviews, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence On June 27, 2024, at approximately 10:00am staff #1 and #2, staff in the Preschool 2 classroom, and staff #3, staff in the Toddler classroom, exited the classroom leaving child #1 (age 32 months) alone in the room out of actual sight and sound supervision for approximately 60-90 seconds. Child #1 was left alone in the classroom.”

8VAC20-780-520-C

“Based on observation, diaper ointment was not inaccessible to children. Evidence A tub of diaper ointment was located on the floor of the Pre K bathroom, making them easily accessible to the children.”

8VAC20-780-240-E

“Based on review of staff records, the center did not ensure within 30 days of the first day of employment that staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence Staff #3, first day of employment 1/9/24, does not have documentation of completing orientation training in first aid and cardiopulmonary resuscitation (CPR).”

8VAC20-780-550-P

“Based on review of written record of children's serious and minor injuries, not all records contained the required documentation. Evidence Not all written records of children's serious and minor injuries contained when and how the parent was notified, or a plan to prevent the accident from occurring in the future.”

8VAC20-780-70

“Based on review of 5 staff records, not all records were complete. Evidence The record for staff #1 contained documentation of only 1 or the required 2 reference checks. The record for staff #2 did not contain documentation of 2 required reference checks.”

8VAC20-780-420-E-3

“Based on review of children's records, the center did not request at least annually parent confirmation that the required information in the child's record is up to date. Evidence The record for child #1 did not have documentation at least annually of parental confirmation that the required information in the child's records is up to date. Last annual update was 10/12/2022.”

8VAC20-780-520-C

“Based on observation, diaper ointment was not inaccessible to children. Evidence A tub of diaper ointment was located on the floor of the Pre K bathroom, making them easily accessible to the children.”

8VAC20-780-240-E

“Based on review of staff records, the center did not ensure within 30 days of the first day of employment that staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence Staff #3, first day of employment 1/9/24, does not have documentation of completing orientation training in first aid and cardiopulmonary resuscitation (CPR).”

8VAC20-780-550-P

“Based on review of written record of children's serious and minor injuries, not all records contained the required documentation. Evidence Not all written records of children's serious and minor injuries contained when and how the parent was notified, or a plan to prevent the accident from occurring in the future.”

8VAC20-780-70

“Based on review of 5 staff records, not all records were complete. Evidence The record for staff #1 contained documentation of only 1 or the required 2 reference checks. The record for staff #2 did not contain documentation of 2 required reference checks.”

8VAC20-780-420-E-3

“Based on review of children's records, the center did not request at least annually parent confirmation that the required information in the child's record is up to date. Evidence The record for child #1 did not have documentation at least annually of parental confirmation that the required information in the child's records is up to date. Last annual update was 10/12/2022.”

8VAC20-780-340-F

“Based on interviews with staff, the center did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: Staff #1 and staff #2, when supervising the Preschool 3 classroom on 3/7/2024, left child #1 (3 years old) unattended and out of sight/sound supervision in the classroom for approximately six minutes. Staff #1 stated that the classroom was "very chaotic" so they told staff #2 that they were taking 10 children outside, leaving staff #2 inside with five children. At approximately 10:13am, staff #2 took the remaining children outside to collect attendance, leaving child #1 behind. At approximately 10:19am, staff #3 noticed child #1 was alone in the Preschool 3 classroom.”

8VAC20-780-80-A

“Based on interviews with staff, for each group of children, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: Staff #1 and staff #2, the supervising staff in the Preschool 3 classroom stated that on the morning of 3/7/2024, there wasn't an attendance sheet for the group documenting when children arrived or left the group. At approximately 10:10am, a staff member brought them an attendance sheet.”

8VAC20-780-340-A

“REPEAT VIOLATION Based on interviews with staff, the center did not ensure when staff are supervising children, they ensure their care, protection and guidance. Evidence: Staff #1 and staff #2 when supervising the Preschool 3 classroom on 3/7/2024, were not aware child #1 (3 years old) was left unattended in the classroom for approximately six minutes. Staff #1 stated that on the morning of 3/7/2024, there wasn't an attendance sheet with the group and asked another staff member to bring them a copy of one. Staff #1 stated that the classroom was "very chaotic" so they told staff #2 that they were taking 10 children outside, leaving staff #2 inside with five children. Staff #2, after receiving the attendance sheet, realized that they didn't know who was actually present, so at approximately 10:13am, staff #2 took the remaining children outside to record the names of all of the children present. At approximately 10:19am, staff #3 noticed child #1 alone in the Preschool 3 classroom.”

8VAC20-780-240-A

“Based on a review of staff records, the center did not ensure that one of three staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: Staff #2, first day of employment, 6/21/2023, did not have documentation on file of completing the Virginia Department of Education sponsored orientation course.”

8VAC20-780-40-E

“REPEAT VIOLATION Based on staff interviews, the licensee did not 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, resulting in a child being left unattended Evidence: Per interviews, the center's procedures for identifying where attending children are at all times include documenting the children's name, arrival and departure time as it occurs. Staff #2 stated the normal procedures for the name to face check is to have the attendance sheet available in the classroom, record the children's names as they arrive, check name to face at the doorway in the classroom, and check name to face again on the playground. Staff #2 stated that there was no name to face attendance sheet available in the classroom on the morning of 3/7/2024, and the children's names were not recorded as they arrived or departed the classroom. Staff #3 confirmed the policy is to record the children's names on the attendance sheet as it occurs and to conduct a name to face check at the doorway of the classroom and again when entering the playground. Staff #3 confirmed the name to face attendance sheet was not completed, and a name to face check was not conducted at the doorway of the classroom or when entering the playground by staff #1 and staff #2 on the morning of 3/7/2024.”

8VAC20-780-340-A

“Based on interviews with staff, when staff was supervising children, they did not always ensure their care and protection. Evidence 1. On January 12, 2024, staff #1 used approximately one ounce of child #1's bottle of breast milk to mix with child #2's cereal. 2. Staff #1 fed child #2 approximately 4 teaspoons of the cereal mixed with child #1's breast milk. 3. Staff #2 observed child #2 bottle still in the bottle warmer and stopped staff #1 from feeding child #2 any more of the cereal. 4. Staff #1 did not always ensure the care and protection of child #2.”

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

“Based on discussion with staff and review of employee handbook, the operational responsibilities of the licensee did not always ensure that the center's own policies and procedures were maintained. Evidence Staff #1 used her cell phone in the classroom to take a picture of herself. Blurred pictures of children were observed in the background.”

8VAC20-780-280-B

“Based on observations, hazardous substances such as cleaning supplies and other items were not kept in a locked place using a safe locking method that prevents access by children. Evidence Two closets in the hallway: the laundry room and the art closet were not locked using a safe locking method that prevented access by children. Cleaning supplies were accessible to the children in the laundry room. Supplies stating "keep out of reach of children" were accessible to children in the art closet.”

8VAC20-780-130-A

“Based on review of 4 children's records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence The record for child #2, first day of attendance 3/27/2023, does not contain documentation that the child has received the immunizations required by the State Board of Health.”

8VAC20-780-60-A

“Based on review of 4 children's records, the center did not maintain a complete record for each child enrolled. Evidence The record for child #1, first day of enrollment 9/2022, does not contain documentation of proof of identity.”

8VAC20-790-600-D-1

“Based on review of staff records, current certification in cardiopulmonary resuscitation (CPR) was not available for review for all staff within 90 days of first day of employment. Evidence Staff #1 (date of hire 11/2022) does not a current certification of CPR in their record for review.”

8VAC20-790-600-D-2

“Based on review of staff records, current certification in first aid was not available for review for all staff within 90 days of first day of employment. Evidence Staff #1 (date of hire 11/2022) does not a current certification of first aid in their record for review.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence The hallway laundry closet door has a lock that is broken, making cleaning material accessible to children.”

8VAC20-780-280-B

“Based on observations, hazardous substances such as cleaning supplies and other items were not kept in a locked place using a safe locking method that prevents access by children. Evidence Two closets in the hallway: the laundry room and the art closet were not locked using a safe locking method that prevented access by children. Cleaning supplies were accessible to the children in the laundry room. Supplies stating "keep out of reach of children" were accessible to children in the art closet.”

8VAC20-780-130-A

“Based on review of 4 children's records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence The record for child #2, first day of attendance 3/27/2023, does not contain documentation that the child has received the immunizations required by the State Board of Health.”

8VAC20-780-60-A

“Based on review of 4 children's records, the center did not maintain a complete record for each child enrolled. Evidence The record for child #1, first day of enrollment 9/2022, does not contain documentation of proof of identity.”

8VAC20-790-600-D-1

“Based on review of staff records, current certification in cardiopulmonary resuscitation (CPR) was not available for review for all staff within 90 days of first day of employment. Evidence Staff #1 (date of hire 11/2022) does not a current certification of CPR in their record for review.”

8VAC20-790-600-D-2

“Based on review of staff records, current certification in first aid was not available for review for all staff within 90 days of first day of employment. Evidence Staff #1 (date of hire 11/2022) does not a current certification of first aid in their record for review.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence The hallway laundry closet door has a lock that is broken, making cleaning material accessible to children.”

8VAC20-780-280-B

“Based on observations, hazardous substances such as cleaning supplies and other items were not kept in a locked place using a safe locking method that prevents access by children. Evidence Two closets in the hallway: the laundry room and the art closet were not locked using a safe locking method that prevented access by children. Cleaning supplies were accessible to the children in the laundry room. Supplies stating "keep out of reach of children" were accessible to children in the art closet.”

8VAC20-780-130-A

“Based on review of 4 children's records, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence The record for child #2, first day of attendance 3/27/2023, does not contain documentation that the child has received the immunizations required by the State Board of Health.”

8VAC20-780-60-A

“Based on review of 4 children's records, the center did not maintain a complete record for each child enrolled. Evidence The record for child #1, first day of enrollment 9/2022, does not contain documentation of proof of identity.”

8VAC20-790-600-D-1

“Based on review of staff records, current certification in cardiopulmonary resuscitation (CPR) was not available for review for all staff within 90 days of first day of employment. Evidence Staff #1 (date of hire 11/2022) does not a current certification of CPR in their record for review.”

8VAC20-790-600-D-2

“Based on review of staff records, current certification in first aid was not available for review for all staff within 90 days of first day of employment. Evidence Staff #1 (date of hire 11/2022) does not a current certification of first aid in their record for review.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence The hallway laundry closet door has a lock that is broken, making cleaning material accessible to children.”

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

“Based on interviews with staff, the staff did not ensure that when staff were supervising children, they always ensure their care, protection, and guidance. Evidence At approximately 10:30am on March 21, 2023, the Preschool 2 classroom was outside on the large playground in the back right side of the Center. Staff #1 was supervising children playing on the large climbing structure in the middle of the large playground. Staff #2 was walking around the large playground supervising the other children. Staff #3 was on the small playground on the left side in the back of the Center, preparing the infants to go back inside. Three-year-old child #1 ran down the walkway from the large playground, past the small playground and staff #3, and around the corner of the Center. Staff #3 yelled to staff #1 and #2. There was no response from either staff member. Staff #3 called the Center Director from her cell phone. Child #1 entered the area where the trash bins are kept through a broken open gate and exited through the open gate on the other side of the trash bin area, running across the parking lot and across Upper Meadow Drive, approximately 130 feet. The posted speed limit for the road is 25 mph. Center Director immediately ran to the front of the building and brought child #1 back to the playground. Staff #1 and #2 were not aware child #1 had left the playground. Child #1 was unsupervised for approximately between 30-60 seconds.”

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

“Based on observation, and interviews, the center did not ensure that all areas of the center were maintained in a safe, operable condition. Evidence The trash bins are kept in a fenced area with a gate on both sides. One gate opens to the playground, the other to the parking lot. Per interviews, the gate on the playground side should always be locked. The side to the parking lot is unlocked for garbage pickup access. The gate on the playground side was unlocked and missing a piece of wood, leaving an opening large enough for a child to fit through on 3/21/2023. Per interviews, the gate had been missing the piece of wood for an undetermined amount of time.”

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

“Based on staff interviews, the center did not ensure that children under 10 years of age are always within sight and sound supervision. Evidence: At approximately 10:30am on March 21, 2023, the Preschool 2 classroom was outside on the large playground in the back right side of the Center. Staff #1 was supervising children on the large climbing structure in the middle of the large playground. Staff #2 was walking around the large playground supervising the other children. Staff #3 was on the small playground on the left side in the back of the Center, preparing the infants to go back inside. Three-year-old child #1 ran down the walkway from the large playground, past the small playground and staff #3 and continued to run around the corner of the Center. Staff #3 yelled to staff #1 and #2. There was no response from either staff member. Staff #3 called the Center Director from her cell phone. Child #1 entered the area where the trash bins are kept through a broken open gate and exited through the open gate on the other side of the trash bin area, running approximately 130 feet across the parking lot and across Upper Meadow Drive. Center Director immediately ran to the front of the building and brought child #1 back to the playground. Staff #1 and #2 were not aware child #1 had left the playground. Child #1 was not within actual sight and sound supervision of staff for approximately 30 to 60 seconds.”

8VAC20-780-60-A

“Based on review of 7 children's records, 2 did not contain all the required documents. Evidence The record for child #1 did not contain documentation that the original proof of identity was reviewed. The record for child #2 did not contain information regarding a second emergency contact.”

8VAC20-780-280-B

“Based on observation hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence A hazardous substance, (cleaning supply), was accessible to children in an unlocked closet in the hallway.”

8VAC20-780-70

“Based on review of 7 staff records, 3 records did not contain documentation that two or more references as to character and reputation as well as competency were checked prior to employment. . Evidence The record for staff #1, #2, and #3 did not contain documentation that two or more references were checked prior to employment.”

8VAC20-780-60-A

“Based on review of 7 children's records, 2 did not contain all the required documents. Evidence The record for child #1 did not contain documentation that the original proof of identity was reviewed. The record for child #2 did not contain information regarding a second emergency contact.”

8VAC20-780-280-B

“Based on observation hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence A hazardous substance, (cleaning supply), was accessible to children in an unlocked closet in the hallway.”

8VAC20-780-70

“Based on review of 7 staff records, 3 records did not contain documentation that two or more references as to character and reputation as well as competency were checked prior to employment. . Evidence The record for staff #1, #2, and #3 did not contain documentation that two or more references were checked prior to employment.”

8VAC20-780-550-P Complaint related: No

“Based on interview with center director, the center did not have available a written record of children's serious and minor injuries in which entries are made the day of occurrence for review by the inspector. Evidence The center director confirmed there were incidents that have occurred in January-February involving child #1 and child #2, but a written record of children's serious and minor injuries was not available for review by the inspector.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and out, are not being maintained in a clean, sate and operable condition. Evidence The plastic storage bin located on the playground has a lid that is broken, it does not stay on or lock. The rubber mat tiles on the middle playground are moving and separating to create space between that is creating a tripping hazard.”

8VAC20-780-240-A

“Based on review of ten staff records, one staff record did not contain documentation of completion of The Virginia Department of Education sponsored orientation course. Evidence The record for staff #1 did not contain documentation of completion of The Virginia Department of Education sponsored orientation course within 90 calendar days of employment.”

22VAC40-185-40-E

“Based on a review of the center's policies and procedures and staff interviews, it was determined that the licensee did not ensure that the center's own policies and procedures required by the standards, and the terms of the current license issued by the department were not followed. Evidence: 1. The center's policies and procedures regarding supervision of children states that, "staff must know where each child is located and be aware of children’s activities at all times?. 2. On September 30, 2021 at approximately 3:27pm to 3:30pm, Child #1, age 1 years old, was found unattended on the playground. 3. Child #1 was located by staff #4, approximately 20-24 feet from the closed classroom door they came out of. 4. Staff #2 and #3 confirmed Child #1 was last observed in the classroom at approximately 3:25pm to 3:28pm. 5. It was determined Child #1 pushed open the classroom door to the playground and proceeded to walk down the sidewalk in the enclosed playground area.”

22VAC40-185-340-F

“Based on staff interviews, it was determined that the staff did not ensure that children under the age of 10 years old shall be within actual sight and sound supervision of staff. Evidence: 1. On September 30, 2021 at approximately 3:27pm to 3:30pm, Child #1, age 1 years old, was found unattended on the playground. 2. Child #1 was located by staff #4, approximately 20-24 feet from the closed classroom door they came out of. 3. Staff #1 was changing a diaper, staff #2 and #3 were cleaning up after snack. Staff #1, #2 and #3 were not aware Child #1 was not in the classroom they were supervising. 4. Staff #2 and #3 confirmed Child #1 was last observed in the classroom at approximately 3:25pm to 3:28pm. 5. It was determined Child #1 pushed open the classroom door to the playground and proceeded to walk down the sidewalk in the enclosed playground area”

22VAC40-185-340-A

“Based on a review of the center's policies and procedures and staff interviews, it was determined that when staff were supervising children, they did not always ensure their care, protection and guidance. Evidence: 1. On September 30, 2021 at approximately 3:27pm to 3:30pm, Child #1, age 1 years old, was found unattended on the playground. 2. Child #1 was located by staff #4, approximately 20-24 feet from the closed classroom door they came out of. 3. Staff #1 was changing a diaper, staff #2 and #3 were cleaning up after snack. Staff #1, #2 and #3 in classroom were not aware child #1 was not in the class. 4. Staff #2 and #3 confirmed Child was last observed in the classroom at approximately 3:25pm to 3:28pm. 5. It was determined Child #1 pushed open the classroom door to the playground and proceeded to walk down the sidewalk in the enclosed playground area.”