Wonderful Virginia Academy

8VAC20-780-350-B-4 Complaint related: Yes

“Based on a review of documentation, the facility did not maintained the required staff-to-child ratio for children ages 3 years old up to school age. Evidence: On July 5, 2024, at approximately 5:10 pm there were 12 children ages 3 through school aged in the care of 1 staff members.”

8VAC20-780-410-1

“Based on staff interviews, it was determined that staff engaged in a forbidden action. Evidence: On April 24, 2024 staff #1 pinched a three year old child a punishment for not following directions while on the playground.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: The fencing in front of the center was in disrepair and was leaning. There was a gap in the fence that created an entrapment hazard.”

8VAC20-780-570-E

“Based on observation, the facility did not ensure that all prepared infant formula was dated and labeled with the child's name. Evidence: In the infant classroom, there were two prepared bottles of infant formula that was not dated.”

8VAC20-780-500-B

“Based on observation, the facility did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: After completing a diaper change, staff was observed using sanitizer to clean the diapering surface. The diapering area should be cleaned with soap and water before sanitizer can be utilized.”

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: The fencing in front of the center was in disrepair and was leaning. There was a gap in the fence that created an entrapment hazard.”

8VAC20-780-570-E

“Based on observation, the facility did not ensure that all prepared infant formula was dated and labeled with the child's name. Evidence: In the infant classroom, there were two prepared bottles of infant formula that was not dated.”

8VAC20-780-500-B

“Based on observation, the facility did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use. Evidence: After completing a diaper change, staff was observed using sanitizer to clean the diapering surface. The diapering area should be cleaned with soap and water before sanitizer can be utilized.”

8VAC20-780-140-A

“Based on a review of documentation, the center did not obtain documentation of a physical examination of all children with 30 days after the first day of attendance. Evidence: Child A’s record was missing documentation of a physical examination. Their start date was documented as 1/4/2021.”

8VAC20-780-80-A

“Based on a review of documentation, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: In the toddler classroom, the written attendance had 6 children signed in, but 7 children were physically present.”

8VAC20-780-550-D

“Based on a review of documentation, the center did not implement a monthly practice emergency evacuation drill. Evidence: There was no documentation of a monthly practice drill being conducted in June 2023.”

8VAC20-780-140-A

“Based on a review of documentation, the center did not obtain documentation of a physical examination of all children with 30 days after the first day of attendance. Evidence: Child A’s record was missing documentation of a physical examination. Their start date was documented as 1/4/2021.”

8VAC20-780-80-A

“Based on a review of documentation, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs. Evidence: In the toddler classroom, the written attendance had 6 children signed in, but 7 children were physically present.”

8VAC20-780-550-D

“Based on a review of documentation, the center did not implement a monthly practice emergency evacuation drill. Evidence: There was no documentation of a monthly practice drill being conducted in June 2023.”

8VAC20-780-330-B

“Based on observation, resilient surfacing did not comply with the minimum safety requirements of at least six inches of mulch in fall and use zones of play equipment. Evidence: There were two large wooden posts installed in the use zone of the slide on the preschool playground. There was dirt observed at the base of the slide. There was grass and other greenery growing in the mulch. On the younger playground, there was grass observed throughout fall zones near the slides.”

8VAC20-780-340-A

“REPEAT VIOLATION Based on observation, the center did not always ensure the care and protection of children in care. Evidence: 1. The school age room is in the interior classroom of the PreK class. The classroom has Occupancy Load cards dated 5/10/2021 issued from the building official that limit the classroom to occupancy to five. There were seven children observed with two staff.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, not all areas and equipment of the center were maintained in clean, safe, operable condition. Evidence: 1.In the Early HeadStart toddler classroom, there was a CD player with its cord exposed and accessible to children in care stored on an approximately three foot high slanted shelf that created a crush hazard. 2. There was a pair of sharp adult scissors stored on the same shelf. 3. In the three's classroom, the vacuum was stored in the middle of the back of the room and created a tripping hazard. 4. There was a broom leaning against a bookcase that created a tripping and fall hazard. 5. The paper towel dispenser was empty. The roll of paper towels were stored on a top shelf and were visibly wet and the paper center was visibly soft and wet. 6. In the prek classroom/school age class, the paper towel dispenser was empty and a heavy roll of paper towels that weighed approximately two pounds was stored on top of the approximately three and half feet high paper towel dispenser that created a crush hazard.”

8VAC20-780-330-B

“Based on observation, resilient surfacing did not comply with the minimum safety requirements of at least six inches of mulch in fall and use zones of play equipment. Evidence: There were two large wooden posts installed in the use zone of the slide on the preschool playground. There was dirt observed at the base of the slide. There was grass and other greenery growing in the mulch. On the younger playground, there was grass observed throughout fall zones near the slides.”

8VAC20-780-340-A

“REPEAT VIOLATION Based on observation, the center did not always ensure the care and protection of children in care. Evidence: 1. The school age room is in the interior classroom of the PreK class. The classroom has Occupancy Load cards dated 5/10/2021 issued from the building official that limit the classroom to occupancy to five. There were seven children observed with two staff.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, not all areas and equipment of the center were maintained in clean, safe, operable condition. Evidence: 1.In the Early HeadStart toddler classroom, there was a CD player with its cord exposed and accessible to children in care stored on an approximately three foot high slanted shelf that created a crush hazard. 2. There was a pair of sharp adult scissors stored on the same shelf. 3. In the three's classroom, the vacuum was stored in the middle of the back of the room and created a tripping hazard. 4. There was a broom leaning against a bookcase that created a tripping and fall hazard. 5. The paper towel dispenser was empty. The roll of paper towels were stored on a top shelf and were visibly wet and the paper center was visibly soft and wet. 6. In the prek classroom/school age class, the paper towel dispenser was empty and a heavy roll of paper towels that weighed approximately two pounds was stored on top of the approximately three and half feet high paper towel dispenser that created a crush hazard.”

8VAC20-780-520-C

“Based on review of diaper ointments, it was determined that not all requirements were met. Evidence: In the infant room, there was a diaper ointment not labeled with the child's name.”

22.1-289.035-B-2

“Based on review of staff records, the center did not obtain documentation of the results of fingerprint background checks by the first day of employment. Evidence: Staff #1, hired 4/24/2023, national fingerprint check was dated 4/28/2023.”

8VAC20-780-570-E

“Based on observation and interview with staff, all prepared infant formula was not dated and labeled with the child's name. Evidence: 1. In the infant room fridge, there was a 'arcadia brand' water bottle filled with a white liquid that was not dated or labeled with the child's name. 2. Staff confirmed this was prepared infant formula”

8VAC20-780-520-C

“Based on review of diaper ointments, it was determined that not all requirements were met. Evidence: In the infant room, there was a diaper ointment not labeled with the child's name.”

22.1-289.035-B-2

“Based on review of staff records, the center did not obtain documentation of the results of fingerprint background checks by the first day of employment. Evidence: Staff #1, hired 4/24/2023, national fingerprint check was dated 4/28/2023.”

8VAC20-780-570-E

“Based on observation and interview with staff, all prepared infant formula was not dated and labeled with the child's name. Evidence: 1. In the infant room fridge, there was a 'arcadia brand' water bottle filled with a white liquid that was not dated or labeled with the child's name. 2. Staff confirmed this was prepared infant formula”

8VAC20-780-510-E

“Based on review of medications, the center did not follow their policy regarding outdated medication. Evidence: Child #6, epi pen jr expired 7/2022 and was still on site at the center.”

8VAC20-780-130-A

“Based on review of documentation, the center did not obtain immunizations by the first day of attendance. Evidence: Child #7, enrolled 3/13/2020, did not have documentation of immunizations.”

8VAC20-780-540-E

“Based on observation, there was not an operating battery operated radio and flashlight. Evidence: There were no batteries for the radio or flashlight.”

8VAC20-780-520-C

“Based on observation, not all topical skin ointments were kept out of reach of children. Evidence: 1. In the two year old room, there was a bacitracin ointment kept on the top side of the changing table. 2. In the toddler room, diaper ointment was stored on a low shelf on the diaper changing table accessible to children.”

8VAC20-780-510-G

“Based on observation, prescription medication was not labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Albuterol for Child #5 did not have the prescription label, dosage amount or time to be given.”

8VAC20-780-140-A

“Based on review of documentation, the center did not obtain documentation of a physical exam within 30 days of attendance. Evidence: Child #7, enrolled 3/13/2020, did not have documentation of a physical in the file. Child #8, enrolled 6/21/2022, did not have documentation of a physical in the file. Child #10, enrolled10/28/2022, did not have documentation of a physical on file.”

8VAC20-780-60-A-8

“Based on review of documentation, the center did not obtain a written allergy care plan from a physician for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #4, had a documented food allergy to eggs in the record and did not have an allergy care plan in the file. Child #5, had a documented food allergy to peanuts, raw eggs and sesame, and did not have an allergy care plan in the file.”

8VAC20-780-80-A

“Based on review of documentation, the center did not maintain a written record of daily attendance for each group of children. Evidence: In the PreK classroom, there were 11 children present and only 6 included on the attendance sheet.”

8VAC20-780-190-A

“Based on review of documentation, the center did not have documentation of program director qualifications. Evidence: There was not a currently employed qualified director as of 3/14/2023.”

8VAC20-780-270-A

“Based on observation, not all areas and equipment of the center were maintained in safe, operable condition. Evidence: 1. In the older infant room, there were approximately 25 ceiling tiles that were visibly stained, some of which were visibly sagging. The door on the far wall of the class had a chipped and broken door frame near the bottom that was accessible to children in care and created a scratching hazard. There was a hole approximately the size of a quarter in the floor near the door and the tile was chipped and filled with debris such as leaves and accessible to children in care. 2. In the two year old room, there is a broken toilet that is marked by masking tape ?broken?. There was a mop bucket filled with liquid and staff interview revealed that the liquid was bleach water. 3. In the toddler room, there is a mini fridge use to store a child’s cup of milk. The fridge temperature was 68 degrees and should be no higher than 40 degrees Fahrenheit. 4. In the PreK room bathroom there is a large screw at the base of the toilet that is exposed more than 8 thread lengths. 5. In the three’s classroom, a bathroom was marked out of service. A vacuum cord was loose and created a tripping hazard. The sink’s left hot water valve did not work and the sink only worked for cold water.”

8VAC20-780-280-B

“Based on observation, not all potentially hazardous substances were kept locked. Evidence: In the infant room, cleaning supplies were not locked. In the toddler room, cleaning supplies were not locked. In the PreK room, there was an unlocked cabinet with cleaning supplies in the interior room.”

8VAC20-780-340-A

“Based on observation, the center did not always ensure the care and protection of children in care. Evidence: 1. In the two year old room, the classroom has Occupancy Load cards from the building official that limit the classroom to occupancy of sixteen and for ages 24 months through 36 months. At initial entry, the classroom had 17 children ages 16 months through 2 years with two staff supervising and by the end of observation there were 18 children ages 16 months through 2 years old with two teachers providing supervision. 2. Upon review of medications and documentation, the center has it documented on the allergy list that Child #4 and Child #9 have medications and there were supporting authorizations from the parent/guardians and physicans but staff was unable to locate the medication. 3. In the three year old class, Child #9, brings food from home due to food allergies and was observed being served and eating school prepared food in addition to his brought from home lunch.”

8VAC20-780-340-F

“Based on observation, children under the age of 10 years old were not always within sight and sound supervision Evidence: In the PreK room, there is an interior room used for school age children. There were three children ages 7, 8 and 12 years old observed on a computer watching a YouTube program. There were two staff working with 11 preK children (age 4 years old) in the outer classroom, observed moving around the room. The three school age children were not within sight and sound at all times are required.”

8VAC20-780-560-G

“Based on observation, food brought from home did not meet requirements. Evidence: On 3/14/2023, food for Child #4 was labeled with Child 4?s name and 1/23/2023 as the date.”

8VAC20-780-550-G

“Based on review of documentation, monthly emergency drills were not documented. Evidence: There were no fire drills for 6/2022, 8/2022 or 2/2023.”

8VAC20-780-560-M

“Based on observation, children were permitted to walk around while eating or drinking. Evidence: In the two year old class, Child #1, 16 months old, was observed walking around drinking milk from a sippy cup. Child #2 and Child #3, 2 years old, was observed walking around the classroom eating”

8VAC20-780-390-B

“Based on observation and interview with staff, it was determined that the center did not ensure there were regularly scheduled daily activities for school age children on non-school days. Evidence: There were three school age children in care and the center did not prepare adequate daily schedule for the children. Children were observed watching YouTube videos and reported ?just watching random things all morning?. When the separate issue of sight and sound supervision was addressed by the LI, the school age children were told to move to the circle time carpet in the PreK classroom to sit with electronic devices.”

8VAC20-780-510-B

“Based on observation, the center did not follow medication requirements. Evidence: Child #5 had albuterol on site and no authorization from the parent/guardian.”

8VAC20-780-500-B

“Based on observation, not all diapering areas were equipped with required items. Evidence: In the infant classroom the receptacle for soiled linens was a laundry basket with large cutouts and was not leakproof. In the older infant room, there was no receptacle for soiled linens.”

8VAC20-780-350-A

“Based on observation, the center failed to ensure that maximum group size of 15 children for 16 to 24 month old children. Evidence: In the two year old classroom, there were 19 children ages 16 months through 2 years of age.”

8VAC20-780-350-B-2

“Based on observation, the center failed to ensure that staff to children ratio was met for 1 staff for 5 children ages 16 months through 24 months. Evidence: There were 19 children ages 16 months through 2 years of age with two staff.”

8VAC20-790-600-D-1

“Based on review of documentation, not all staff had current certification in CPR that included an in-person competency demonstration. Evidence: Staff #1, start date 9/6/2022, CPR certification was 'exam only' and did not include the skills portion of the training.”

8VAC20-780-510-E

“Based on review of medications, the center did not follow their policy regarding outdated medication. Evidence: Child #6, epi pen jr expired 7/2022 and was still on site at the center.”

8VAC20-780-130-A

“Based on review of documentation, the center did not obtain immunizations by the first day of attendance. Evidence: Child #7, enrolled 3/13/2020, did not have documentation of immunizations.”

8VAC20-780-540-E

“Based on observation, there was not an operating battery operated radio and flashlight. Evidence: There were no batteries for the radio or flashlight.”

8VAC20-780-520-C

“Based on observation, not all topical skin ointments were kept out of reach of children. Evidence: 1. In the two year old room, there was a bacitracin ointment kept on the top side of the changing table. 2. In the toddler room, diaper ointment was stored on a low shelf on the diaper changing table accessible to children.”

8VAC20-780-510-G

“Based on observation, prescription medication was not labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Albuterol for Child #5 did not have the prescription label, dosage amount or time to be given.”

8VAC20-780-140-A

“Based on review of documentation, the center did not obtain documentation of a physical exam within 30 days of attendance. Evidence: Child #7, enrolled 3/13/2020, did not have documentation of a physical in the file. Child #8, enrolled 6/21/2022, did not have documentation of a physical in the file. Child #10, enrolled10/28/2022, did not have documentation of a physical on file.”

8VAC20-780-60-A-8

“Based on review of documentation, the center did not obtain a written allergy care plan from a physician for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #4, had a documented food allergy to eggs in the record and did not have an allergy care plan in the file. Child #5, had a documented food allergy to peanuts, raw eggs and sesame, and did not have an allergy care plan in the file.”

8VAC20-780-80-A

“Based on review of documentation, the center did not maintain a written record of daily attendance for each group of children. Evidence: In the PreK classroom, there were 11 children present and only 6 included on the attendance sheet.”

8VAC20-780-190-A

“Based on review of documentation, the center did not have documentation of program director qualifications. Evidence: There was not a currently employed qualified director as of 3/14/2023.”

8VAC20-780-270-A

“Based on observation, not all areas and equipment of the center were maintained in safe, operable condition. Evidence: 1. In the older infant room, there were approximately 25 ceiling tiles that were visibly stained, some of which were visibly sagging. The door on the far wall of the class had a chipped and broken door frame near the bottom that was accessible to children in care and created a scratching hazard. There was a hole approximately the size of a quarter in the floor near the door and the tile was chipped and filled with debris such as leaves and accessible to children in care. 2. In the two year old room, there is a broken toilet that is marked by masking tape ?broken?. There was a mop bucket filled with liquid and staff interview revealed that the liquid was bleach water. 3. In the toddler room, there is a mini fridge use to store a child’s cup of milk. The fridge temperature was 68 degrees and should be no higher than 40 degrees Fahrenheit. 4. In the PreK room bathroom there is a large screw at the base of the toilet that is exposed more than 8 thread lengths. 5. In the three’s classroom, a bathroom was marked out of service. A vacuum cord was loose and created a tripping hazard. The sink’s left hot water valve did not work and the sink only worked for cold water.”

8VAC20-780-280-B

“Based on observation, not all potentially hazardous substances were kept locked. Evidence: In the infant room, cleaning supplies were not locked. In the toddler room, cleaning supplies were not locked. In the PreK room, there was an unlocked cabinet with cleaning supplies in the interior room.”

8VAC20-780-340-A

“Based on observation, the center did not always ensure the care and protection of children in care. Evidence: 1. In the two year old room, the classroom has Occupancy Load cards from the building official that limit the classroom to occupancy of sixteen and for ages 24 months through 36 months. At initial entry, the classroom had 17 children ages 16 months through 2 years with two staff supervising and by the end of observation there were 18 children ages 16 months through 2 years old with two teachers providing supervision. 2. Upon review of medications and documentation, the center has it documented on the allergy list that Child #4 and Child #9 have medications and there were supporting authorizations from the parent/guardians and physicans but staff was unable to locate the medication. 3. In the three year old class, Child #9, brings food from home due to food allergies and was observed being served and eating school prepared food in addition to his brought from home lunch.”

8VAC20-780-340-F

“Based on observation, children under the age of 10 years old were not always within sight and sound supervision Evidence: In the PreK room, there is an interior room used for school age children. There were three children ages 7, 8 and 12 years old observed on a computer watching a YouTube program. There were two staff working with 11 preK children (age 4 years old) in the outer classroom, observed moving around the room. The three school age children were not within sight and sound at all times are required.”

8VAC20-780-560-G

“Based on observation, food brought from home did not meet requirements. Evidence: On 3/14/2023, food for Child #4 was labeled with Child 4?s name and 1/23/2023 as the date.”

8VAC20-780-550-G

“Based on review of documentation, monthly emergency drills were not documented. Evidence: There were no fire drills for 6/2022, 8/2022 or 2/2023.”

8VAC20-780-560-M

“Based on observation, children were permitted to walk around while eating or drinking. Evidence: In the two year old class, Child #1, 16 months old, was observed walking around drinking milk from a sippy cup. Child #2 and Child #3, 2 years old, was observed walking around the classroom eating”

8VAC20-780-390-B

“Based on observation and interview with staff, it was determined that the center did not ensure there were regularly scheduled daily activities for school age children on non-school days. Evidence: There were three school age children in care and the center did not prepare adequate daily schedule for the children. Children were observed watching YouTube videos and reported ?just watching random things all morning?. When the separate issue of sight and sound supervision was addressed by the LI, the school age children were told to move to the circle time carpet in the PreK classroom to sit with electronic devices.”

8VAC20-780-510-B

“Based on observation, the center did not follow medication requirements. Evidence: Child #5 had albuterol on site and no authorization from the parent/guardian.”

8VAC20-780-500-B

“Based on observation, not all diapering areas were equipped with required items. Evidence: In the infant classroom the receptacle for soiled linens was a laundry basket with large cutouts and was not leakproof. In the older infant room, there was no receptacle for soiled linens.”

8VAC20-780-350-A

“Based on observation, the center failed to ensure that maximum group size of 15 children for 16 to 24 month old children. Evidence: In the two year old classroom, there were 19 children ages 16 months through 2 years of age.”

8VAC20-780-350-B-2

“Based on observation, the center failed to ensure that staff to children ratio was met for 1 staff for 5 children ages 16 months through 24 months. Evidence: There were 19 children ages 16 months through 2 years of age with two staff.”

8VAC20-790-600-D-1

“Based on review of documentation, not all staff had current certification in CPR that included an in-person competency demonstration. Evidence: Staff #1, start date 9/6/2022, CPR certification was 'exam only' and did not include the skills portion of the training.”

8VAC20-780-60-A

“Based on review of documentation, the center did not ensure all children's records contained required information. Evidence: Child #2 has a diagnosed food allergy to milk and did not have a food allergy care plan signed by a physician.”

8VAC20-780-270-A

“Based on observation, not all areas of the center were maintained in safe condition. Evidence: In the Prek class, the right toilet has a screw at the base that extends more than seven thread lengths and is an impalement and scratch hazard.”

8VAC20-780-190-A-3

“Based on review of documentation, the center did not have documentation of program director qualifications. Evidence: Staff #1's record did not have documentation of the education and experience for the position assigned.”

8VAC20-780-60-A

“Based on review of documentation, the center did not ensure all children's records contained required information. Evidence: Child #2 has a diagnosed food allergy to milk and did not have a food allergy care plan signed by a physician.”

8VAC20-780-270-A

“Based on observation, not all areas of the center were maintained in safe condition. Evidence: In the Prek class, the right toilet has a screw at the base that extends more than seven thread lengths and is an impalement and scratch hazard.”

8VAC20-780-190-A-3

“Based on review of documentation, the center did not have documentation of program director qualifications. Evidence: Staff #1's record did not have documentation of the education and experience for the position assigned.”

8VAC20-780-280-B

“Based on observation, not all potentially hazardous substances were kept in a locked place. Evidence: In the School Age Class, in an unlocked cabinet accessible to children, there was a spray bottle labeled "[name]".”

8VAC20-780-500-B

“Based on observation, not all diapering areas were equipped with required items including a leakproof covered receptacle for soiled linens and a disposable diaper disposable system in which the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: In the toddler classroom, the diaper disposal system was a trashcan in which the soiled diaper touches the lid during disposal. In the infant room, the receptacle for soiled linens was a laundry basket with cutouts and was not leakproof.”

8VAC20-780-510-E

“Based on observation, the center failed to follow the center procedures for administering medication including duration of parent's authorization for nonprescription medication of no more than 10 business days. Evidence: Child #4 had Benadryl on site and the parent authorization was dated 8/2/2021 to 2/2/2022. The 10 day authorization expired 8/13/2021. A second authorization was signed by the parent dated 2/10/2022-8/10/2022. The second authorization expired on 2/23/2022.”

8VAC20-780-60-A-8

“Based on review of documentation, the center failed to obtain a written care plan for each child with a diagnosed food allergy from the child's physician. Evidence: Child #4 had a documented food allergy to eggs and milk and did not have an allergy plan in the record.”

8VAC20-780-510-P

“Based on observation, the center failed to ensure medication requirements were followed when an authorization to administer medication expires. Evidence: Child #4 had Benadryl on site and the medication authorization expired 2/13/2022.”

8VAC20-780-270-A

“Based on observation, not all areas were maintained in a safe condition. Evidence: On the two year old playground, there was an exposed screw on the brown barrier that had nine screw lengths exposed that posed an impalement and scratching hazard and rough edges that created a scratching hazard.”

8VAC20-780-280-B

“Based on observation, not all potentially hazardous substances were kept in a locked place. Evidence: In the School Age Class, in an unlocked cabinet accessible to children, there was a spray bottle labeled "[name]".”

8VAC20-780-500-B

“Based on observation, not all diapering areas were equipped with required items including a leakproof covered receptacle for soiled linens and a disposable diaper disposable system in which the soiled diaper touches the exterior surface of the storage system during disposal. Evidence: In the toddler classroom, the diaper disposal system was a trashcan in which the soiled diaper touches the lid during disposal. In the infant room, the receptacle for soiled linens was a laundry basket with cutouts and was not leakproof.”

8VAC20-780-510-E

“Based on observation, the center failed to follow the center procedures for administering medication including duration of parent's authorization for nonprescription medication of no more than 10 business days. Evidence: Child #4 had Benadryl on site and the parent authorization was dated 8/2/2021 to 2/2/2022. The 10 day authorization expired 8/13/2021. A second authorization was signed by the parent dated 2/10/2022-8/10/2022. The second authorization expired on 2/23/2022.”

8VAC20-780-60-A-8

“Based on review of documentation, the center failed to obtain a written care plan for each child with a diagnosed food allergy from the child's physician. Evidence: Child #4 had a documented food allergy to eggs and milk and did not have an allergy plan in the record.”

8VAC20-780-510-P

“Based on observation, the center failed to ensure medication requirements were followed when an authorization to administer medication expires. Evidence: Child #4 had Benadryl on site and the medication authorization expired 2/13/2022.”

8VAC20-780-270-A

“Based on observation, not all areas were maintained in a safe condition. Evidence: On the two year old playground, there was an exposed screw on the brown barrier that had nine screw lengths exposed that posed an impalement and scratching hazard and rough edges that created a scratching hazard.”