A Child's Place at Hollin Hall

8VAC20-780-400-A · Complaint related.

In order to promote the child's physical, intellectual, emotional, and social well-being and growth, staff shall interact with children to provide needed help, comfort and support. Multiple staff interviewed reported that they had observed Staff #9 speaking to children with a strong tone of voice. Staff described the tone as sometimes aggressive and yelling. Sometimes the strong tone of voice was directed at the entire class and sometimes is was directed to an individual child. On at least one occasion the tone of voice directed at one child resulted in the child crying.

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8VAC20-780-350-B-4 · The staff-to-child ratios for 3 year-old children shall not exceed 1 staff:10 children.

On 11/5/25, from approximately 8:24am-8:44am, the 3-year-old preschool class exceeded a 1:10 ratio. At 8:24am, the ratios in the classroom were 1:11; at 8:30am, the ratios in the classroom were 1:15; at 8:35am the ratios in the classroom were 2:22; and at 8:40am, the ratios in the classroom were 2:24. Staff #1 and #2 did not alert management that they/the class was out of ratio for this period of time. At 8:44am, Staff #3 clocked into work and it is estimated that they arrived in the classroom by 8:45am.

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8VAC20-780-40-E · The operational responsibilities of the licensee shall include ensuring that the center's activities and services are maintained in compliance with these standards, and the center's own policies and procedures that are required by these standards.

The center's written minor injury policy states that first aid shall include the washing, applying of antibiotic ointment and covering with a bandage for scratches, cuts and abrasions. The written injury report documented the washing of the child's knee abrasions, but no additional first aid was provided to the knee abrasions. The center's written minor injury policy states that ice will be applied to bumps/bruises. The first injury report, written 9/26/25, documented that ice was offered but the child refused the ice. The second report, written 10/1/25, documented that while the child declined ice, it was later applied when staff noticed a bump forming on the child's forehead. The center's written serious injury policy has provisions for concussions, which is not known to have occurred however, there is no documentation of staff having been trained to assess a child for concussions. The child did receive what is considered to be a potential serious injury, a head injury, when they were pushed to the ground causing their head to hit the blacktop and a bump to form on the forehead area. The center's written serious injury policy includes notification of the parent as to the extent of the injury and informing the parent it is their decision whether to pick up the child, or have the center call 911. On 9/26/25, the parents of Child #1 were not notified of the potential serious injury until they arrived to pick up the child approximately 32 minutes later. At that time, the verbal and written accounts of the injury were not accurately communicated to the parent. The parent later learned the cause of the accident from the child.

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22.1-289.035-B-4 · An out-of-state child abuse and neglect registry search and sex offender registry search shall be completed prior to employment for each staff person that has resided out of Virginia in the previous 5 years.

1. A sex offender registry search was not completed for Staff #15 who began employment in June 2025. 2. An out-of-state child abuse and neglect registry search and sex offender registry search were not completed for Staff #17 who began working in June 2025.

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8VAC20-780-400-C · When time-out is used as a behavior guidance technique, it shall not exceed 1 minute for each year of the child's age.

On 5/7/25, a group of children ages 4-5 years old were placed in time-out for up to 10 minutes in length.

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8VAC20-780-160-A · Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall have been completed within the last 30-days prior to employment.

The TB test on-file for Staff #4, who began working in April 2025, was dated as completed in October 2024.

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8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care and protection.

On 1/15/25, Child #3 fell during a dance activity after bumping into another child. There were 3 staff present at the time of the accident and all staff stated they did not inquire to see why the child was crying or what hurt and acknowledged they did not provide first aid to the child. Child #3 was picked up 19 minutes after the accident at which time staff provided the parent with an incomplete verbal accounting of the accident. The parent observed the child crying and not being able to put any weight on the wrist and called back to the center for additional details, as a written injury report was not provided to the parent at pickup. The child's injury required outside medical care.

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8VAC20-780-160-C · At least every 2 years from the date of the first initial screening/testing, staff members shall obtain and submit the results of a follow-up TB screening.

The most recent TB test for Staff #3 was dated as completed in June 2022.

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8VAC20-780-245-A · Repeat violation.

Based on records reviewed, 2 of 6 staff records did not include documentation of a minimum of 16 hours of annual training for the 2022-2023 period. Evidence: 1. Staff #7- 0 of 16 hours of annual training was recorded for the period of 6/2022-5/2023. 2. Staff #8 - 11.5 of 16 hours of annual training was recorded for the period of 8/2022-9/2023.

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22.1-289.011-F · Repeat violation and systemic deficiency.

Based on observations made, the findings from the most recent inspection were not posted on the licensed premises. Evidence: The findings from the complaint investigation report dated 9/27/23-10/6/23 were not posted on the licensed premises.

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22.1-289.011-F · Repeat violation.

Based on observations made, the findings from the most recent inspection was not posted on the licensed premises. Evidence: On 9/27/23, the inspection report dated 8/30/23-9/20/23 was not posted on the licensed premises.

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8VAC20-780-270-A · Based on interviews conducted and observations made, staff failed to ensure that areas of the center were maintained in a clean and safe condition.

Evidence: 1. On 8/21/23, in the Preschool-2 classroom, Child #4 was placed on a cot in the cubby closet which also serves as a pass-thru entrance/exit to a bathroom. This area is a small confined space for a cot and simultaneous safe access to cubbies and the bathroom. 2. On 8/30/23, in the Preschool-2 classroom, Child #3 was placed on a cot in the cubby closet and as a result other children were unable to access their cots and were climbing onto a low-level cubby shelf and sliding across to their respective cubbies, with belongings in their hands, while additional children were made to step around the cot with minimal space to safely enter/exit the bathroom. 3. On 8/30/23, paper trash and food were observed on the floor in the Preschool-1 classroom. The inspector observed pumpkin seeds scattered on the rugs and was told that the seeds were from the breakfast served the day prior on 8/29/23. [Note: Children from multiple classrooms arriving prior to 8:30am combine in the Preschool-1 room.]

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22.1-289.011-F · Based on observations made, staff did not ensure that the findings from the most recent inspection were posted in the facility. Evidence: The inspection report from 7/14/22 was posted.

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8VAC20-780-280-B · Based on observation, the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: In the PS-2 classroom, there were air fresheners in each of the bathrooms.

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8VAC20-770-60-C-2 · Based on a review of staff records, the center failed to ensure that staff members have a central registry finding within 30 days of employment.

Evidence: Staff member # 3 did not have documentation of a central registry finding within 30 days of employment. (DOH - 06/07/2022)

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