22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2 who has been employed for more than a month and was working with children at the time of the inspection, did not have documentation of requesting a central registry check from one state. Staff #3 who was employed for more than a month, did not have documentation of requesting a central registry check from one state.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-40-E · The center is required ensuring that the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center's police and procedurs were not followed for allegeries and asthma medication authorization were current.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-140-A · Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for two months.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-E · Repeat Violation

Systemic Deficiency Based on observation, interviews and documentation review the center has failed to demonstrate operational responsibilities including but not limited to ensuring the center?s activities, services and facilities are maintained in compliance with these standards the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department when staff left a child unattended for approximately four minutes. Evidence: 1. On June 10, 2024, Staff 1 snatched Child #1?s by the arm to sit the child on the carpet. Staff #1 grabbed 9 other children by the arm to forcefully sit them on the carpet. 2. Staff 1 grabbed Child #2 by the arm forcefully to sit the child on the carpet. 3. The center?s policy regarding supervision and playground safety of children were not followed when a child was left unattended in the bathroom with the door closed ad lights off on June 10, 2024, for approximately four minutes. 4. Child #3 was left in the bathroom because Staff 2 acknowledged she did not check the bathroom stalls before turning the light off and closing the door. 5. Child #3 was pulled by the arm forcefully to sit down on bathroom bench.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

63.2-1509-A · Based on staff interview and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services (

CPS

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-70 · Based on staff records review, 1 out of 2 records, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment.

Evidence: 1. Staff 1 (date of employment 4/04/2024) did not have two or more references as to character and reputation as well as competency were checked before employment at the time of inspection.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-40-N · Based on review of records and video camera footage, the center did not develop written playground safety procedures.

Evidence: 1. The center did not have a written playground safety procedures to follow to ensure the safety and supervision of children when using playground equipment.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-70 · Based on staff records review, the center did not obtain required documents for staff records.

Evidence: 1. Staff #1 (date of employment 11/27/2022) did not have employment application and two references. 2. Staff #2 (date of employment 11/21/2022) did not have two reference checks. 3 Staff #3 (date of employment 11/28/2022) did not have two reference checks.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-410-1 · Based on interviews and video camera footage, the center did not ensure staff interact with child to provided needed health, comfort and support.

Evidence: 1. On July 19, 2022, a child in the toddler classroom was grabbed by the arm by Staff #1. Staff #1 held the child's arm and moved the child toward the bookshelf away from the table. Staff #2 in the same classroom spoke with the child after the incident and addressed the concern with the Staff #1. Staff #2 spoke with Staff #1 about appropriate ways to address the child's behavior and allow the child to hold the staff hand instead of staff holding the arm. 2. Staff #2 informed Administration about the incident. 3. Administration addressed the incident and disciplinary actions were taken for Staff #1. 4. Center notified Licensing about the incident on July 20, 2022. Licensing advised center to notify the parent of the child of the incident. Parent was notified on July 21, 2022 and center completed an incident report on this day. 5. Staff #1 did not comply policy which states to record the behavior of the child and staff's response to the behavior using the Behavior Incident Report. 6. Staff #1 did not comply with behavioral guidance policy which states redirect children away from problems toward constructive activity in order to reduce conflict and teach children how to use problem solving strategies.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22VAC40-185-240-B · Based on staff records review, the center did not ensure staff completed orientation no later than seven days of the date of assuming job responsibilities.

Evidence: 9 out of 9 staff records reviewed, staff orientation was not completed within the seven days of the date of assuming job responsibilities.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.