(REPEAT VIOLATION) Each child shall have a physical examination by or under the direction of a Physician before the child's attendance or within 30 days after the first day of attendance.

Child A enrolled for over 3 months did not have a physical on file.

8VAC20-780-140-A · Correction status not published

Centers shall be in compliance with the center's own policies and procedures required by these standards.

The center's policy is that teachers perform name-to-face checks on their Child Supervision Records to ensure children are accounted for during the day. Teachers must look at each child's face to verify they are checking the correct child on their list. Staff A did not look at the face of Child A before marking the child accounted for, therefore the child was left unsupervised in the classroom for approximately 5-7 minutes.

8VAC20-780-40-E · Correction status not published

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child B, enrolled for over 1 year and 1 month, does not have immunizations on file.

8VAC20-780-130-A · Correction status not published

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

1. On 4/8/2025, Child A was instructed to go to the table, Child A yelled and refused telling staff ?NO?. Staff A was then seen grabbing Child A (age 5 years) roughly by their arm to pull them up. 2. On one occasion, Staff A called out to Child B who was running in the classroom. Staff A then pulled Child B by the ponytail to stop the child from running and lowered the child to sit next to them all while still pulling the child?s ponytail.

8VAC20-780-400-B · Correction status not published

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions.

1. The written list of all children?s allergies, sensitivities, and dietary restrictions was not current in the Two?s Classroom. There were 3 children missing. 2. The written list of all children?s allergies, sensitivities, and dietary restrictions was not current in the Infant B Classroom. There was 1 child missing.

8VAC20-780-40-M · Correction status not published

Children?s hands shall be washed with soap and running water before eating meals and snacks.

Staff did not wash two infant?s hands before feeding them a bottle.

8VAC20-780-500-A · Correction status not published

Based on interviews and a review of documentation, the center failed to inform the department?s representative of an injury to a child that occurred while the child was under the supervision of the center and required outside medical attention. Evidence: On 1/9/2024, child #2 sustained a "nursemaid" elbow injury that required medical attention. Staff confirmed that they did not complete the online IROMT form or notify the Department.

8VAC20-780-80-B · Correction status not published

Based on an inspection of the large playground, it was determined that the mulch under and around play equipment was not resilient. Evidence: The depth of the wood chips was measured in three spots around the center composite play structure on the preschool/school age playground. All three spots measured less than six inches in depth.

8VAC20-780-330-B · Correction status not published

Based on observation, it was determined that hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.

Evidence: The Licensing Inspector observed 10 containers of germicidal and disinfectant solution containers in the room identified as "Staff". The door to this room was unlocked.

8VAC20-780-280-B · Correction status not published

Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: the record for staff #5 (date of hire: 3/22/2023) who indicated they lived out of state in the past five years, did not contain documentation that an Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment for all states in which they have resided, or an Out of State Sex Offender Registry search and Out of State criminal history name check completed prior to their first day of employment.

22.1-289.035-B-4 · Correction status not published

Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant A classroom, there were two cribs with loose fitting sheets on the mattress. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.

8VAC20-780-270-A · Correction status not published

Based on interviews, and review of documentation, it was determined staff did not always ensure the care and protection of all children. Evidence: Interviews revealed that on 11/21/2022, infant #1 (5 months old) was inadvertently fed another infant's bottle containing formula. Both bottles were labeled and dated, but similar in appearance. Staff stated that infant #1 brought four bottles to the center, drank three bottles, and had two full bottles left at the end of the day. Documentation revealed that infant #1 was fed three times that day.

8VAC20-780-340-A · Correction status not published

Based on interviews and review of documentation, the facility failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: On 7/26/2022, between approximately 5:30-6:00 pm, staff #1 was vacuuming the floor under a table in the school age classroom. Child #1 (age 5) was under the table and their hair was sucked up into the vacuum. Staff #1 stopped the vacuum when they heard the child scream, pulled the child?s hair out of the vacuum, and consoled the crying child.

8VAC20-780-340-A · Correction status not published

Based on a review of five children?s records, the center did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance or within 90 days grace period for a documented homeless child. Evidence: the record for child #3 (date of first attendance: 10/7/2021) did not have documentation of a physical examination.

8VAC20-780-140-A · Correction status not published

Based on review of five staff records, it was determined that out of state background checks were not completed as required. Evidence: The record for staff #2, (date of hire: 9/22/2021) who indicated they lived out of state in the past five years, did not contain documentation of an Out of State Sex Offender Registry check or an Out Of State Criminal History Name Check prior to employment.

22.1-289.035-B-4 · Correction status not published