The center shall submit a child abuse and neglect registry search request at the time of employment to any state in which staff have lived in the last five years.

Staff #3 has resided outside the state of Virginia within the last five years and the center had not submitted an out of state central registry search at the time of inspection. Staff #3 has been employed for nine months.

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

The center shall obtain for each staff a Sworn Disclosure Statement disclosing whether they have ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether they have been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

Staff #2, employed for two months, does not have a Sworn Disclosure Statement on file.

22.1-289.035-B-1 · Correction status not published

Repeat Violation

The center is required to obtain a physical examination for each child before the child's attendance or within 30 days after the child's first day of attendance. Child #5, who has attended the program for seven months, did not have a physical exam on file.

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

The center is required to maintain a written record of children's serious and minor injuries that includes date and time when parents are notified and contains staff and parent signatures or two staff signatures.

The injury report dated 2/25/2025 for Child #6 did not include the date and time the parent was notified of the injury and only contained one staff signature and no parent signature.

8VAC20-780-550-P · Correction status not published

Repeat Violation

The center is required to obtain a physical examination for each child before the child's attendance or within 30 days after the child's first day of attendance. Child #2, who has attended the program for 16 months, and Child #3 who has attended the program for two months, do not have physical exams on file.

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

Repeat Violation

The center must request a search of the central registry prior to the employee's first day of employment. Staff #6 was employed for over two months before the center requested a central registry search.

22.1-289.035-B-3 · Correction status not published

Repeat Violation

Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 1/3/2025, Child #1 (Age 2) was out of sight and sound supervision of staff for approximately 20 seconds when Staff #1 turned their back to the classroom to prepare for naptime. Child #1 left the Preschool room and walked to the other side of the building to the Twos room.

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

Repeat Violation

The center is required to obtain documentation of a physical examination for each child within 30 days of child's first day of attendance. Child #5 has been enrolled at the center for over one year and eight months and did not have a physical examination on file.

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

Complaint Related

The required ratio for children from birth up to age 16 months is one staff per four children. On 10/16/24 the Infant room was out of ratio for a period of 8 minutes in one instance (five children with one staff) and 18 minutes in another instance (nine children with two staff) between 7:00am and 8:05am. The youngest child in the room was six months old. On 10/21/24 the Infant room was out of ratio for approximately 30 minutes with six children present with one staff and the youngest child in the room was 15 months old.

8VAC20-780-350-B-1 · Correction status not published

The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

Staff #2 did not have a signed sworn statement on file and had been working at the center for over seven weeks at the time of staff file review.

22.1-289.035-B-1 · Correction status not published

The center must submit a central registry search request for all staff hired prior to 7/1/24 by the employee's 30th day of employment.

Staff #1 was employed at the center for over 10 months and did not have documentation on file of a central registry search request or results.

22.1-289.035-B-3 · Correction status not published

The required ratio for children ages 16 months to 24 months is one staff per five children.

On 8/29/2024 at approximately 10:20am there were 8 children present with one staff in the Twos room. Child #1 and Child #2 both aged 23 months were present in the Twos classroom making the ratio one staff to five children, leaving the classroom out of ratio for over one hour and 30 minutes.

8VAC20-780-350-B-2 · Correction status not published

REPEAT VIOLATION

Based on record review, the center did not obtain repeat fingerprint-based criminal history background checks for all staff every five years. Evidence: Staff #3's most recent fingerprint results on file were dated 3/6/19.

22.1-289.035-A · Correction status not published

Based on observation, the center did not ensure that the temperature in areas occupied by children is maintained no lower than 68?F.

Evidence: 1. In the Preschool area, the wall-mounted thermostat had a reading of 65?F. 2. In the Toddler room, thermometer reading showed a temperature of 65?F.

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

Based on observation of the physical plant and staff interviews, it was determined that equipment in the center was not maintained in a safe and operable condition.

Evidence: The center's fire alarm panel, which is utilized to alert occupants in the building, as well as emergency services of a fire, is not functioning properly. Smoke detectors were heard beeping repeatedly throughout the time of inspection (approximately 10:05am through approximately 1:45pm). Management reported the smoke detectors are beeping because they aren't getting enough power. In addition, the fire alarm panel which powers the smoke detectors doesn't have enough wattage which requires it to be manually reset numerous times each day. Management stated if the fire alarm panel is not manually reset when it beeps then the system goes offline. Management advised this issue has been going on for approximately one year.

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

Based on observation, the center did not have the findings of the most recent inspection posted in a conspicuous place on the licensed premises.

Evidence: The most recent inspection summary and violation notice was not posted at the center.

22.1-289.011-F · Correction status not published

Based on review of five staff records, the center did not ensure that all staff who

work directly with children obtained certification in cardiopulmonary resuscitation (CPR) appropriate to the ages in care within 90 days of employment. Evidence: The records for Staff A with an employment date of 8/29/22, Staff D with an employment date of 10/24/22 and Staff E with an employment date of 1/10/23 did not contain documentation of CPR certification.

8VAC20-790-600-D-1 · Correction status not published

Based on review of five staff records, the center did not obtain documentation of the results of a national fingerprint-based background check prior to employment for one staff.

Evidence: The record for Staff B, with a employment date of 10/17/22, contained documentation of anational fingerprint-based background check dated 10/25/22.

22.1-289.035-B-2 · Correction status not published

Based on review of five child records, the center did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: The records for Child C, with a start date of 9/19/22 and Child D, with a start date of 5/31/22, did not contain documentation of immunizations.

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

Based on review of documentation, the center did not ensure that staff completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Annual training was requested for Staff A. The certificates provided for Staff A added up to 3.75 hours of annual training and were dated from 2020 to 2021.

8VAC20-780-245-A · Correction status not published

Based on review of three staff records, the center did not ensure that staff submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff #3, with an employment date of 4/22/22, did not contain documentation of a negative TB screening.

8VAC20-780-160-A-1 · Correction status not published

Based on record review and interview with the Director, the center did not ensure that all staff maintained current certification in cardiopulmonary resuscitation (CPR). Evidence: Eight staff CPR certificates were submitted for the inspection. Four of the certificates showed expiration dates of October 2021. The Director reported that these were the most current certificates for staff.

22VAC40-665-580-E-1 · Correction status not published

Based on review of three staff records and interview with the Director, the center did not obtain all of the required documentation for staff records. Evidence: The record for Staff A did not contain written information to demonstrate that the individual possesses the education, orientation training, staff development, certification, and experience required by the job position.

22VAC40-185-70-A · Correction status not published