The center is required to request an Out of State Child Abuse and Neglect Search prior to employment for any staff who has resided outside of Virginia within the last five years.

Staff # 1 employed 12 days, documented on their sworn statement that they outside of Virginia within 5 years of hire. Staff #1 had no documentation available to demonstrate that an out-of-state search of the abuse and neglect registry was requested.

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

For children ages 16 months through preschool age, during the designated rest period, when children are resting or in an inactive state, the following rest period ratios are permitted if the requirements of subsections J through N of this section are met: Children of preschool age: one staff per 20 children.

On 11/17/2025 from approximately 1:40pm to 2:40pm, the Tigers classroom (Ages 3 ? -4 years) had 21 children with only 1 teacher supervising their rest period.

8VAC20-780-350-I · Correction status not published

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

In the Toddler Classroom, the lower cabinet on the sink had peeling paint. The cabinet is accessible to children.

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

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

The written allergy list throughout the building did not include Child #1, with a diagnosed food allergy.

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

(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4, employed for 14 months, did not have documentation of requesting a criminal history check and staff #9, employed for three months, did not have documentation of requesting a criminal history, central registry or sex offender search from a different state.

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

The center must request a search of the central registry prior to the employee's first day of employment.

Staff #6, who has been employed for 1 month, did not have a central registry search requested. Staff #8 was employed for one day before a central registry search request was made.

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

(Repeat Violation, Systemic) Based on review of seven staff records, it was determined that not all staff had a repeat Central Registry Search every five years as required. Evidence: The record for staff #1 had a Central Registry search results letter dated: 12/19/2017.

22.1-289.035-A · Correction status not published

(Repeat Violation) Based on review of two staff records, it was determined that not all staff had an original central registry report within 30 days of employment, and no documented follow up was conducted. Evidence: the record for staff #2 (date of hire: 11/7/2022) did not contain documentation of a central registry search report or follow up.

8VAC20-770-60-C-2 · Correction status not published

(Systemic) Based on review of six staff records, it was determined that not all staff had a repeat Central Registry Search every five years as required. Evidence: The record for staff #6 had a Central Registry search results letter dated: 12/19/2017.

22.1-289.035-A · Correction status not published

Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: On 01/30/2023 staff could not explain how child A (Age 4) woke up from nap with a round, blistered mark on their right nostril. Staff confirm that child A did not have a mark on their face before nap. Staff were not able to provide an explanation as to how Child A sustained the injury to their nose. Child A did not articulate how the mark came to appear on their nose.

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

Based on review of daily attendance records it was determined that not all attendance records documented the arrival and departure of each child in care as it occurs. Evidence: The following classrooms did not have all children accounted on their attendance records:

1.) Toddler Room: Child A was not marked as present on attendance. 2.) Two year old room: Child B and Child C were not marked as present on attendance. 3.) Four year old room: Child D was not marked as present on attendance.

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

Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Staff could not provide an explanation regarding a dislocated left clavicle with a fracture sustained by child A (Age 17 Months) during child care hours. It was discovered through interviews that child A arrived at the day care around 9:00 am with a happy disposition. The child appeared normal throughout the day until they woke up from nap. It was reported that child A fell asleep on their back without incident at around 12:20 pm. Child A was reported to have been sleeping on their cot with a pacifier in their mouth, blanket placed over their torso, and dressed in a long sleeved shirt, legging type pants, and a onesie under the long sleeve shirt. Staff A went on break at approximately 12:45 pm leaving the children in the class under the supervision of staff B. When staff A returned from break they noticed that child A's cot had been moved and child A was still sleeping but now positioned on their stomach with their long sleeved shirt removed. Staff B reported to staff A that child A had woke up and that they had attempted to rock the child back to sleep next to their cot and that child A later fell back to sleep. It is not determined how child A's long sleeve shirt was removed. Child A reportedly woke up around 3:00 pm crying and appeared to be in distress. Staff A diapered child A, attempted to console them and offer them a snack. When child A was still observed to be in distress, staff A assessed the child to investigate the source of their distress. Staff noticed that child A appeared to flinch when their left arm and shoulder area was touched. Staff A notified management and requested that they notify child A's parent. Child A was picked up around 4:15 and was taken for medical evaluation. It was later determined by emergency room medical personnel that child A had a dislocated left clavicle with a fracture.

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

Based on observation of the infant room it was determined that not all areas of the center are

maintained in clean and safe condition. Evidence: The Licensing Inspector observed black mold under the top cabinet, located to the left of the microwave.

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

Based on review of three staff records it was determined that not all records contained documentation of a central registry check within the first 30 days of employment. Evidence: Staff A (start date: 10/13/2021), Staff B (start date: 02/01/2022), and Staff C (start date: 05/10/2022) did not have documentation of a central registry check on file.

8VAC20-770-60-C-2 · Correction status not published

Based on interviews and review of attendance records it was determined that not all attendance records documented the arrival of children as it occurred. Evidence: There were 8 children observed in the older infant room with only 4 children checked in on the daily attendance record. The time of arrival for child A, B, C, and D were not documented on the attendance record.

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

Based on observation and interviews with administration it was determined that the facility failed to maintain a ratio of one staff to 4 children ages birth to 16 months. Evidence: One staff member was observed caring for five children in the older infant room with ages ranging from 12 months - 16 months. Based on the attendance record and staff interview it was determined that the classroom was not in ratio from approximately 10:30 am - 11:00 am.

22VAC40-185-350-E-1 · Correction status not published