8VAC20-780-160-A · Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Staff #4 had a completed TB screening dated five days prior to the required timeframe.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The sworn statement for S7, who has been working for over a month, was not dated.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care, protection, and guidance. During a naptime fire drill on 06/19/2025, two children exited the building with their class without shoes, and walked on a concrete sidewalk resulting in 2nd degree burns to their feet. The outside temperature during the drill was about 90 degrees.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

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. S1, employed for more than 2 months, did not have documentation of requesting a central registry check or criminal history from two states.

S3, employed for 6 months did not have results of a central registry check for one state. S12, employed for over 1 month, did not have documentation of requesting a central registry check or criminal history from two states.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-130-A · Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for C6, enrolled 03/11/2024 did not contain documentation of immunizations until 03/21/2024.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-410-5 · The following action is forbidden: forcing rest. Interviews were conducted on 04/04/2024 and 04/12/2024 by licensing and other agencies regarding the care of children in the classroom by S1. Staff interviewed reported observing S1 holding C1 on her cot and putting a blanket over her body and head during naptime and holding it with her arm. She acknowledged she has put a blanket over C1?s head while the child was on her cot at nap time.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-340-F · Based on center?s self-report, documentation review, and interviews the facility failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence: According to reports and interviews, child, C1, age 4, was left alone on the playground on 01/23/2023 for approximately 3.5 minutes and the classroom teacher, S1 did not know the child was left alone on the playground until the child?s parent came to pick him up for the day. The approximate temperature at 4:30 p.m. on 01/23/2023 was 50 degrees Fahrenheit. The incident report prepared by the center documented that S1 did not do the ?name-to-face threshold check when the children entered the classroom and that C1 was outside the classroom door alone from 4:28:27 to 4:31:57.?

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

22.1-289.035-B-4 · Based on a review of staff records and interview on April 21, 2022, the center did not obtain

results of a check of the out-of-state criminal history record check and out-of-state sex offender registry prior to employment for each employee and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #3 (hired 1/31/22) did not contain documentation of out of- state child abuse and neglect registry results. Staff #3 indicated living in another state in the previous five years on the staff's sworn disclosure statement. 2. The record of staff #10 (hired 12/31/21) did not contain documentation of out of state central registry results and contained documentation of an out of state criminal name search and sex offender registry search both dated 1/5/22. 3. Administration acknowledged the background checks were late.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22VAC40-185-210-A-4 · Based on review of records and interview, the center did not ensure to obtain documentation of a qualified program leader in each grouping of children as required.

Evidence: 1. Administration identified Staff #4 as a program leader. 2. The record of Staff #4 (DOH 5/5/21) did not contain documentation that she was qualified as a program leader. 3. Administration acknowledged there was no documentation in the staff member's file.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22VAC40-185-410-1 · Based on interviews and review of documentation, it was determined that on July 30, 2021, a staff engaged in a forbidden action by rough handling a child.

Evidence: 1. Based on an interview with an outside witness, the witness observed Staff #1 grab the arm of Child #1 "a little hard" and pulled the child up and placed her in a corner to sit in a chair. The witness stated a red mark was left on Child #1's arm and provided a photo of the red mark. 2. The photo of the red mark was observed. There was a red mark on the upper part of the child's left arm. 3. Administration reported Staff #1 grabbed Child #1's arm and left a red mark on the child's arm. Administration reported Staff #1 was terminated stating Staff #1's actions "did not exemplify Goddard and State Standards."

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.