The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a criminal history check, a search of the child abuse and neglect registry, and national sex offender search from one state for Staff #1, who has been employed for more than three months and was working with children at the time of the inspection.

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

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. A container of cleaning chemicals was in an unlocked cabinet located in Classroom B.

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

The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. On 11/13/2025, Child #1 sustained an injury at the center. The injury required medical treatment. The center did not inform the department?s representative of the injury within two business days.

8VAC20-780-80-B-2 · Correction status not published

The center is required to obtain a complete sworn statement prior to the employee's first day of employment. The record for Staff #1 did not contain a complete sworn statement. Staff #1 has been employed at the center for over seven months.

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

Program directors shall be at least 21 years of age and shall have at least a one-year early childhood certificate from a college or university that consists of at least 30 semester hours or a child development credential. The record for Staff #1, who has been employed for three weeks, did not contain documentation of qualifications to operate as a center director. Staff #1 stated they did not have the required education qualifications.

8VAC20-780-190-A-4 · Correction status not published

In inside areas occupied by children, the temperature shall be maintained no lower than 68?F. During the inspection, the temperature was 66.6 degrees in Classroom #1 and 65.4 degrees in Classroom #2. Children were observed in each classroom.

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

A tuberculosis (TB) screening is required every two years from the last screening. Staff #6 updated screening was due over seven months ago. The updated screening has not been completed.

8VAC20-780-160-C · Correction status not published

The vendor did not ensure two staff annually completed the required department sponsored health and safety update training. The record for Staff #4 contained an annual health and safety update certificate from 2023. The updated annual health and safety training was required to be completed seven months ago. The record for Staff #5 contained an annual health and safety update certificate from 2023. The updated annual health and safety training was required to be completed one month ago.

8VAC20-790-600-F · Correction status not published

Based on a review of five staff records and interviews, the vendor did not ensure one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care, in which the training included an in-person competency demonstration, within 90 days of the date of employment.

Evidence: The CPR certification in the record of Staff #2, employed on 04/03/23, was completed on 05/31/23, but the training did not include an in-person competency demonstration. During interview, a member of management confirmed the CPR certification on file for Staff #2 did not meet the requirements.

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

Based on a review of five staff records and interviews, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

Evidence: The TB screening in the record of Staff #2 (DOE: 04/03/2023) was dated 04/05/2023. During interview, a member of management confirmed the TB screening was completed on 04/05/2023. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.

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

Based on a review of three staff records and interviews, the center did not obtain a required out-of-state background check from any state in which one staff member had resided in the preceding five years within the required time frame.

Evidence: The record for Staff #2, employed on 01/22/24, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain an out-of-state search for founded complaints of child abuse or neglect. The search of the child abuse and neglect registry is required to be requested within the first 30 days of employment. During interview, a member of management confirmed the required out-of-state background check was not obtained for Staff #2 within the required time frame.

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

(Repeat Violation) Based on a review of two staff records and interview, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for one staff prior to employment.

Evidence: 1) The national fingerprint-based criminal record search in the record of Staff #1, employed on 12/07/23, was completed on 12/20/23. 2) During interview, a member of management confirmed the fingerprint-based criminal record search for Staff #1 was not completed prior to employment.

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

Based on a review of documentation, interviews, and video footage, the center did not maintain compliance with the center?s own policies and procedures that are required by these standards.

Evidence: The following was observed through video footage provided by the center on January 18, 2024: On January 9, 2024, Staff #1 grabbed Child #1 (3-year-old) by the arms and forcefully moved her away from a group of children. During interviews, Staff #2 reported that Staff #1 was terminated for using inappropriate discipline on Child #1 on January 9, 2024. It was reported that Staff #1 moved Child #1 away from the group for upsetting two children. An employee action form issued to Staff #1 on January 10, 2024 stated the following: ?A parent complaint was received on 1.9.24 indicating inappropriate discipline was used. After reviewing the video from Mon & Tus it was determined that this complaint was valid & discipline was harsh & outside of PT policy. Inappropriate discipline is grounds for immediate termination and therefore [Staff #1]?s employment will be terminated today.? The center?s discipline policy states: ?The goal of positive behavior guidance is to help the child learn self-control and build good habits. The staff shall provide opportunities for children to learn self-regulation in ways that promote their self-esteem and self-image using techniques such as: A. Setting limits that are clear, fair, consistent, appropriate and understandable B. Setting limits and patiently enforcing them C. Encouraging age appropriate behavior D. Redirecting children toward acceptable or appropriate activities and behavior E. Encouraging the use of words to express their feelings to limit and resolve conflicts F. Arranging equipment in a way that promotes desirable behavior?

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

Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

Evidence: The program director reported the injury prevention procedures had not been updated at least annually based on documentation of injuries and a review of the activities and services when the annual update was requested for review by the licensing inspector.

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

Based on observation and interview, the center failed to ensure the 1:10 staff-to-child ratio requirement was met for children ages 3 years old to school age.

Evidence: 1. During the inspection 11 children from the Red Robin room (4 year olds) were observed being supervised outside by one staff. One additional staff was required. 2. During an interview with Staff #1, it was acknowledged that staff-to-child ratio requirements were out of compliance.

8VAC20-780-350-B-3 · Correction status not published

Based on review of six staff records, the center did not ensure that one staff completed a criminal history record check every 5 years.

Evidence: The record for Staff #1 documented a criminal history check dated 3/30/2018, a repeat check was required no later than 3/30/2023.

22.1-289.035-A · Correction status not published

Based on review of six staff records, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

The record for Staff #4 (date of hire: 4/13/2023) did not contain documentation of certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

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

Repeat Violation

Based on a review of three staff records and interview, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for one staff prior to employment. Evidence: 1) The record of Staff #3, employed on 06/14/22, did not contain the results of a national fingerprint-based criminal record search. 2) During interview, a member of management reported the center did not have a fingerprint-based criminal record search for Staff #3.

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

Based on a review of seven staff records and interview, the vendor did not ensure three staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

Evidence: 1) The record of Staff #1, employed on 12/26/22, did not contain documentation that the staff member is certified in CPR. 2) The CPR certification in the record of Staff #2, employed on 03/14/22, was completed on 10/13/22, exceeding 90 days of the date of employment. 3) The record of Staff #4, employed on 05/16/22, did not contain documentation that the staff member is certified in CPR. 4) During interview, a member of management confirmed the CPR certification for Staff #2 was completed more than 90 days after employment and the CPR certification for Staff #1 and Staff #4 could not be located.

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

Based on a review of seven staff records and interview, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for three staff within the required timeframe.

Evidence: 1) The record of Staff #4, employed on 05/16/22, did not contain the results of a national fingerprint-based criminal record search. 2) The record of Staff #5, employed on 03/08/23, did not contain the results of a national fingerprint-based criminal record search. 3) The record of Staff #7, employed on 05/10/23, contained the results of a national fingerprint-based criminal record search that were completed on 05/11/23. 4) During interview, a member of management reported the fingerprint-based criminal record search for Staff #4 and Staff #5 could not be located.

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

Based on record review, the provider did not ensure four of six staff records had documentation of central registry results within 30 days of employment.

Evidence: 1. The record of staff #2 (employment date: 8/1/22) did not have documentation of central registry results. 2. The record of staff #4 (employment date: 5/9/22) did not have documentation of central registry results. 3. The record of staff #5 (employment date: 4/11/22) had documentation of central registry results dated 6/17/22. 4. The record of staff #6 (employment date: 8/20/19) had documentation of central registry results dated 9/30/2019.

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

Based on record review, the center did not ensure one of four staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.

Evidence: 1. The record of staff #2 (start date: 5/3/2021) did not have documentation of criminal history record results, sex offender registry check results from any state in which the individual has resided in the past five years. 2. The record of staff #3 (start date: 7/13/2020) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request follow up from any state in which the individual has resided in the past five years. 3. The Sworn Statement or Affirmation for staff #2 and staff #3 indicated that each staff has lived in one other state within the past five years.

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

Based on observation, the center did not ensure that the building was equipped with at least one carbon monoxide detector.

Evidence: The center was not equipped with at least one carbon monoxide detector.

22.1-289.058 · Correction status not published

Based on record review, the center did not ensure one of four staff records contained documentation of current certification in CPR within 90 days of the date of employment.

Evidence: 1. The record of staff #2 (start date: 7/13/2021) did not have documentation of current certification in CPR. 2. The record of staff #3 (start date: 10/19/2021) had documentation of certification in CPR dated 2/15/2021.

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

Based on record review, the applicant did not ensure that the applicant?s record contained documentation of criminal history record results and sex offender registry check results from any state in which the individual has resided in the past five years.

Evidence: 1. The record of the applicant did not have documentation of criminal history record results and sex offender registry check results from any state in which the individual has resided in the past five years. 2. The applicant?s record indicates that the applicant has lived in one other state within the past five years.

22.1-289-036-B-4 · Correction status not published