All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person

competency demonstration. Evidence: Staff #2, did not have current CPR certification. It was overdue by nine days.

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

Infants, who cannot turn themselves over and are awake, shall be placed on their stomachs a total of 30 minutes each day to facilitate upper body strength

and to address misshapen head concerns. Evidence: The daily records for Child #1, three-months-old, did not contain documentation that tummy time had occurred for three days.

8VAC20-780-370-5 · Correction status not published

The center shall notify the parent by the end of the day for any known minor injuries.

Evidence: On 5/14/2025 while the Junior Kindergarten class, ages five-years-old, were on the playground, Child #1 had notified Staff #1 that they had injured their back while playing on the stairs of the composite play structure. Staff #1 reported that they had failed to write an injury report or notify administration of the injury before they left for the day.

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

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: In the Prep classroom, ages three to five-years-old, there were 22 children present, the written record reflected there were 21. In the Two-year class there were 10 children present, the written record reflected there were nine.

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

Repeat Violation

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. In the toddler room a child with a documented diary intolerance was not included on the current allergies, sensitivities, and dietary restrictions list.

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

Based on interviews with staff, the center failed to follow required playground safety procedures including active supervision by staff to include positioning of staff in strategic locations, scanning play activities and circulating among children.

Evidence: On June 6, 2024, at approximately 11:00 a.m. staff reported that they were grouped together supervising three wading pools that were along the fence close to the building, had their backs to the play equipment, and that they did not position themselves in a way where they could view the entire playground.

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

Based on review of six staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children, and that documentation was completed within the last 30 calendar days of the date of employment.

Evidence: The TB screening on record for Staff #5, with an employment date of 5/13/24, was dated 3/4/24.

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

Based on review of four staff records it was determined that not all staff obtained CPR training within the first 90 days of employment. Evidence: The record for staff B (start date: 01/23/23) did not contain documentation of completing the in-person competency demonstration portion of CPR training.

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

Based on review of four staff records it was determined that not all records contained documentation of a central registry check within the first 30 days of employment. Evidence: The record for staff A (start date: 03/28/2023) and the record for staff B (start date: 01/23/23) did not have documentation of a central registry check on file.

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

Based on review of medication it was determined that not all medication was picked up by the parent within 14 days when an authorization for medication has expired. Evidence: The authorization form for the emergency medication for child A expired on 10/18/2022.

8VAC20-780-510-P · Correction status not published

Based on interviews and review of documentation it was determined that staff did not always ensure children's care, protection, and guidance. Evidence: In the school age classroom, since January 2022, Child A (Age 9) had significant behavior that included throwing toys, kicking, hitting, and pushing peers. Teacher communication logs revealed that this behavior occurred frequently and was documented on a daily basis. This behavior created a significant disruption to the other children's daily activities and schedule. 1.) On 5/12/2022 it is documented that Child A kicked another child in the "private parts" because the child would not move out of the way. 2.) On 5/17/2022 it is documented that child A threw a football at another child, hitting them in the face. 3.) On 3/30/2022 it is documented that child A hit and pushed a child that was walking by. 4.) On 3/30/2022 it was documented that child A was "wrestling, pulling on, and kicking" another child while on the playground. 5.) On 2/8/2022 it is documented that child A got into a "physical altercation" with two other children while on the playground. 6.) On 1/27/2022 it was documented that child A continues to "jump, push, and hit" other children after being repeatedly asked to stop.

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